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This significant volume provides broad coverage of the spectrum of problems confronted by patients with developmental disabilities and the many kinds of occupational therapy services these individuals need. Experts identify exemplary institutional and community service programs for treating patients with autism, cerebral palsy, epilepsy, and mental retardation. A welcome contribution to the meager professional literature on the subject, Developmental Disabilities: A Handbook for Occupational Therapists will be an enormously helpful resource for therapists who work with both children and adults, ranging from mild to severe levels of impairment. You will learn how to establish a therapeutic environment for children with autism, develop a pre-vocational program in a pediatric skilled care facility, use qualitative research to obtain insight into the world of adults with significantly limiting cerebral palsy, and provide early intervention for your developmentally disabled patients.
Approximately 7.4 million people in the United States live with an intellectual or developmental disability (IDD), defined by the Centers for Disease Control and Prevention as a group of conditions due to an impairment in physical, learning, language, or behavior areas. These conditions begin during the developmental period, may impact day-to-day functioning, and usually last throughout a person's lifetime. Individuals with IDD and their caretakers face exceptional barriers to staying healthy and accessing appropriate health services. Among these barriers are difficulty finding care providers that are adequately trained in meeting their specialized needs, unwieldy payment structures, and a lack of coordination between the various systems of care with which patients with IDD may interact (e.g., education, social work, various segments of the health care system). The National Academies of Sciences, Engineering, and Medicine hosted a workshop to discuss promising innovations in (1) workforce development, (2) financing and payment, and (3) care coordination; and to share visions for improved systems of care. Participants noted that while many existing approaches could serve as models for improving care, large changes will need to be made in these 3 facets of the care system in order to make them accessible to all IDD patients. This publication summarizes the presentations and discussions of the workshop.