Medical Conditions Resulting in High Probability of Developmental Delay and DSCC Screening Information

Transcription

1 Jame5. L.Jma5, ~reuiry Medical Conditions Medical Conditions Resulting in High Probability of Developmental Delay and DSCC Screening Information I Not Listed later Children with medical conditions which are not listed may be determined eligible for EI services by a qualified family physician, pediatrician or pediatric subspecialist (pediatric neurologist, geneticist, pediatric orthopedic surgeon, pediatrician with special interest in disabilities) who provides written verification that the child's medical condition is associated with a high probability of developmental delay as listed in eligibility criteria. L Anomalies of Central Nervous System Eligible/NonEligible and/or Description of DSCC Diagnoses Any specific diagnosis alone (except cystic fibrosis and hemophilia) is not eligible for DSCC unless there are associated impairments in the following categories: Orthopedic, nervous system, cardiovascular, external body, hearing, organic speech disorders, inborn errors of metabolism leading to severe neurological, mental and physical deterioration, eye and urinary system. J Spina Bifida/Myelomeningocele Spina Bifida with Hydrocephaly Encephalocele Hydroencephalapathy Microencephaly Congenital Hydrocephalus Reduction deformities of brain (Absence, A genesis, Agyria, Aplasia, Aminecephaly, Holoprosencephaly, Hypop lasia, Lissencephaly, Microgyria) Schizencephaly Anomalies of the Spinal Cord Not None of these would be DSCC eligible on their own; treatable motor/orthopedic impairments or seizures could be DSCC eligible for these deformities. Only treatable motor/orthopedic impairments are potentially DSCC eligible. Birthweight Birth weight: <looo gm. Not DSCC eligible by itself. Chromosomal Disorders (most common, not to be used as an exclusive list)

2 Chromosomal Disorders (most common, not to be used as an exclusive list) Trisomy 2 (Down Syndrome) Trisomy 3 Trisomy 8 Autosomal Deletion Syndromes Fragile X Syndrome Williams Syndrome Angelmann's Syndrome PraderWilli Syndrome Syndromes are not DSCC eligible by themselves but may include DSCC eligible conditions: Not DSCC eligible but typically cover the cardiac and hearing impairments. Craniofacial, limb deformities, cardiac are Cardiac impairments would be Not typically DSCC eligible unless causing cardiac, hypospadias or other DSCC eligible conditions. Not ~ Not usually DSCC eligible unless causing cardiac impairments or strabismus. Seizures, scoliosis and strabismus would be DSCC eligible, if present, for either syndrome. Seizures, scoliosis and strabismus would be DSCC eligible, if present, for either syndrome. Congenital Infections Toxoplasmosis Rubella Cytomegalovirus Herpes Simplex with CNS involvement Only treatable chronic motor/orthopedic, hearing loss and eye impairments (defects of eyeball or eye muscle) are DSCC eligible for these congenital infections. r Neonatal Meningitis Eligible EI Diagnoses Neonatal Meningitis Only treatable chronic motor/orthopedic, hearing loss and eye impairments (defects of eyeball or eye muscle) are DSCC eligible for these congenital infections. Cerebral Palsy Cerebral Palsy Craniofacial Anomalies (Major) Craniofacial Anomalies (Major) DSCC eligible (motor and neuro impairments)

3 Cleft Palate DSCC eligible * (See further instructions on referring to DSCC, listed on last page) Disorders of the Sense Organs Hearing loss of 30dB or greater at any 2 of the following frequencies: 500, 000, 2000, 4000 and 8000 Hz; or hearing loss of 35 db or greater at any one of the frequencies 500, 000 and 2000 Hz; involving one or both ears Visual Impairment Bilateral Amblyopia Severe Retinopathy of Prematurity ROP 3+ Bilateral Cataracts Myopia of 3 dioptors or more Albinism I DSCC eligible hearing loss of 30dB or greater at any 2 of the following frequencies: 500, 000, 2000, 4000 and 8000 Hz; or hearing loss of 35 db or greater at any one of the frequencies 500, 000 and 2000 Hz; involving one or both sides. Potentially DSCC eligible (blindness not DSCC eligible) eye muscle imbalance DSCC eligible when requires forced patching treatment. Not Disorders of the Central Nervous System Hypsarrhythmia Acquired Hydrocephalus Stroke Traumatic Brain Injury Int raventricular Hemorrhage Grade III, IV Hypoxic Ischemic Encepha lopathy (with organ failure, seizures, renal failure, ca rdiac failure) Unspecified Encephalopat hy Spinal Cord Injury Neonatal Seizures (second ary to asphyxia or hypoglycemia) Central Nervous System C ysts Central Nervous System T umors Periventricular Leukomala cia Inborn Errors of Metabolism Not Motor and speech problems may be Neither are automatically DSCC eligible but either could cause DSCC eligible motor, speech or orthopedic conditions. Not DSCC eligible by itself but seizures, renal impairments, cardiac impairments are Only treatable motor/orthopedic impairments or seizures are Only treatable motor/orthopedic impairments are Acute seizures are not Potentially DSCC eligible if not cancerous. Potentially DSCC eligible if not cancerous. Not DSCC eligible by itself. If causing Cerebral Palsy, this is Inborn Errors of Metabolism Only those causing physical and neurological impairment and mental retardation, if left untreated, are DSCC eligible.

4 r Neuromuscular Disorders Congenital Muscular Dystrophy Myotonic Dystrophy WerdnigHoffman (Spinal Muscular Atrophy) Congenital Myopathy Duchenne Motor and orthopedic conditions are potentially eligible for these conditions. Pervasive developmental disorder / Autistic spectrum Pervasive developmental disorder/ Autistic spectrum Not Syndromes Syndromes Camelia de Lange Lowe's Rett Rubenstei ntaybi CHARGE (multiple anomalies) VATER Syndromes are not DSCC eligible by themselves but may include DSCC eligible conditions: Orthopedic and craniofacial impairments are Cataracts and kidney problems are Not Causes DSCC eligible hip dislocation and joint problems. DSCC eligible: eye, kidney, cardiac, nervous, hearing and external body impairments. DSCC eligible urinary, cleft palate and esophageal atresia Fetal Alcohol Syndrome Fetal Alcohol Syndrome (Not just exposure to alcohol in utero or fetal alcohol effects, but a diagnosis of the syndrome) Eligible/NonEligible and/or Description of DSCC Diagnoses Not DSCC eligible, but could cause some DSCC eligible motor/orthopedic impairments. Orthopedic Abnormalities Brachioplexus at birth Caudal Regression Proximal Focal Femoral Deformities Partial Amputations HoltOram Potentially Not Potentially Potentially

5 Acquired Amputations Arthrogryposis Multiplex Congenita Osteogenesis Imperfecta Technology Dependent Tracheostomy Ventilator Dependent Potentially DSCC eligible if secondary to structural defect of upper airway and not chronic lung disease. Potentially DSCC eligible for IDHFS/DSCC Home Care Program (waiver) Social Emotional Disorders Attachment or Relationship Disorder Not DSCC eligible by itself. Children with undiagnosed medical conditions or who may require further medical evaluation may be referred for a medical diagnostic evaluation. If you have any questions regarding these eligible medical conditions or medical diagnostic services, please contact your developmental pediatrician consultation contractor. * Referring to DSCC Children with cleft palate, orthopedic abnormalities, or other potential DSCC eligible diagnoses associated with physical disabilities are to be referred to the Division of Specialized Care for Children (DSCC) prior to IFSP development. DSCC may provide medical diagnostic support at no cost to the family. Simultaneously Child and Family Connections should complete the intake process as usual. DSCC will determine the type of ongoing assistance they can provide.