“…In a study of 9-to 13-year old children with CP, Voorman and colleagues (2006) found that co-occurring cognitive impairment was a major factor associated with both social life and communication skills. Children with decreased social communication skills are at significantly increased risk of decreased academic achievement, depression, and other mood or conduct disorders (Gilmour, Hill, Place, & Skuse, 2004;Matson, Carlisle, & Bamburg, 1998;Matson, Smiroldo, & Bamburg, 1998;Matson, Leblanc, & Weinheimer, 1999;McClelland, Morrison, & Holmes, 2000;Segrin, 2000), suggesting a need for intervention applied earlier, rather than later, in development. Communication and social deficits in CP may be affected by motor difficulties or other commonly co-occurring conditions including ASD and ID (Matson, Leblanc, et al, 1999;Njardvik, Matson, & Cherry, 1999).…”