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EARLY INTERVENTION-PROGRAMMES FOR THE DISABLED

Introduction
                   Early intervention is an early stimulation and enrichment program for special group children with varying types and degrees of disability.  In other words we can say that early intervention is to help parents assist their
babies at risk in different areas of development at an earliest possible time in order to enhance development minimize further damages.  Such early intervention services from the basis of ensuring proper care and management of at risk infants and children and development delays especially in rural areas and urban slums with poverty and paucity of services.
                   Early intervention is defined as the introduction of planned programming deliberately timed and arranged in order to alter the anticipated or projected course of development (Siegal).
                   Early intervention can be defined as “A systematic programming thorough an easy set of training strategies to help parents and care givers in training their children with special needs and in developing the full potential of these children to help them function alongside normal children”.
                   Early intervention is concerned with preventive measures took to prevent their occurrence and to reduce the severity of the handicapping conditions wherever possible.

Objectives of Early Intervention
S  To assist the family members in the care and management of the child.
S  To make the child improve his/her skills to the best of his/her potential.
S  The main objective of early childhood stimulation is to give opportunities to the child so as to enable him/her to achieve the optimum level of development.
S  To ensure the healthy development of the child.  It involves providing knowledge to the mother regarding importance of breastfeeding, immunization, weaning foods, growth monitoring and low cost nutritious food.
S  To stimulate intellectual curiosity in the child and to help the children understand the world in which the child lives through giving an opportunities to explore, manipulate and experiment.
S  To enhance the language development.
S  To develop in the child basic trust and emotional security.  In involve letting the child know that he/she is wanted, and they can bank on the adult help if anything goes wrong.
S  To develop basic values of sympathy, tolerance, helpfulness and kindness.
How is early intervention provided ?
                   Special education and early childhood education are separate entities, yet they are intertwined.  We cannot fully understand one with considering the others.  To a large extent, both special and general early education aim to providing highly quality educational experiences for young children.
                   The best-known early intervention programs straddle the line between general and special education.  Most of the students for whom they are design have not been identified as having disabilities, although they are risk for an identification if they do not receive effective instruction.  Thus,  these program are focused on primary and secondary prevention.  That is, they are intended prevent learning disabilities from emerging and to correct learning problems they have been perceived.
Popular Early intervention programs for small group disabled
                   Three early intervention programs are particularly well unknown national.  All are designed to provide prevention and early intervention for young children who are at high risk for school failure.
i)                   Project head start
                   In the 1960s, the federal government launched Head start with the intention of addressing the needs of preschool children from low-income family for educational experiences prior to their entry into kindergarten.  Head stain remains one of the most popular government social programs, and its base premise – that early educational intervention can prevent school failure related developmental problems – remains the foundation for other early childhood education programs serving children at risk.

Reading Recovery
                    Reading recovery is a program imported from New Zealand.  It requires special teacher training in how to provide individual tutoring for low-achieving first-graders.  The tutoring sessions last for 30 minutes, and a typical session involves the following:
1.     child rereading a familiar book
2.     teacher analyzing the reading by keeping a running record
3.     letter identification activities, if necessary
4.     child writing a story, with emphasis on hearing the sounds of words.
5.     putting together a cut-up story
6.     child becoming acquainted with and reading a new book
The success of Reading Recovery depends not only on having a well trained teacher, but also on having enough such teachers to provide individual sessions with all the students who need them.
Success for All
                   Success for All (SFA) is a program designed at the Center for Research on effective schooling for Disadvantaged Students at Johns Hopkins University in Baltimore.  It focuses on children in kindergarten through third grade who are at task of school failure.  SFA,  combines emphasis on reading in the general class curriculum with tutoring, small-group instruction, and work with families to try to ensure that every child learns to read.  The primary components of the program
1.     A family  support team (including a social worker and a parent liaison).
2.     Reading tutoring for students with particular problems for as long as necessary.
3.     An innovative curriculum that integrates reading and writing instruction in meaningful contexts.
4.     Regrouping of students across grades for reading instruction.
The fact that a program is popular and widely used across the nation does not necessarily mean it is highly effective.  Further research on the effects of early intervention programs on children’s learning and school success will tell which approach is most effective and efficient.  However, researchers have shown that small-group or individualized tutoring are hallmarks of effective reading instruction.
The developmental skills are marked into 5 areas
v Motor area
v Language
v Socialization
v Cognitive
v Self-help skills
Motor development
                   The balance of this chapter describes representative activities for teaching young children with learning disabilities.  We describe activities for more development, auditory processing and phonological awareness, visual processing and tactile and kinesthetic processing.  Motor activities are a particularly used part of the early childhood curriculum.  The teaching strategies in this section and subdivided into three target areas : gross-motor skills, fine-motor skills, and body awareness activities.
A)  Gross – Motor Activities
Gross-motor activities involve the ability to move various parts of the body.  The purpose of these activities is to develop smoother, more effective body movements and to increase the child’s sense of spatial orientation and body consciousness.  Gross-motor activities are grouped as walking activities, thrown and catching activities, and other gross-motor activities.
i)                   Walking Activities
Children walk to target goal on a straight or curved path marked on the floor.
ii)                Fine-Motor activities
The young children experiences with fine-motor activities like Tracing.  Water control, cutting with scissors paper and pencil activities etc.
iii)              Body Awareness Activities
The purpose of these activities is to help children develop accurate imaging of the location and function of the parts of the body.
B) Auditory Processing
                   Many children with learning disabilities need specific instruction to acquire auditory processing skills.  Considered in this section are phonological awareness, listening to sounds, auditory discrimination, and auditory memory.
Phonological Awareness : For success at the beginning stages of reading, the child must hear the individual sounds (phonemes) in words and in language.
C) Visual Processing : Abilities in visual perception are necessary for academic learning.  Good skills in visual discrimination are a strong predictor of first-grade reading achievement.  Children who can read letters and numbers, copy geometric patterns, and match printed words tend to do well in first-grade reading.
D) Tactile and Kinesthetic Processing : For children who do not learn easily through the visual or auditory systems, tactile and kinesthetic perception provides away to strengthen learning.
E) Two approaches to early identification
                   Our discussion to this points suggests that recognizing children who later will be identified as having specific learning disabilities in the early grades or before they enter school is extraordinarily difficult.  Given this, it is surprising that ther is some debate as to how to approach early identification.  Educators attempting to do this may take a generic or a specific approach.
Generic Approach
                   Many early childhood educators propose a generic approach to early identification.  That is they recognize that children may be at risk because of developmental lags that might indicate any of a variety of disabilities, including mental retardation, learning disabilities, or emotional or behavioral disorders.
Specific Approach
                   The younger child, the greater the benefit of a generic approach, because there is no real measure for learning disabilities prior to school.  However, as children approach school age, enter kindergarten, and proceed through the grades a more specific approach to identifying learning disabilities becomes more desirable.  A specific disability label (e.g. “learning disability” or  “reading disability”) might be used.  Moreover, specific skills, such as language or reading, may be identified as the basis for identifying the child as having a disability and a targets for remediation.
Types of Early Intervention Programs
a)     Home-based Early Intervention programs is defined as document, written by a team of professionals and parents, for the children.  Initially early intervention programs were home-based, mainly for the benefit of rural families as they were far from health facilities.  The key persons in home based programs are the home visitors.  They need not be trained persons.
b)    Center-based Early Intervention Programs : Center-based early intervention is usually carried out in a children hospital, a clinic or a center for children or a rehabilitation centre to disabled children.  In center-based early intervention, the services of under like physiotherapy, occupational therapy, and speech therapy are also available and are provided as part of the program.  In addition, a children hospital has other units like Departments of Neurology, Cardiology, ENT and Ophthalmology etc., where center-based children are referred for team and consultation.
c)     Mixed (Centre and Home Based) Intervention Programs There are some agencies that offer both home-based and centre based early intervention.  it is offered to those families in urban areas where are far away from centers offering early intervention.
Conclusion

                   An early intervention program is monitored and progress marked as per checklist of skills in major areas of development.  Initially, the coordinate responsible for the early intervention program selects and determines while home training program will be appropriate for early intervention.  Early intervention kits consist of the checklist of various skills, covering 1 month     years of age, a manual explaining how to used the checklist and monitoring progress, and a set of activity cards, based on each skill.  Each activity card clean states the age group and the target skill, and suggests 3 – 4 activities and they needed to teach the particular skills.

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