HomeMy WebLinkAboutTimes-Advocate, 1981-12-16, Page 5Home visitation program helps children develop
By Joanne Buchanan
Seventeen months ago
Jacqueline- Pentland,
daughter of Jim and Joanne
Pentland of Lucknow, was
born with a deformity of the
spine.
Today she is a bright, ac-
tive and happy little girl who
is learning to walk with
braces on her legs from the
waist down. She seems to be
adjusting and developing
well despite her physical
problems and much of the
credit for this adjustment
and development can go to a
special home visiting
program funded by the
Ministry of Community and
Social Services and ad-
ministered by CPRI
Regional Developmental
Service ('entre in London. •
Rosemarie Evans of
Goderich. previously a
public health nurse for 13
years. is the home visitor for
the CPRI program in Huron
County and Jacqueline is
only one of several infants
she visits.
In 1978. a research project
was done in this county to
determine the need of early
intervention in families with
infants who may be 'at risk'.
for development. As a result
of this project. the home
visiting prografn was
started for infants from
birth to two years of age..
A child's develo lment can
be 'at risk' for a number of
reason';: mental retarda-
tion. prematurity, low birth
weight. complications at
birth. physical deformities,
brain damage and inade-
quate caretaking or lack of
emotional bonding related to
socioeconomic disadvan-
tages. low maternal educa-
tion or poor maternal men-
tal health.
An infant may be referred
to the program on the basis
of any of these risk factors
even if he or she is too young
to be showing clear develop-
ment delays. Mrs. Evans'
referrals most often come
from pediatricians, health
nurses and various social
agencies such as Family and
Children's Services. Anyone
can make a referral. Unfor-
tunately. says Mrs. Evans,
not many people know that
the program exists.
The aims of the program
are preventive. It has been
proven' in research studies
that early intervention
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reduces the severity of in-
cidence of developmental
problems of the infant in
later years.
"Early recognition and
identification of the problem
before the child gets to
school is the key, ' f explains
Mrs. Evans.
As soon as possible after a
referral. a preliminary
assessment is done in the in-
fant's home by two program
staff members. If it is
agreed that the infant will
benefit. an individual
program is then set up.
Jacqueline was referred to
Mrs. Evans by the Thames
Valley Crippled Children's
Centre in London soon after
she was horn. She was then
given a complete psy-
chological testing by Mrs.
Evans and the director of
the infant stimulation
program at ('PRI and a lear-
ning program was set up. It
mainly involves games
which require Jacqueline to
do certain tasks and which
can be incorporated into her
daily activities to help her
with hand -eye- co-
ordination, language, in-
dependence. gross motor
skills and fine motor skills.
Some special toys are
supplied by CPRI and toys in
the home are utiltized as
well.
"Jacqueline has a very
strong personality and has
made great gains. Every
three months we set
different goals for her. The
main one now is getting her
to walk and accept the
braces on her legs," says
Mrs. Evans.
Jacqueline is visited every
two weeks for one and a half
hours. Some of the infants on
the program are visited
more often and some less
often depending on the
severity of their problems.
Mrs. Evans schedules her
visits for the conveniency of
all.
Parent training and sup-
port are very important
aspects of the program, ex-
plains Mrs. Evans. Joanne
Pentland agrees.
"I wouldn't want to have
been without the program in
the beginning. I wouldn't
have known what to do," she
says.
Mrs. Evans, who took
special infant developmental
training at CPRI before the
program started in 1979,
teaches special games to the
parents and often asks them
to keep records of their in-
fant's progress.
Dealing with an infant's
temperment and getting that
infant to co-operate are
often the most difficult
tasks. Games are made fun
to motivate the infant and
rewards are often given.
Mrs. Evans explains that a
lot of what she does involves
just basic common sense.
She also has developmental
books which she can loan to
parents and. through the
visiting program, all the
CPRI and Thames Valley
services can be utilized.
Such services include a
s eegh therapist,
physiotherapist, oc-
cupational therapist, psy-
chologist and special toys
and equipment such as
walkers. braces, etc.
"Most parents appreciate
what I am doing and.look
forward to my visits. That
makes my job enjoyable,"
says Mrs. Evans.
Where possible, Mrs.
Evans tries to include the
whole family in her visits. If
there are brothers and
sisters. they learn games
and exercises they can do
with their infant siblings as
well. Sometimes Mrs. Evans
must work with babysitters
if parents are working or
with foster parents if the in-
fant has been taken out of its
home by Family and
Children's Services.
Mrs. Evans' visits end
when infants reach the age
of two. Many of them go on
to specialized nursery
schools for physically, men-
tally or emotionally han-
dicapped children in places
like Exeter, Wingham and
Vanastra. Some go to
regular nursery schools.
Every infant starts to
learn in the first days of life
and many crucial phases of
learning take place long
before he or she goes to
school. Therefore, preven-
tive intervention is
justifiable through such
programs as home visiting,
explains Mrs. Evans. Unfor-
tunately, even in this Inter-
national Year of the Disabl-
ed. most people in Huron
County are unaware that
such a special progrma ex-
ists.
11 you have questions
about the program or if you
would like to make a
referral. contact Rosemarie
Evans at the Public Health
Unit in Clinton.
Times-Advocat., D.c.mb.r 16, 1981
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