Biomedical subjects
Publications and source records attributed to E W Lynch.
The need to be cross-culturally competent is increasing in today's society, where many nationalities live within the same geographical area. Each nationality may have different cultural or religious beliefs that affect how they accept care; providers must be aware of these beliefs in treating diverse children.
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Families of high-risk or handicapped young children (0-5 years) often require the services of multiple community agencies. SearchLine, a computerized directory of community services, was developed by Project IINTACT to assist parents and professionals in locating an accessing appropriate resources. Educational, health, and social service agencies that provide services to families as well as to children are included in the data base. Individualized family/child needs for specific services are accommodated by SearchLine because it allows descriptors that are related to language, handicapping condition, services desired, and the child's age to be considered together by the computer when it generates a list of appropriate community resources.
A questionnaire to survey interagency cooperation was developed and sent to public school educational agencies throughout the country. Respondents included: special education supervisors and principals, school psychologists, and administrators at the local, regional, and state level. It was found that children with specific learning disabilities were referred more frequently than children with mental retardation and identification and assessment were the interdisciplinary services most requested in terms of evaluation and inservice training for public school staffs.
Representatives from local, regional, and state educational agencies throughout the country were surveyed to determine their satisfaction with services provided by University Affiliated Programs (UAPs). Sixty-eight respondents from 26 states and the District of Columbia returned questionnaires indicating their assessment of UAP services. Overall results showed highly positive ratings regarding access to UAP services, interdisciplinary evaluations, comprehensiveness, and relevancy of written reports and in-service training activities.
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Since public schools are now mandated to provide a large and varied range of clinical services to handicapped school children, a survey was conducted of 26 interdisciplinary UAF clinics and hospitals in regard to the types of services which they offer to public school children and the extent in which coordination of such services has been developed. Results suggest that diagnosis of evaluation is the primary reason for referral but that a wide variety of community outreach services are both requested by the schools and offered by interdisciplinary hospital and clinic staff. These services are described and the implications for future interagency cooperation are discussed.
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Questionnaires were sent to interdisciplinary UAF programs across the country to assess the types of handicapped school children who were receiving services at their facilities. A return rate of 65 percent was obtained and the total sample of children was 2088. Results indicated that a wide variety of ages and handicapping conditions were reported. Referral sources and services rendered were analyzed, and implications for cooperation with public school personnel were discussed.
Two parallel studies examined schools' and families' perceptions of the needs of children with chronic illnesses. Samples of 80 California school districts and 72 families were interviewed regarding types of chronic illnesses and school services, perceptions of and barriers to services, strategies for overcoming barriers, and fears and concerns of children with chronic illnesses. Most students were served in regular classes or at home. The most common barriers named by districts were funding and lack of public and staff awareness. Barriers named by families included teachers' misunderstanding of the child's needs and misinformation about the illness. Families focused on social-emotional issues and the impact of illness on their child's life; districts emphasized school absences and falling behind in schoolwork.