Environment is an essential area of attention for practitioners who support young children with disabilities and their families. Decisions about the environment impact the quality of care and education for young children with disabilities showing measurable influence on expected outcomes. Environment impacts true access, quality participation, and…

The PLAY Project Home Consultation (PPHC) program trains parents of children with autistic spectrum disorders using the DIR/Floortime model of Stanley Greenspan MD. Sixty-eight children completed the 8-12 month program. Parents were encouraged to deliver 15 hours per week of 1:1 interaction. Pre/post ratings of videotapes by blind raters using the…

This article explains how challenging routines for families of children with behavior disorders can be converted into opportunities to teach communication skills. A case description illustrates how routines-based intervention can extend procedures of functional assessment and positive behavior support. The approach offers flexibility in applying a…

The article describes activities and outcomes of a home-based early intervention project in Jamaica which helped two mothers learn to communicate with their young congenitally deaf children. The program suggests a pragmatic approach to help Third World parents who are unable to participate in structured sessions in the school environment. (DB)

This paper describes a process of assisting parents of young children with Autistic Spectrum Disorder (ASD) to identify and prioritise their goals for their children's early intervention. A modified version of the Canadian Occupational Performance Measure (M-COPM) was used to facilitate this process. Twenty-two child-parent dyads involved in a…