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Research ArticleOriginal Article

The Effect Of Early Referral And Intervention On The Developmentally Disabled Infant: Evaluation At 18 Months Of Age

Mary Ann Sharkey, Marsha E. Palitz, Lynn F. Reece, Brenda L. Rutherford, Jennifer P. Akers, Barbara L. Alvin and Brian R. Budenholzer
The Journal of the American Board of Family Practice July 1990, 3 (3) 163-170; DOI: https://doi.org/10.3122/jabfm.3.3.163
Mary Ann Sharkey
From Therapeutic Research Services, Spokane, WA; Infant Services, Easter Seal Society of Volusia and Flagler Counties, Daytona Beach, FL; the Department of Mathematics, Eastern Washington University, Cheney, WA; and Group Health Northwest, Spokane, WA. Address reprint requests to Mary Ann Sharkey, Ph.D., Infant Services, Easter Seal Society of Volusia and Flagler Counties, 1219 Dunn Avenue, Daytona Beach, FL 32020.
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Marsha E. Palitz
From Therapeutic Research Services, Spokane, WA; Infant Services, Easter Seal Society of Volusia and Flagler Counties, Daytona Beach, FL; the Department of Mathematics, Eastern Washington University, Cheney, WA; and Group Health Northwest, Spokane, WA. Address reprint requests to Mary Ann Sharkey, Ph.D., Infant Services, Easter Seal Society of Volusia and Flagler Counties, 1219 Dunn Avenue, Daytona Beach, FL 32020.
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Lynn F. Reece
From Therapeutic Research Services, Spokane, WA; Infant Services, Easter Seal Society of Volusia and Flagler Counties, Daytona Beach, FL; the Department of Mathematics, Eastern Washington University, Cheney, WA; and Group Health Northwest, Spokane, WA. Address reprint requests to Mary Ann Sharkey, Ph.D., Infant Services, Easter Seal Society of Volusia and Flagler Counties, 1219 Dunn Avenue, Daytona Beach, FL 32020.
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Brenda L. Rutherford
From Therapeutic Research Services, Spokane, WA; Infant Services, Easter Seal Society of Volusia and Flagler Counties, Daytona Beach, FL; the Department of Mathematics, Eastern Washington University, Cheney, WA; and Group Health Northwest, Spokane, WA. Address reprint requests to Mary Ann Sharkey, Ph.D., Infant Services, Easter Seal Society of Volusia and Flagler Counties, 1219 Dunn Avenue, Daytona Beach, FL 32020.
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Jennifer P. Akers
From Therapeutic Research Services, Spokane, WA; Infant Services, Easter Seal Society of Volusia and Flagler Counties, Daytona Beach, FL; the Department of Mathematics, Eastern Washington University, Cheney, WA; and Group Health Northwest, Spokane, WA. Address reprint requests to Mary Ann Sharkey, Ph.D., Infant Services, Easter Seal Society of Volusia and Flagler Counties, 1219 Dunn Avenue, Daytona Beach, FL 32020.
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Barbara L. Alvin
From Therapeutic Research Services, Spokane, WA; Infant Services, Easter Seal Society of Volusia and Flagler Counties, Daytona Beach, FL; the Department of Mathematics, Eastern Washington University, Cheney, WA; and Group Health Northwest, Spokane, WA. Address reprint requests to Mary Ann Sharkey, Ph.D., Infant Services, Easter Seal Society of Volusia and Flagler Counties, 1219 Dunn Avenue, Daytona Beach, FL 32020.
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Brian R. Budenholzer
From Therapeutic Research Services, Spokane, WA; Infant Services, Easter Seal Society of Volusia and Flagler Counties, Daytona Beach, FL; the Department of Mathematics, Eastern Washington University, Cheney, WA; and Group Health Northwest, Spokane, WA. Address reprint requests to Mary Ann Sharkey, Ph.D., Infant Services, Easter Seal Society of Volusia and Flagler Counties, 1219 Dunn Avenue, Daytona Beach, FL 32020.
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Abstract

This study examines the age of referral and the effect of early intervention for the physically handicapped child. Fifty children were referred before 9 months of age, and they were compared with 55 children referred after 9 months of age. At 18 months of age, the children in the earlier referred group showed greater developmental progress in acquisition of skills in all of the six areas tested: perceptual-fine motor (P < 0.0003), cognition (P < 0.0001), language (P < 0.0004), social-emotional (P < 0.0001), self-care (P < 0.0001), and gross motor (P < 0.0002). The results show that, at least in the short term, there is a critical age for onset of intervention to achieve the most benefit for the developmentally disabled child. Family physicians should be alert to early warning signs of neurological deficits in order to obtain early treatment for these children.

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The Journal of the American Board of Family     Practice: 3 (3)
The Journal of the American Board of Family Practice
Vol. 3, Issue 3
1 Jul 1990
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The Effect Of Early Referral And Intervention On The Developmentally Disabled Infant: Evaluation At 18 Months Of Age
Mary Ann Sharkey, Marsha E. Palitz, Lynn F. Reece, Brenda L. Rutherford, Jennifer P. Akers, Barbara L. Alvin, Brian R. Budenholzer
The Journal of the American Board of Family Practice Jul 1990, 3 (3) 163-170; DOI: 10.3122/jabfm.3.3.163

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The Effect Of Early Referral And Intervention On The Developmentally Disabled Infant: Evaluation At 18 Months Of Age
Mary Ann Sharkey, Marsha E. Palitz, Lynn F. Reece, Brenda L. Rutherford, Jennifer P. Akers, Barbara L. Alvin, Brian R. Budenholzer
The Journal of the American Board of Family Practice Jul 1990, 3 (3) 163-170; DOI: 10.3122/jabfm.3.3.163
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