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Early Intervention

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Question
Answer
What are the purposes of EI?   Enhance development; minimize potential for delay; support families in prompting child's optimal development; facilitate child's participation in natural environments  
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Specialized knowledge of development and intervention for infants and toddlers who have or are at-risk for:   Communication; speech; language; hearing; feeding/swallowing; social/emotional behaviour; assistive technology  
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Who will be considered the expert for hearing on the team?   Rare that an audiologist will be apart of team; SLP will be considered expert - if you're not thinking about hearing than no one else on the team will be  
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ECI addresses the development of infants and young children who are at risk of delay:   Environmental disadvantage; biological risk; or established disabilities  
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What are considered biological risks?   Very low birth weight; children exposed to alcohol or other drugs in utero  
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What are considered environmental risks?   Unresponsive parenting; families living in poverty; families subjected to domestic violence  
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What is the role of the SLP on EI team?   Consultation; service coordination; transitioning planning; advocacy; awareness & advancement of the knowledge base  
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What are current barriers?   Children not being referred early enough; conflicting/confusing public health campaigns; misinformation; pseudoscience  
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What is late language emergence (LLE)?   Late talking with most but not all maturing out of their difficulties  
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What are established risks?   Genetic disorder; sensory impairments; neurological conditions; perinatal factors  
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What are at-risk conditions?   Maternal mental health; socioeconomic status; access to health services; family composition & environmental factors; low birth weight; exposure to drugs or alocohol  
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Dysmorphic features to consider with hair:   Hair texture; hair growth patterns; uneven hair growth; are there other patches of hair on body  
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Dysmorphic features to consider with eyes:   Shaping; spacing; pupil shape; different shapes of inner corner; star shape irises  
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Dysmorphic features to consider with teeth:   Unusual tooth eruption patterns; teeth coming in out of order; midline offset  
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Dysmorphic features to consider with ears:   How high or low set they are; shape (cupped, elongated, small, etc);  
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Dysmorphic features to consider with fingers:   Really long or short; spacing between fingers; tips of fingers (pointed); single palmer crease (typical in Down Syndrome); webbing  
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Dysmorphic features to consider with toes:   Webbing; any toes fused  
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Dysmorphic features to consider with skin:   Skin tags; skin tags by ears (associate w/ kidney issues & hearing loss); multiple slightly darker spots; cathayolay spots  
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