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Early Identification and Intervention

                                 appropriate activities which are desired by society. The International Classification
                                 of Functioning, Disability and Health: Children and Youth Version (ICF-CY)
                                 defined disability as, “neither purely biological nor social but instead the interaction
                       Notes
                                 between health conditions, environmental and personal factors.” It described
                                 disability at three levels:

                                 •    an impairment in body function or structure, such as a cataract which prevents
                                      the passage of light and sensing of form, shape, and size of visual stimuli;
                                 •    a limitation in activity, such as the inability to read or move around;

                                 •    a restriction in participation, such as exclusion from school.

                                 The term, children with disabilities, is used to refer to the children with disabling
                                 health conditions or impairment or as a result of illness, poor nutrition or injury.

                                 22.1.1 THE MAJOR DISABILITIES

                                 In our community we see people around who cannot walk or have some body
                                 part deformed; have difficulty in seeing or hearing; have difficulty in understanding
                                 or learning. These people are suffering from some impairment and are having
                                 disability. There is a range of disabilities as defined by different models. The
                                 major are listed below.

                                 Sensory impairment: Any condition which implies a loss or impairment of the
                                 sensory organs such as hearing, vision, speech and olfactory senses. While a
                                 majority of such conditions can be treated and rehabilitated, some conditions
                                 persist lifelong and might require therapy and constant support.

                                 Developmental disabilities: These are diverse group of chronic conditions which
                                 are due to mental or physical impairment. This may include delayed or abnormal
                                 development. The conditions such as Autism Spectrum Disorder, Cerebral Palsy,
                                 Down syndrome and Asperger Syndrome falls under this.

                                 Learning disability: This refers to an impairment of cognitive abilities that
                                 manifests as a certain type of learning-related disability. These differ from child to
                                 child, based on the particular cognitive function that is affected like:

                                 •    input (difficulty processing visual information)

                                 •    difficulty in processing audio or lingual information
                                 •    integration (putting together the information and making sense of it)

                                 •    storage (memory-related)

                                 •    output (having trouble expressing the information)

                                 The biggest challenge with learning disability is that they are harder to identify
                                 and diagnose.

                                 Behavioural issues: Children with behavioural issues may experience difficulty
                                 in responding to the regular forms of care and discipline that works with other
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