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Children's Medical Services - Special services for children with special needs
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Happy baby; Text - Providing health care services that ensure our children start out healthy Four Medical Professionals; Text - Creating a place where health care professionals connect Four girls smiling; Text - Providing extraordinary care so children can lead ordinary lives
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Module Two: Lesson One

Patterns of Influence

At one time, the field of early intervention was organized as though it were about professional support (e.g., therapy sessions) leading directly to child outcomes (see below). Unfortunately, this did not lead to large effects on developmental trajectories (Dunst, 1985).

Caregiver flow chart

Caregivers, however, can exert much influence on how children turn out, because they spend many hours with the child every week. We in turn can have a profound impact on caregivers' competence and confidence, because adults can learn in small time spans and can generalize. Our best route to child outcomes, therefore, is through caregivers.


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