Early childhood development strategy for the world’s children with disabilities

Olusanya, Bolajoko O.; Wright, Scott M.; Smythe, Tracey; Khetani, Mary A.; Moreno-Angarita, Marisol; Gulati, Sheffali; Brinkman, Sally A.; Almasri, Nihad A.; Figueiredo, Marta; Giudici, Lidia B.; Olorunmoteni, Oluwatosin; Lynch, Paul; Berman, Brad; Williams, Andrew N.; Olusanya, Jacob O.; Wertlieb, Donald; Davis, Adrian C.; Hadders-Algra, Mijna; Gladstone, Melissa J.

doi:10.3389/fpubh.2024.1390107

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…Greater attention to the adverse long-term effects following prenatal and childhood neurological disorders require the perspective of developmental origins of disease ( 131 ). Current efforts correctly advocate for early childhood development strategies for the world’s children with disabilities ( 132 ). Greater attention to the continuities of risk affecting women and their children will help maximize benefits for all persons throughout adulthood ( 1 ).…”

Section: A Brain Health Strategy Requires Equitable Healthcare Deliverymentioning

confidence: 99%

Interdisciplinary fetal-neonatal neurology training improves brain health across the lifespan

Scher

2024

Front. Neurol.

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Integrated fetal, neonatal, and pediatric training constitute an interdisciplinary fetal-neonatal neurology (FNN) program. A dynamic neural exposome concept strengthens curriculum content. Trainees participate in mentoring committee selection for guidance during a proposed two-year program. Prenatal to postnatal clinical learning re-enforces early toxic stressor interplay that influences gene–environment interactions. Maternal-placental-fetal triad, neonatal, or childhood diseases require diagnostic and therapeutic decisions during the first 1,000 days when 80 % of neural connections contribute to life-course phenotypic expression. Pediatric follow-up through 3 years adjusts to gestational ages of preterm survivors. Cumulative reproductive, pregnancy, pediatric and adult exposome effects require educational experiences that emphasize a principle-to-practice approach to a brain capital strategy across the lifespan. More rigorous training during fetal, neonatal, and pediatric rotations will be offered to full time trainees. Adult neurology residents, medical students, and trainees from diverse disciplines will learn essential topics during time-limited rotations. Curriculum content will require periodic re-assessments using educational science standards that maintain competence while promoting creative and collaborative problem-solving. Continued career-long learning by FNN graduates will strengthen shared healthcare decisions by all stakeholders. Recognition of adaptive or maladaptive neuroplasticity mechanisms requires analytic skills that identify phenotypes associated with disease pathways. Developmental origins and life-course concepts emphasize brain health across the developmental-aging continuum, applicable to interdisciplinary research collaborations. Social determinants of health recognize diversity, equity, and inclusion priorities with each neurological intervention, particularly for those challenged with disparities. Diagnostic and therapeutic strategies must address resource challenges particularly throughout the Global South to effectively lower the worldwide burden of neurologic disease. Sustainable development goals proposed by the World Health Organization offer universally applicable guidelines in response to ongoing global and regional polycrises. Gender, race, ethnicity, and socio-economic equality promote effective preventive, rescue and reparative neuroprotective interventions. Global synergistic efforts can be enhanced by establishing leadership within academic teaching hubs in FNN training to assist with structure and guidance for smaller healthcare facilities in each community that will improve practice, education and research objectives. Reduced mortality with an improved quality of life must prioritize maternal-pediatric health and well-being to sustain brain health across each lifespan with transgenerational benefits.

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Section: A Brain Health Strategy Requires Equitable Healthcare Deliverymentioning

confidence: 99%

Interdisciplinary fetal-neonatal neurology training improves brain health across the lifespan

Scher

2024

Front. Neurol.

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Directions and Practices for Implementing Early Care for Children with Developmental Disabilities in Ukrainian and Swedish ECEC System

Tarasun,

Melnyk,

Stepanova

et al. 2024

J. Intellect. Disabl. Diagn. Treat.

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Background: This article explores the strategies and approaches used in Ukraine and Sweden's Early Childhood Education and Care (ECEC) systems for providing early care to children with developmental disabilities. It examines the similarities and differences in policies, legislation, professional training, family involvement, resource allocation, service provision, integration vs. segregation practices, and cultural attitudes toward disability between the two countries. Methods: This study used questionnaires and surveys, analysis of learning outcomes, performance evaluation, and an expert evaluation method. Results: The authors analyze Ukrainian best practices for implementing early care for children with developmental disabilities. In the example of the Swedish system and the context of a comparative investigation of early care for children with developmental disabilities in the countries under analysis, the authors pointed out the strengths and weak aspects of both systems and distinguished the similarities and differences. The theoretical study allowed the practical perspectives and critical Swedish practices that could be implemented in modern Ukrainian practices, among which the most perspectives are those related to early intervention programs, individualized support plans, and fostering partnerships with community organizations and healthcare providers. Rresearch Limitation: The experimental part of the study included a relatively small sample size (50 respondents) and was characterized by a short duration (three months). This may limit the ability to generalize the results. Conclusions: Additionally, the emphasis on inclusive curriculum and environments, as well as professional development opportunities for educators on inclusive practices, could significantly enhance modern Ukrainian practices in early care for children with developmental disabilities.

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Early childhood development strategy for the world’s children with disabilities

Cited by 2 publications

References 32 publications

Interdisciplinary fetal-neonatal neurology training improves brain health across the lifespan

Interdisciplinary fetal-neonatal neurology training improves brain health across the lifespan

Directions and Practices for Implementing Early Care for Children with Developmental Disabilities in Ukrainian and Swedish ECEC System

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