Learn about
different special needs
What does "Special Needs"
mean?
Just as every child is unique, so are their
"special needs." Sometimes, children are born with physical
conditions that may require special equipment, medical or dietary
services, and an experienced, knowledgeable family. Other children
may require special education services. Many of the children also
have emotional scars from a background that could include abuse,
neglect, or abandonment. For some, the problems may be more severe
and long-lasting. Some children have a combination of these special
needs.
Here is some information on different special
needs. We have tried to explain more about each of these special
needs or technical terms:
Click Headings to expand
text, click again to collapse.
Attachment
Attachment
is the ability of a child to form significant emotional connections
to other people. Children who have experienced abuse and neglect,
even when very young, will sometimes find it difficult to form
significant ties. This is known as attachment disorder. While
they may be very charming, their relationship to others is superficial.
Some signs of an attachment disorder may be difficulty maintaining
eye contact, telling the truth, and unresponsiveness to affection.
Attention Deficit
Disorder
(ADD) Attention deficit disorder is a condition
that affects a childs ability to concentrate or control
impulses. Children with ADD usually have trouble in school concentrating
for longer periods of time. Many children may have learning disabilities
as well as ADD. Sometimes medications are used to manage this
condition.
Autism affects a persons
mental, social, and emotional development. Children with autism
are usually "within themselves." They most often will
not talk, but they may use speech in unusual ways. Routines are
important to them. As a parent, you may be saddened because your
child may not come to you for love and affection. They can be
taught self-care, social skills, and language skills.
Cocaine Exposed Children
Women who use cocaine during their pregnancy
have a significant risk of affecting their child before it is
born. Many cocaine exposed children are born prematurely. After
birth, these infants are often frail, over-stimulated, and stiff,
but this resolves in most babies within the first few days of
life in the absence of any other complications. Thus, exposure
to cocaine is a "marker" of pre- and perinatal complications
and should be followed carefully.
Dysthymic Disorder
Depressed
or irritable moods that last most of the day, more days than not,
for at least a year in children and adolescents. May be accompanied
by poor appetite or overeating, insomnia or hypersomnia, low energy
or fatigue, low self-esteem, poor concentration or difficulty
making decisions, and feelings of hopelessness.
Fetal Alcohol Syndrome
(FAS)
Alcohol
use during pregnancy causes Fetal Alcohol Syndrome (FAS). Babies
born to alcoholic mothers usually have a low birth weight and
a small size. Their heads are smaller than is normal and they
may have special facial characteristics which are identified with
FAS. There are a variety of birth defects. FAS has been shown
to cause mental retardation. Children with FAS lag behind their
friends in school. They may not process information as quickly
or easily. They may not be able to use good judgment or develop
a strong moral system. Although some children are easily identified
as having FAS, many others have been affected by their birthmothers
alcohol use and havent been identified as FAS children.
Shortly after birth, the child may exhibit signs of alcohol withdrawal.
Firm, Consistent,
able to set limits
You
will read these terms in many of the childrens write-ups
to describe the type of family that would be best for a child.
In many situations, these children have not grown up with this
type of parenting that makes a child feel secure and safe. These
techniques of parenting help a child know that his adoptive parents
care enough to want to protect him. These children are many times
very MANIPULATIVE. This type of parenting will most often limit
this type of undesirable behavior.
Emotional Disabilities
Children with emotional difficulties may have
problems all of the time or just once in a while. Some behaviors
they may exhibit are: a lack of respect for authority, problems
in school, the inability to handle changes easily, and problems
with other children. These children may also have difficulty sleeping,
mood swings, they may be impulsive and they may not care or even
think about the consequences of their actions. Like many of the
"special needs" children, they will need the services
of therapists and counselors to help them throughout their formative
years. Many have received counseling services and, after the adoption,
it will be important that the family is part of the therapy.
Enuresis/Encopresis
Incontinence, a lack of bladder or bowel control,
is a fact for many children with disabilities. Children with these
disorders face both physical and emotional challenges. Sometimes
incontinence is associated with a particular disability including
spina bifida, muscular dystrophy, and cerebral palsy and is defined
as a repeated voiding of urine and/or feces into bed or clothes
(whether involuntary or intentional).
Hydrocephalus
Hydrocephalus is the increased accumulation
of fluid within cavities inside the brain. There is no known way
to prevent or cure hydrocephalus. To date, the most effective
treatment is surgical insertion of a shunt. A shunt is a flexible
tube placed into the brain which diverts the flow of fluid into
another region of the body where it can be absorbed. When not
treated promptly, some children with hydrocephalus will have less
than normal intelligence, physical disabilities, and a variety
of other medical problems.
Learning Disabilities
Children with learning disabilities may be
of average intelligence, but they have difficulty in sorting and
storing information. They may have visual perception problems
that make it difficult for them to learn by reading directions.
They may have to have directions told specifically to them. Another
learning disability may involve auditory perception problems.
These children learn best by seeing things, rather than have things
told to them out loud.
Loss Issues
Children
react to loss and grief differently from adults. Some children
feel immediate grief while others may deny the loss. However,
long term denial or avoidance of grief is unhealthy and can result
in more severe problems. Signals that may indicate professional
help is needed include: extended depression, loss of interest
in daily activities, inability to sleep or loss of appetite, extended
regression or sharp drop in school performance, hyperactivity,
aggression, and inability to concentrate.
Microcephalus
Microcephalus is a term used to designate
an exceptionally small head circumference. In infants, this can
be a "red flag" to alert a physician to consider other
possibilities including brain damage or mental retardation. It
is simply a sign to look further, not a diagnosis in and of itself.
Oppositional Disorder
Behaviors that are at least six months in
duration where a child will display at least five of the following
characteristics: loss of temper, argues with adults, refusal to
obey adult requests, deliberate behaviors to annoy others, blames
others for his/her mistakes, touchy, easily annoyed, angry and
resentful, spiteful and vindictive, swears and uses obscene language
or impulsivity.
Poor Impulse Control
This
means that a child needs to learn how to think about the consequences
of what he or she is about to do. A child with poor impulse control
may be sneaky and manipulative. Medication is often effective.
Post Traumatic Stress
Disorder
A syndrome where a person will re-experience
traumatic events along with a decreased response and avoidance
of current events. A child may experience sleeping problems, nightmares,
intrusive thoughts, have difficulty concentrating, self destructive
behavior, hyperactivity or anxiety/panic disorder.
Organic Brain Syndrome
A child with this disorder will have cognitive
impairment to varying degrees which may include disorientation,
impaired memory recall and distorted perception. Emotional disorders
frequently present include depression, anxiety, and irritability.
Behavioral disorders may include poor impulse control, acting
out, and aggression.
Reactive Attachment
Disorder
Reactive Attachment Disorder (RAD) is markedly
disturbed and developmentally inappropriate social relatedness
in most contexts that begin before age 5. RAD is the inability
to form normal relationships with others and an impairment in
development. Children with Reactive Attachment Disorder exhibit
three specific problem areas: 1) Impairment in the capacity to
attach: relationships are formed only on the basis of need, with
little regard for one caregiver over another. 2) Developmental
retardation: conceptual thinking remains low, even after favorable
environments are provided. 3) Poor impulse control, particularly
aggression.
Residential Treatment
A structured out-of-home placement for children
who need help in all three major areas of their lives: family,
school, and help with getting along with peers. It is a 24-hour
care facility with a large, professional staff that provides psychological
therapy to treat many behavioral management problems. These children
and their families have usually sought many ways of help to control
their behavioral problems before resorting to residential treatment.
The child may be in need of this setting for the safety of the
child or others.
Speech and Language
Many children, primarily young children, need
the services of special education speech and language to help
their language development. They may meet with a specialist in
this field once a week or more often, to help them develop their
skills to the degree they should be at their age.
Takes Psychiatric
Medication
Medication may be an effective part of the
treatment for several psychiatric disorders for childhood and
adolescence. Psychiatric medication is used as part of a comprehensive
treatment plan, usually including psychotherapy. Psychiatric medications
may be prescribed for a number of problems, including: bedwetting,
general anxiety or phobias, depression, eating disorder, bi-polar
condition, psychosis, and ADHD.
Tourette's Syndrome
A disorder where a child will display motor
tics and possible vocal tics. A tic is an involuntary sudden,
rapid, and recurrent movement or vocalization. Common motor tics
are eye-blinking, neck-jerking, shoulder-shrugging and facial
grimacing. Common vocal tics are coughing, throat clearing, grunting,
sniffling, snorting, barking, and swearing.

6682
W. Greenfield Ave. Suite 310
Milwaukee WI 53214-3151
414-475-1246
800-762-8063 (Wisconsin only)
414-475-7007 FAX
E-mail: info@wiadopt.org
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