Core Curriculum: Maryland
January 1, 1999
MARYLAND
09/01/1999
Training Core Course -- FALL Semester 1999
Kennedy Krieger Institute
Baltimore, Maryland
9/7/99: Orientation: Overview of the Institute, Its Role as a UAP, and the MCHB LEND Training Program
Bruce Shapiro, M.D., Vice-President, Training - Welcoming Remarks Michael Johnston, M.D., Chief Medical Officer - Overview of programs and services at the Institute J. Lawrence, Ph.D., Assistant Vice President UAP; Director, Family Support Services - Overview of University Affiliated Program (UAP) and Administration on Developmental Disabilities (ADD) Grant Bruce Shapiro, M.D. - Overview of MCHB LEND training program
At the end of Orientation, participants will:
- Be aware of the history of the KKI.
- Know what LEND programs are and what their objectives are.
- Understand the major foci of the training program.
- Understand that the KKI is a composite of multiple activities that span a wide spectra:
- care from hospital to community to home;
- research from basic to applied; and
- families of all social strata; children/young adults who span the continua of age, disability, and education. These spectra serve as a resource to enhance training.
09/14/99: Interdisciplinary Process - Part I
Judy Levy, LCSW-C, Director, Social Work
Jan Turner, Ph.D., Director, Speech and Language
During the course of this presentation, participants will:
- Be given an overview of the interdisciplinary model.
- Will experience the interdisciplinary process by participating in a group exercise.
- Participate in a discussion of the interdisciplinary activity.
09/21/99: Interdisciplinary Process - Part II
Judy Levy, LCSW-C, Director, Social Work
Jan Turner, Ph.D., Director, Speech and Language
See 9/14/99 Goals and Objectives
09/28/99: Cultural Sensitivity
Linah Albanna, Ed.D., Neuropsychology
Guest speakers
During this presentation, participants will:
- Be presented with cultural variations in the care and treatment of children with disability and illness.
- Hear a panel (with members representing distinct cultural groups) address cultural attitudes and beliefs as being the foundation of families' perceptions about health and illness.
- Discuss the resources and strengths inherent in specific cultures.
10/05/99: Mental Retardation: History, Accomplishments and Challenges
Doreen M. Croser, Executive Director, American Association on Mental Retardation
This presentation will:
- Provide historical background about the attitudes and management of persons with mental retardation from ancient times until the present.
- Review recent accomplishments in the care of people with mental retardation.
- Outline current challenges that confront people with mental retardation.
10/12/99: Mental Retardation: Genetic and Metabolic Causes
George Thomas, Ph.D., Director, Genetics
At the end of this presentation, participants will have an understanding of the following:
- Chromosomes in normal individuals
- Role of "gross" (detectable) abnormalities in developmental and/or mental abnormalities
- Mendelian (single gene) inheritance
- Major modes of single gene inheritance: a) dominant; b)recessive; c) x-linked
- Detection of genetic abnormalities: a) newborn screening; b) carrier screening; c) high risk population
- Genetic service and counseling for "at-risk" families: a) medical genetics centers; b) genetic counseling centers; c) prenatal clinics
10/19/99: Mental Retardation: Clinical Aspects
George Capone, M.D., Developmental Pediatrician, Developmental Pediatrics Panel from the Baltimore Association for Retarded Citizens (BARC)
At the end of this presentation, participants will:
- Understand the presentation of and medical conditions associated with mental retardation.
- Learn from adult individuals with mental retardation about their challenges and triumphs.
10/26/99: Psychological Assessment
Kathleen Hagelthorn, Ph.D. Neuropsychology
Mark Mahone, Ph.D., Neuropsychology
Beth Slomine, Ph.D., Neuropsychology
At the end of this presentation, participants will be able to:
- Identify the major functions of psychological and neuropsychological assessment in a population of individuals with developmental disabilities.
- Distinguish between psycho-educational assessment and neuropsychological assessment.
- Understand the role of the neuro-psychologist on an interdisciplinary team.
This will be accomplished by:
- Presentation of an overview of brain functioning and brain-behavior relationships.
- Demonstration of the primary instruments used to assess relevant neuro-behavioral domains.
- Two case presentations of individuals with brain disorders, who have been evaluated by a neuro-psychologist on an interdisciplinary team.
11/02/99: Approaches to Evaluation and Treatment of Individuals with Behavioral Challenges
Stephanie King, LCSW-C, Social Work
Elaine Tierney, M.D., Director, Psychiatry
Louis Hagopian, Ph.D., Behavioral Psychology
At the end of this presentation, participants will be able to:
- List the therapeutic focus of each of the following interventions: pharmacotherapy, individual psychotherapy, behavioral therapy, and family therapy.
- Contrast the approaches of the above interventions.
- Be exposed to a case that demonstrates an interdisciplinary approach to behavioral challenges.
- Recognize the interdependent nature of the various interventions reviewed on 11/02.
- Learn that alternative approaches may be used effectively for similar behavioral challenges.
11/09/99 Overview of Special Education Laws and Intensities of Service
Marge Fessler, Ed.D., Supervisor, Outpatient Educational Services
During this presentation, participants will:
- Develop familiarity with the basic tenets of P.L. 94-142, P.L. 99-457 and P.L. 101-476 (IDEA).
- Understand the referral, evaluation, and IEP development processes described in P.L. 94-142.
- Be apprised of parental and school district rights during due process hearings as well as how they can help parents advocate for children with disabilities.
- Learn about the different intensity levels of special education provided in Maryland.
- Learn about the concept of inclusion in provision of special education services (discussion of the advantages and disadvantages of this delivery system will ensue).
11/16/99: Pediatric Traumatic Brain Injury (TBI): Mechanisms/Epidemiology
James Christensen, M.D., Director, Pediatric Rehabilitation
Goal: To provide a basic understanding of the disabilities associated with TBI; and the differences in the needs of and approach to children with acquired versus developmental disabilities.
At the end of this presentation, participants will:
- Know the most common cause of morbidity and mortality in children.
- Understand that the type of injury received with trauma, and the associated disability profiles, are unique.
- Know that cognitive and behavioral deficits are the most problematic long-term issues.
- Understand that prior development changes the impairments which are manifest after injury, and that this modifies the therapeutic approach.
11/23/99: Cerebral Palsy
Bruce Shapiro, M.D. Neurology and Developmental Pediatrics
Eileen Atkins, MS, RPT, Physical Therapy
At the end of this presentation, participants will:
- Understand the basics about cerebral palsy - definition: prevalence, classification, and causes.
- Appreciate the requirements for clinical diagnosis and the distinction between CP and related neuromuscular disabilities.
- Recognize the importance of a broad and structured approach to therapy.
- Appreciate the impact of the neurological deficits of CP on motor function.
- Understand the role of the physical therapist in treatment.
- Explore as a group the many desirable resources and supports available to children with CP and their families.
Leadership Education in Neuro-developmental and Related Disabilities Series
11/30/99: Leadership Overview and Capital Equipment Exercise
Lana Warren, Ed.D., Vice President, Clinical Programs & Inpatient Services
By the end of the presentation, participants will:
- Have a basic understanding of leadership.
- Have an understanding of the different frames of reference of clinical and administrative personnel.
- Be able to differentiate between being a manager and leader.
12/07/99: Program Evaluation: The Journey to Quality
Mary Talbot, RN, Senior Manager, Professional & Regulatory Affairs
At the end of this presentation, participants will:
- Gain knowledge in the fundamental elements of Program Evaluation systems.
- Realize the customer-focused function of a Program Evaluation system.
- Gain an appreciation for the early history of the processes for assessing care.
- Be able to identify the types of measures used in health care today.
- Recognize the four key terms in the definition of Program Evaluation.
- Be given specific examples of the use of Program Evaluation and Performance Improvement at the Kennedy Krieger Institute.
12/14/99: Downtown Center vs. Traveling Van
Jackie Krick, MS, RD, Director, Nutrition
During this presentation, participants will:
- Gain a basic understanding of the administrative perspective vs the practitioner's perspective regarding cost-effectiveness of services for children with special needs.
- Be able to compare two models of service delivery with regard to both the clinical and administrative issues that must be considered in deciding which is the most cost- effective method of service provision.
- Be able to present the issues identified to a group of peers, along with reasons as to their importance.