title: [Complexity of help to children with developmental disabilities in the context of the establishment of Early Rehabilitation Services].
abstract: During of the years of restoration of independence of Lithuania a new model of services for children with developmental disorders was designed by Vilnius Child Development Center and Clinic of Social Pediatrics and Child Psychiatry, Vilnius University, and started to be implemented throughout all the country. Analysis of current situation of early intervention services in Lithuania is presented. The study was carried at the four randomly selected early intervention services. Patients and specialists of early intervention services together with patients and specialists of polyclinics where the services are located were interviewed using the questionnaires developed by the authors. Complexity of views of services providers and consumers together with the aspects of distribution of the information about the early intervention services and cooperation of early intervention services with other professionals was analysed. Data of the focus groups discussions with the specialists of early intervention services and analysis of the case histories are also presented. The data reflected the problems of the process of establishing the new services, period of creation and difficulties of working with children having severe disturbances and their families. Diagnosing and treatment of motor disabilities were dominating while emotional and behavioral disorders were underdiagnosed, case histories lacked complexity of the biopsychosocial view. Recommendations for the ways for future development are provided stressing the importance of seeking more complex interventions including psychosocial aspects of child development and family counseling.
authors.affiliation: VU Socialines pediatrijos ir vaiku psichiatrijos klinika, Vytauto 15, 2004 Vilnius. sigitalesinskiene@vrc.vu.lt
authors.forename: Sigita
authors.initials: S
authors.lastname: Lesinskiene
authors.forename: Asta
authors.initials: A
authors.lastname: Kajokiene
authors.forename: Dainius
authors.initials: D
authors.lastname: Pūras
mesh_terms: D002648:Child; D002662:Child Health Services; D003376:Counseling; D002658:Developmental Disabilities / Q000175:diagnosis / Q000534:rehabilitation*; D005190:Family; D005260:Female; D018166:Health Care Reform; D006801:Humans; D008097:Lithuania; D008297:Male; D012046:Rehabilitation; D011795:Surveys and Questionnaires