Riley A L
Handicare, Inc, Mount Mercy, University of Iowa, Iowa City.
Pediatrics. 1994 Dec;94(6 Pt 2):1059-61.
While the need for mainstreamed day-care services continues to increase, many barriers remain that prevent or delay providers from enrolling children with special needs. The suggestions in this article to coordinate local resources will help programs begin to provide initial necessary services to children with special needs. The use of volunteers will help supplement the staffing needs of a day-care center and allow for more individualized care of the children. Unfortunately, the absence of public funds for child day care continues to be a major barrier to creating appropriate programs for children with special needs. State and federal policies need to be expanded to support day care in general and children with special needs specifically. Part H of PL 99-457 (now Part H of IDEA PL102-119) is a national impetus to promote interagency collaboration at state and local levels. This is a beginning, but more state and federal funding is needed. In addition, regulations need to be developed that will make it easier rather than more difficult for local agencies to participate. Day-care providers and professionals in every community must work together to provide appropriate services to children with special needs. The most effective services use interdisciplinary teams to work together to plan and implement the care. Let us pick up the challenge of this mandate and develop programs that will help future generations recognize and accept the differences between individuals as well as see the similarities.
尽管对主流日托服务的需求持续增长,但仍存在许多障碍,阻碍或延缓了日托服务提供者接收有特殊需求的儿童。本文中关于协调当地资源的建议将有助于日托项目开始为有特殊需求的儿童提供初步的必要服务。志愿者的使用将有助于补充日托中心的人员需求,并为儿童提供更个性化的照顾。不幸的是,缺乏用于儿童日托的公共资金仍然是为有特殊需求的儿童创建合适项目的主要障碍。州和联邦政策需要扩大,以普遍支持日托服务,特别是支持有特殊需求的儿童。《公法99 - 457》的H部分(现为《公法102 - 119》的H部分)是推动州和地方层面跨机构合作的一项全国性举措。这只是一个开端,但还需要更多的州和联邦资金。此外,需要制定相关规定,使地方机构参与起来更加容易而非更加困难。每个社区的日托服务提供者和专业人员必须共同努力,为有特殊需求的儿童提供合适的服务。最有效的服务是利用跨学科团队共同规划和实施护理。让我们迎接这一任务的挑战,制定有助于子孙后代认识和接受个体差异以及看到相似之处的项目。