The ascent of education in England and Wales for young handicapped children is very similar to that in the United States. Legislative and social phenomena have had a significant influence on education in these countries; yet mandates for change have been scant. Special education legislation in the U.S. has not had the great impact on the quantity or quality of service for young handicapped children that Welton implies has occurred in England and Wales. In reality, any revolutionary changes, or lack thereof, are probably attributable to factors other than those he presents. I am compelled to expand and extend his analysis of the British system to enumerate my perceptions of the status of services. Great Britain has been besieged by serious social and economic problems over the past few years, not unlike most other developed and developing countries. Economic stagnation resulted in major strikes, weakened currency rates, and discontent in urban areas.
Data were collected on 776 newborns using a high risk register. The group consisted of 16 newborns with birthweight under 1500 grams, 121 with a family history of handicap, 82 who were the product of an adverse pregnancy history, 39 with congenital anomalies, and 61 with a gestational age of less then 37 weeks. Analysis of high risk characteristics revealed 261 primary risk incidents in the sample and 292 secondary risk factors. These accounted for 10.57 and 14.4 percent of the subjects, respectively. Possible drawbacks in the use of high-risk registers are discussed in light of procedures for follow-up of infants and other critical factors.
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