Pediatric health care providers are frequently responsible for prescribing physical, occupational; speech therapies and monitoring therapeutic progress for children with temporary or permanent disabilities in their practices. This clinical report will provide pediatricians and other pediatric health care providers; with information about how best to manage the therapeutic needs of their patients in the medical home by reviewing.
The International Classification of Functioning, Disability, and Health; therefore describing the general goals of habilitative and rehabilitative therapies; therefore delineating the types, locations, and benefits of therapy services; and detailing how to write a therapy prescription and include therapists in the medical home neighborhood.
Pediatric health care providers
Pediatricians and other pediatric health care providers have a vitally important role in linking children; so youth with disabilities in their family-centered primary care medical homes with appropriate community-based services. Pediatric providers are often asked (frequently by families); or recognize the need to prescribe habilitative and rehabilitative therapies (physical, occupational, and speech and language) for infants, children, and youth with disabilities in their clinical practices.
Many general pediatric providers describe inadequate training to appropriately prescribe therapy in the various settings in which they may be available to children with disabilities. So this clinical report will review the framework of the International Classification of Functioning, Disability, and Health (ICF); for understanding the interaction between health conditions and personal and environmental factors that result in disability; children with disabilities.
Therfore the goals of habilitation and rehabilitation services; the types of therapy services available with their general indications; the locations in which children may receive therapy services and potential facilitators and barriers to securing therapy services; So the existing literature regarding the benefits of therapy and how therapy may dosed to optimize functional outcomes, and recommendations for writing therapy prescriptions.
Children with disabilities
Therefore two case examples are provided to aid the pediatric health care provider in developing expertise in addressing the therapy needs of children with disabilities in their practices. The efficacy of therapy services to help children gain and/or maintain function and provide adaptations is well documenting. Provision of a home program with caregiver training and support is generally because carryover of skills is by frequent repetition.
To routinely perform newly achieved skills; children need practice in their own environment; having the capacity to perform a task in a structured environment can improve performance but is not enough to demonstrate achievement of a therapeutic goal. Children need to demonstrate that they can routinely perform the activity in the face of challenges that exist in their environments for successful transfer of skills.