Sandler A D
Olson Huff Center for Child Development, Thoms Rehabilitation Hospital, Asheville, NC 28813-0025, USA.
J Sch Health. 1999 Apr;69(4):140-4. doi: 10.1111/j.1746-1561.1999.tb04170.x.
This paper describes an itinerant medical evaluation (IME) project and reports on the outcome of 108 consecutive referrals made in the first year. Subjects were of ages 5 to 17 years. Most students had been evaluated by the schools but were not receiving special education or related services. IME led to clinical diagnosis of ADHD in 70% of the sample, and specific learning disabilities were diagnosed in 26%. Several other clinically significant and educationally relevant diagnoses were made. As a result of the IME, many students were placed in special education and/or began to receive related services. At three-month follow-up, classroom accommodations were being made for 97% of the students. Teachers reported they felt more capable of teaching challenging students as a result of the IME. Significant improvements occurred in hyperactivity, conduct problems, and inattention, and grades improved in 31% of the sample. Reasons for the project's success are discussed.
本文描述了一个巡回医疗评估（IME）项目，并报告了第一年连续108次转诊的结果。受试者年龄在5至17岁之间。大多数学生已经接受了学校的评估，但未接受特殊教育或相关服务。IME导致样本中70%的人被临床诊断为注意力缺陷多动障碍（ADHD），26%的人被诊断为特定学习障碍。还做出了其他一些具有临床意义和教育相关性的诊断。由于IME，许多学生被安排接受特殊教育和/或开始接受相关服务。在三个月的随访中，97%的学生在课堂上得到了便利。教师报告说，由于IME，他们觉得自己更有能力教授有挑战性的学生。多动、行为问题和注意力不集中有了显著改善，31%的样本成绩有所提高。文中讨论了该项目成功的原因。
