[Medical supervision of severely handicapped patients at a school for the handicapped].
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The concept of integrated developmental intervention with profoundly disabled children has been evolved and tested in the school trial carried out at the Landstuhl Rehabilitation Centre Westpfalz. In its basic stage the intervention programme encompasses the availability of a good caring relationship between caregiver and child, with reliable satisfaction of needs and gentle child-centered care. This serves as a basis for systematic perceptual development by Basal Stimulation, movement development and initiation of communicative behaviour. The second stage in this developmental approach includes facilitation of continued growth of the children by experiencing concrete doing and meaning contexts. In line with the particular life situation of the parents and their children, parent involvement takes on a special dimension. Developmental intervention with profoundly disabled children presupposes the existence of an appropriate general framework.
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The "Moegeldorfer Group", an initiative group integrating disabled and non-disabled persons, had been studied using qualitative interviewing techniques. The following motives and effects of group involvement have been found: Predominant among the disabled members had been the recreational opportunities offered by the group, along with the possibility of coming to know people who could help them outside group activities as well. Getting acquainted with disabled persons had been in the foreground among the non-disabled members. Their major problem, apart from rendering assistance, had been to become aware of, and learn to cope with, disability-related communication barriers. The voluntary encounter of disabled and non-disabled people is considered a positive first step towards changing the relationship between disabled and non-disabled persons as it exists in our society.
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