Global services and support for children with developmental delays and disabilities: Bridging research and policy gaps

被引:51
作者
Collins, Pamela Y. [1 ]
Pringle, Beverly [1 ]
Alexander, Charlee [2 ,3 ,4 ]
Darmstadt, Gary L. [5 ]
Heymann, Jody [6 ]
Huebner, Gillian [7 ]
Kutlesic, Vesna [8 ]
Polk, Cheryl [9 ]
Sherr, Lorraine [10 ]
Shih, Andy [11 ]
Sretenov, Dragana [12 ]
Zindel, Mariana [2 ,3 ,4 ]
机构
[1] US Natl Inst Mental Hlth, Off Res Dispar & Global Mental Hlth, Bethesda, MD 20892 USA
[2] Natl Acad Sci, 2101 Constitut Ave Nw, Washington, DC 20418 USA
[3] Natl Acad Engn, Washington, DC 20418 USA
[4] Natl Acad Med, Washington, DC USA
[5] Stanford Univ, Dept Pediat, Sch Med, Stanford, CA 94305 USA
[6] UCLA, Fielding Sch Publ Hlth, WORLD Policy Anal Ctr, Los Angeles, CA USA
[7] Maestral Int, Washington, DC USA
[8] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Off Global Hlth, Bethesda, MD USA
[9] HighScope Educ Res Fdn, Ypsilanti, MI USA
[10] UCL, Res Dept Infect & Populat Hlth, London, England
[11] Autism Speaks, New York, NY USA
[12] Open Soc Fdn, Early Childhood Program, London, England
关键词
PATERNAL DEPRESSION; MENTAL-DISORDERS; SUSTAINABLE DEVELOPMENT; YOUNG-CHILDREN; LOW-INCOME; IMPAIRMENT; HEALTH; FEASIBILITY; TOOLS;
D O I
10.1371/journal.pmed.1002393
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The United Nations Sustainable Development Goals and the UN Convention on the Rights of the Child (CRC) envision an inclusive society in which health and education contribute to the well-being of all. To achieve this vision, children with developmental delays and behavioral, cognitive, mental, and neurological disabilities need greater access to health care, early childhood care and development services, and education. Improved population-level detection, alongside screening, assessment, and linkage to evidence-based, intersectoral services in the first years of life, can help maximize capabilities and increase the chances of social inclusion for children with developmental delays and disabilities. Educational programs for children with delays and disabilities whose service delivery structure supports the ability of parents to work should be encouraged so that parents can participate in achieving children's educational goals while also meeting their financial needs. Parents and caregivers who receive training in psychosocial interventions and ongoing support can help children with delays and disabilities thrive in family contexts. Family mental health influences the developmental trajectory of children. Ensuring that parents and caregivers have access to affordable, quality mental health services helps to prevent poor outcomes for children. Rigorous evaluation, continuous quality improvement, and regular monitoring of the programmatic outcomes of services and policy approaches targeting children and caregivers would inform their implementation and serve to disseminate lessons learned from successful policy and program implementation.
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页数:11
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