New Horizons Group

1
New Horizons Group NEWSLETTER (QPM/ MNL-01, Vol. III Issue 8) | September 2017 Developmental Pediatrician Dr. Samir Dalwai (MD, DNB, DCH, FCPS, DNB and LLB) founded New Horizons Child Development Centre (NHCDC now NHD) in 2003. NHD has developed 5 centres and currently houses a team of more than 60 paramedical professionals. NHD provides multi-disciplinary services to more than 300 children daily with a ratio of one specialist to one child in each intervention session. New Horizons Health & Research Foundation (NHHRF now NHF), is a registered non-profit organization [Reg.No.U85100MH2012NPL2385 6; No.DIT(E)/80G/111/N/2014-15], which works in the areas of health, impairment and early childhood development. NHF follows a four-pronged approach: Research, Rehabilitation, Advocacy and Training. Established in 2014, New Horizons Institute of Education & Research (NHIER now NHI) is the educational wing of NHG. In May, 2015, TATA INSTITUTE OF SOCIAL SCIENCES (TISS), Mumbai and NHF entered a collaboration and offer diploma courses in Special Education and Rehabilitation Psychology. New Horizons Education and Training Solutions (NHETS now NHS) provides highly specialized solutions to schools in Mumbai. Our specialists are deputed at the school on a customized basis for conducting evaluation, intervention and counseling for children with academic, emotional and behavioural concerns. Dr. Waheeda Pagarkar started the New Horizons Audiology (NHA) and Hearing Aid Centre for Adults and Children in August 2014. In its first year, NHA has seen around 400 patients, out of which 20 were adults and the remaining 380 were children. 35 patients were diagnosed with hearing loss of varying type and degree while 10 were prescribed with hearing aids. TAKE A WALK DOWN MEMORY LANE! Click here to visit our Newsletter Archives: http://www.enablemychild.org/nhg-newsletters/ For exciting career opportunities with New Horizons Group, click here: http://www.enablemychild.org/new-horizons-group/nhg-careers/ NHD - Dadar (East) 1st Floor, Jeevak Nursing Home, Sai Kunj, MMSG Marg, Dadar (East), Mumbai - 400 014. Tel: 022 65287397 / 022 24144596 / 7506171230 NHD - Bhandup (West) Pawar Public School, Opp. Dreams Mall, Off LBS Marg, Bhandup (West), Mumbai - 400 078. Tel: 022 21663024 / 9769669332 NHD and NHA Goregaon (West) 2nd Floor,Techniplex II, Techniplex Complex, Veer Savarkar Flyover, Goregaon (West), Mumbai - 400 062. Tel: 022 60600650 / 7506171240 NHD - Goregaon (East) Ground Floor, Saira Mansion, Pahadi School Road 2, Goregaon (East), Mumbai - 400 063. Tel: 022 65711586 NHD - Santa Cruz (West) Shop No. 47, 1st Floor, Hi-Life Mall, Opp. Santa Cruz Station, Santa Cruz (West), Mumbai - 400 054. Tel: 022 26465649 / 9819224415 www.enablemychild.org [email protected] www.facebook.com/newhorizonscdc New Horizons Group - www.enablemychild.org A new initiative by New Horizons Group, the Dance Music and Drama (DMD) Program is the latest addition to the New Horizons Developmental Program (NHDP). It involves techniques used in theatre to help children build their social skills. Helmed by Dr. Samir Dalwai, this program also aims at building the child's confidence through role-play and helps in the improvement of behavioral concerns. Through dance, music and drama each child is encouraged to explore his or her creative side. Learn While You Have Fun is the motto behind the DMD Program! ALL THE WORLD’S A STAGE! THE UNITED COLOURS OF NEW HORIZONS - NAVRATRI 2017! HELLO, NEW MEXICO! 24 th and 25 th September 2017 were days of cherished learning for the clinical team of New Horizons Child Development Centre when our mentors and fairy-godmothers, Dr. Jane McGrath, Dr. Catherine McClain and Ms. Patricia Osbourn, University of New Mexico (UNM), USA, visited New Horizons Group. New Horizons’ relationship with them dates back close to a decade. Dr. Jane, Dr. Cate and Ms. Pat visit us annually to train team New Horizons and engage in clinical discussions. We also learn from them through a customized monthly tele-conference conducted by Dr. Cate and Ms. Pat on Autism Spectrum Disorders. They were accompanied by Ms. Megan Baldrige, who reviewed the impact of the tele-conference. They are valuable members of the New Horizons Family! Dr. Jane McGrath is Chief of Adolescent Medicine at UNM Health Sciences Centre and Director of Envision New Mexico, USA. Dr. Catherine McClain is a Developmental-Behavioral Pediatrician, Professor Emeritus of Pediatrics and the Medical Director for the Center for Development and Disability (CDD) in the Department of Pediatrics at UNM. Ms. Patricia Osbourn is a speech-language pathologist, Deputy Director and Director of the Autism Programs at the CDD at UNM. New Horizons members across five Centres gathered on Sunday, 24 th September 2017 and discussed with our mentors the children they are working with and discussed the progress made by the children, and analyzed and deliberated on challenges faced in working on goals and received guidance from the panelists. At the end of an interactive day, we gathered numerous techniques and methods to support children’s learning of social, communication and academic skills. 1 Structure the environment visually. Use visual schedules which are easily visible to the child. Physical Environment 2 Teach the concept of ‘finished’. Designate a basket or a bin where ‘finished’ tasks can be kept. Concept of ‘Finished’ 3 Teach the concept of downtime and explain it to parents so that there is some time in the day where the child does not have to perform and is free to be himself. Concept of Downtime For children who are easiliy distracted, consider seating them facing a blank wall. Reducing Distractions Managing Repetitive Behaviours 4 5 6 7 8 9 10 11 12 Interaction and communication is more important than words. Design tasks where the child has to make a request – for example, holding puzzle-pieces in your hand so that the child has to interact with you to make a puzzle. It is important to educate parents about why we should focus more on interaction and communication rather than the child being able to use words. Speech versus Interaction/ Communication Keep the child engaged in meaningful activities to reduce repetitive behaviours. Choose activities that are not compatible with the repetitive behaviour – for example, if there is hand-flapping, choose an activity that requires the hands. If the repetitive behaviour is not hampering the functionality of the child, or the child is doing it during downtime, then we need not force the child to stop. Some repetitive behaviours may actually be helping the child to satisfy sensory needs or calm/ comfort themselves. Most of us indulge in calming/ comforting activities (taking a massage/ going shopping) but these are socially accepted behaviours. Managing Fixations If the child is fixating on any physical objects (like keys or bottles), remove the objects from the environment if possible. Eye-contact Making and maintaining eye-contact need not be forced: children may learn new skills even without maintaining eye-contact. Non-preferred Tasks and Unfamiliar Activities Ask the child to perform non-preferred tasks in between preferred tasks. Slip in unfamiliar activities with familiar activities. Joint-attention To improve joint-attention make the child look to you for his need or what he wants. For example, hold a puzzle piece to your face, so that the child looks up at you and the puzzle piece and then back at puzzle while placing the piece. Managing Children Seeking Oral Sensory Input For children seeking oral sensory input, use chew- tubes or fasten rubber wrist-bands that the child can bite on without hurting himself. Or feed the child something crunchy before sessions. 13 14 Taking Things Away from a Child Instead of forcefully taking something away from the child or asking the child to hand-over something to you which he wants to cling on, designate a bin or basket for this purpose. Reducing Dependency on Prompts To make the child independent in performing tasks, design tasks that the child can do independently without being dependent on prompts, then slowly move on to the next level. Managing Difficult Behaviours If the child shows difficult behaviours, analyze what the trigger could be: Antecedent–Behaviour– Consequence (ABC) Analysis. Rule-out any physical conditions that may be triggering the behaviour. Take control of the situation. Know when to be firm. Consider whether the child is using a difficult behaviour as an escape: for example, shouting loudly till he is taken out of the therapy room – if the child understands that shouting will not lead to him being taken out of the therapy room, he may stop shouting. (From Left to Right) Dr. Jane McGrath, Dr. Catherine McClain and Ms. Patricia Osbourn DOUBLE WHAMMY! UPDATE ON PAPER PUBLICATIONS FROM NEW HORIZONS HEALTH AND RESEARCH FOUNDATION (NHF). Our 2015 study titled "Effect of multidisciplinary intervention on clinical outcomes of children with Autism Spectrum Disorder in Mumbai, India," assessing effect of New Horizons Developmental Programs (NHDP) on outcomes in children with Autism got published in the Journal of Disability, CBR and Inclusive Development (formerly the Asia-Pacific Journal of Disability and Rehabilitation). This is our first 'impact' paper in an international journal of this stature. Thank you to our entire team of New Horizons Child Development Centre who ingeniously developed this Program over 15 years of hard work, our New Horizons Health and Research Foundation Team who helped us with data collation, to Dr. Rashid Merchant who mentored us to publish our work, all of you who trusted us with their patients and the thousands of parents who trusted us with their children! This is our first 'impact' paper in an international journal and we hope for your continued encouragement and support for New Horizons innovations in Developmental Interventions for children with Neurodevelopmental Disorders. Read the paper here: http://dcidj.org/article/view/508 A case report titled "Effect of Multidisciplinary Intervention on Circumscribed Interests in Autism" got published in JSM Communication Disorders, an American peer-reviewed journal. The child exhibited symptoms in a "pattern of threes". Thank you to Dr. Samir Dalwai, all Specialists and Centre Heads and Deputy Centre Heads from each centre who helped us with data collation and to Team New Horizons Health and Research Foundation! People who are passionate about and committed to participate in enhancing children’s lives, follow their dreams and become part of academic programs in Special Education at New Horizons Institute of Education and Research (NHI). NHI conducts post-graduate courses i.e. a one-year full time Post Graduate Diploma in Special Education (PGDSE), in collaboration with Tata Institute of Social Sciences (TISS), Mumbai and a six-month autonomous Certificate Course in Special Education. Graduates of various disciplines, teachers, professionals and parents of children with special needs enrol in these programs. In NHI’s fourth academic year, student trainees from Maharashtra, Karnataka, West Bengal, Kerala, Tamil Nadu, Delhi, and Chandigarh passed their PGDSE program with flying colours. Their convocation ceremony was conducted at TISS, Mumbai, on 18 th September 2017. Most of the graduates have begun their work to provide educational programs to children with special needs in reputed schools and clinical set-ups, while the remaining graduates have moved forward to pursue advanced micro-specialization programs in the field. Along with this, NHI’s sixth batch of Certificate in Special Education also passed with flying colours and had their graduation ceremony on 26 th September 2017. Each student came with a dream to join this enriching realm of Special Education and their adventure has flagged off to a beautiful start with all their hard work and creativity! It is indeed a matter of great pride that NHI graduates live and work by the New Horizons philosophy that Every Child Can Do Better in numerous esteemed educational organizations. We wish all our students the very best in their endeavour to change lives while reaching for the stars! A NEW ADVENTURE BEGINS - DREAMS TAKE FLIGHT AT NEW HORIZONS INSTITUTE OF EDUCATION AND RESEARCH (NHI)! PGDSE 2017-2018 Convocation Ceremony at TISS Ms. Nita Mehta (left) and Ms. Sandhya Kulkarni (right) with the Students of Certificate in Special Education Batch 6 at their Graduation Ceremony New Horizons Child Development Centre, Mumbai Indus International School, Bangalore Step by Step School, Noida Prayatna Child Development Centre, Cochin The Aditya Birla Integrated School, Mumbai VIBGYOR High School, Mumbai Dr. S. Radhakrishnan International School, Mumbai JBCN International School, Mumbai Gateway School, Mumbai Ummeed Child Development Center, Mumbai Seth Juggilal Poddar Academy, Mumbai Neev Child Development Centre, Mumbai Muskan Foundation, Mumbai Theraplay, Mumbai AROGYA DNYANESHWARI MOVEMENT HONOURS DR. SAMIR DALWAI. The annual Arogya Dnyaneshwari Movement Awards saw Dr. Samir Dalwai (Founder-Director New Horizons Group, IAP President - Mumbai, National Chairperson, Chapter of Neurodevelopmental Paediatrics – IAP, 2014-2017) being felicitated for his contribution in the fields of child-care and child-law and for the phenomenal work done by him and Team New Horizons.

Transcript of New Horizons Group

Page 1: New Horizons Group

New Horizons Group

NEWSLETTER (QPM/ MNL-01, Vol. III Issue 8) | September 2017

Developmental PediatricianDr. Samir Dalwai (MD, DNB, DCH,FCPS, DNB and LLB) founded NewHorizons Child DevelopmentCentre (NHCDC now NHD) in2003. NHD has developed 5centres and currently houses ateam of more than 60paramedical professionals. NHDprovides multi-disciplinaryservices to more than 300children daily with a ratio of onespecialist to one child in eachintervention session.

New Horizons Health & ResearchFoundation (NHHRF now NHF), isa registered non-profitorganization[Reg.No.U85100MH2012NPL23856; No.DIT(E)/80G/111/N/2014-15],which works in the areas ofhealth, impairment and earlychildhood development. NHFfollows a four-pronged approach:Research, Rehabilitation,Advocacy and Training.

Established in 2014, NewHorizons Institute ofEducation & Research (NHIERnow NHI) is the educationalwing of NHG. In May, 2015,TATA INSTITUTE OF SOCIALSCIENCES (TISS), Mumbai andNHF entered a collaborationand offer diploma courses inSpecial Education andRehabilitation Psychology.

New Horizons Educationand Training Solutions(NHETS now NHS) provideshighly specialized solutionsto schools in Mumbai. Ourspecialists are deputed atthe school on a customizedbasis for conductingevaluation, intervention andcounseling for children withacademic, emotional andbehavioural concerns.

Dr. Waheeda Pagarkarstarted the New HorizonsAudiology (NHA) and HearingAid Centre for Adults andChildren in August 2014. In itsfirst year, NHA has seenaround 400 patients, out ofwhich 20 were adults and theremaining 380 were children.35 patients were diagnosedwith hearing loss of varyingtype and degree while 10 wereprescribed with hearing aids.

TAKE A WALK DOWN MEMORY LANE!

Click here to visit our Newsletter Archives:

http://www.enablemychild.org/nhg-newsletters/

For exciting career opportunities with New Horizons Group, click here: http://www.enablemychild.org/new-horizons-group/nhg-careers/

NHD - Dadar (East)

1st Floor, Jeevak Nursing Home, Sai Kunj, MMSG Marg, Dadar (East), Mumbai - 400 014.

Tel: 022 65287397 / 022 24144596 / 7506171230

NHD - Bhandup (West)

Pawar Public School, Opp. DreamsMall, Off LBS Marg, Bhandup (West),Mumbai - 400 078.

Tel: 022 21663024 / 9769669332

NHD and NHAGoregaon (West)

2nd Floor,Techniplex II, Techniplex Complex,Veer Savarkar Flyover, Goregaon (West),Mumbai - 400 062.

Tel: 022 60600650 / 7506171240

NHD - Goregaon (East)

Ground Floor, Saira Mansion,Pahadi School Road 2, Goregaon (East),Mumbai - 400 063.

Tel: 022 65711586

NHD - Santa Cruz (West)

Shop No. 47, 1st Floor, Hi-Life Mall, Opp. Santa Cruz Station, Santa Cruz (West), Mumbai - 400 054.

Tel: 022 26465649 / 9819224415

[email protected]/newhorizonscdc

New Horizons Group - www.enablemychild.org

A new initiative by New Horizons Group, the Dance Music and Drama (DMD) Program is the latest addition to the New Horizons Developmental Program (NHDP). It involves techniques used in theatre to help children build their social skills. Helmed by Dr. Samir Dalwai, this program also aims at building the child's confidence through role-play and helps in the improvement of behavioral concerns. Through dance, music and drama each child is encouraged to explore his or her creative side. Learn While You Have Fun is the motto behind the DMD Program!

ALL THE WORLD’S A STAGE!

THE UNITED COLOURS OF NEW HORIZONS - NAVRATRI 2017!

HELLO, NEW MEXICO!

24th and 25th September 2017 were days of cherished learning for the clinical team of New Horizons Child Development Centre when our mentors and fairy-godmothers, Dr. Jane McGrath, Dr. Catherine McClain and Ms. Patricia Osbourn, University of New Mexico (UNM), USA, visited New Horizons Group. New Horizons’ relationship with them dates back close to a decade. Dr. Jane, Dr. Cate and Ms. Pat visit us annually to train team New Horizons and engage in clinical discussions. We also learn from them through a customized monthly tele-conference conducted by Dr. Cate and Ms. Pat on Autism Spectrum Disorders. They were accompanied by Ms. Megan Baldrige, who reviewed the impact of the tele-conference. They are valuable members of the New Horizons Family!

Dr. Jane McGrath is Chief of Adolescent Medicine at UNM Health Sciences Centre and Director of Envision New Mexico, USA. Dr. Catherine McClain is a Developmental-Behavioral Pediatrician, Professor Emeritus of Pediatrics and the Medical Director for the Center for Development and Disability (CDD) in the Department of Pediatrics at UNM. Ms. Patricia Osbourn is a speech-language pathologist, Deputy Director and Director of the Autism Programs at the CDD at UNM.

New Horizons members across five Centres gathered on Sunday, 24th September 2017 and discussed with our mentors the children they are working with and discussed the progress made by the children, and analyzed and deliberated on challenges faced in working on goals and received guidance from the panelists. At the end of an interactive day, we gathered numerous techniques and methods to support children’s learning of social, communication and academic skills.

1 Structure the environment visually. Use visual schedules which are easily visible to the child.Physical Environment

2 Teach the concept of ‘finished’. Designate a basket or a bin where ‘finished’ tasks can be kept.Concept of ‘Finished’

3 Teach the concept of downtime and explain it to parents so that there is some time in the day where the child does not have to perform and is free to be himself. Concept of Downtime

For children who are easiliy distracted, consider seating them facing a blank wall. Reducing Distractions

Managing Repetitive Behaviours

4

5

6

7

8

9

10

11

12

Interaction and communication is more important than words. Design tasks where the child has to make a request – for example, holding puzzle-pieces in your hand so that the child has to interact with you to make a puzzle. It is important to educate parents about why we should focus more on interaction and communication rather than the child being able to use words.

Speech versus Interaction/ Communication

Keep the child engaged in meaningful activities to reduce repetitive behaviours. Choose activities that are not compatible with the repetitive behaviour – for example, if there is hand-flapping, choose an activity that requires the hands. If the repetitive behaviour is not hampering the functionality of the child, or the child is doing it during downtime, then we need not force the child to stop. Some repetitive behaviours may actually be helping the child to satisfy sensory needs or calm/ comfort themselves. Most of us indulge in calming/ comforting activities (taking a massage/ going shopping) but these are socially accepted behaviours.

Managing Fixations If the child is fixating on any physical objects (like keys or bottles), remove the objects from the environment if possible.

Eye-contact Making and maintaining eye-contact need not be forced: children may learn new skills even without maintaining eye-contact.

Non-preferred Tasks and Unfamiliar Activities

Ask the child to perform non-preferred tasks in between preferred tasks. Slip in unfamiliar activities with familiar activities.

Joint-attentionTo improve joint-attention make the child look to you for his need or what he wants. For example, hold a puzzle piece to your face, so that the child looks up at you and the puzzle piece and then back at puzzle while placing the piece.

Managing Children Seeking Oral Sensory Input

For children seeking oral sensory input, use chew- tubes or fasten rubber wrist-bands that the child can bite on without hurting himself. Or feed the child something crunchy before sessions.

13

14

Taking Things Away from a Child Instead of forcefully taking something away from the child or asking the child to hand-over something to you which he wants to cling on, designate a bin or basket for this purpose.

Reducing Dependency on Prompts

To make the child independent in performing tasks, design tasks that the child can do independently without being dependent on prompts, then slowly move on to the next level.

Managing Difficult Behaviours

If the child shows difficult behaviours, analyze what the trigger could be: Antecedent–Behaviour– Consequence (ABC) Analysis. Rule-out any physical conditions that may be triggering the behaviour. Take control of the situation. Know when to be firm. Consider whether the child is using a difficult behaviour as an escape: for example, shouting loudly till he is taken out of the therapy room – if the child understands that shouting will not lead to him being taken out of the therapy room, he may stop shouting.

(From Left to Right) Dr. Jane McGrath, Dr. Catherine McClain and Ms. Patricia Osbourn

DOUBLE WHAMMY! UPDATE ON PAPER PUBLICATIONS FROM NEW HORIZONS HEALTH AND RESEARCH FOUNDATION (NHF).

Our 2015 study titled "Effect of multidisciplinary intervention on clinical outcomes of children with Autism Spectrum Disorder in Mumbai, India," assessing effect of New Horizons Developmental Programs (NHDP) on outcomes in children with Autism got published in the Journal of Disability, CBR and Inclusive Development (formerly the Asia-Pacific Journal of Disability and Rehabilitation). This is our first 'impact' paper in an international journal of this stature.

Thank you to our entire team of New Horizons Child Development Centre who ingeniously developed this Program over 15 years of hard work, our New Horizons Health and Research Foundation Team who helped us with data collation, to Dr. Rashid Merchant who mentored us to publish our work, all of you who trusted us with their patients and the thousands of parents who trusted us with their children! This is our first 'impact' paper in an international journal and we hope for your continued encouragement and support for New Horizons innovations in Developmental Interventions for children with Neurodevelopmental Disorders.

Read the paper here: http://dcidj.org/article/view/508

A case report titled "Effect of Multidisciplinary Intervention on Circumscribed Interests in Autism" got published in JSM Communication Disorders, an American peer-reviewed journal. The child exhibited symptoms in a "pattern of threes". Thank you to Dr. Samir Dalwai, all Specialists and Centre Heads and Deputy Centre Heads from each centre who helped us with data collation and to Team New Horizons Health and Research Foundation!

People who are passionate about and committed to participate in enhancing children’s lives, follow their dreams and become part of academic programs in Special Education at New Horizons Institute of Education and Research (NHI).

NHI conducts post-graduate courses i.e. a one-year full time Post Graduate Diploma in Special Education (PGDSE), in collaboration with Tata Institute of Social Sciences (TISS), Mumbai and a six-month autonomous Certificate Course in Special Education. Graduates of various disciplines, teachers, professionals and parents of children with special needs enrol in these programs.

In NHI’s fourth academic year, student trainees from Maharashtra, Karnataka, West Bengal, Kerala, Tamil Nadu, Delhi, and Chandigarh passed their PGDSE program with flying colours. Their convocation ceremony was conducted at TISS, Mumbai, on 18th September 2017. Most of the graduates have begun their work to provide educational programs to children with special needs in reputed schools and clinical set-ups, while the remaining graduates have moved forward to pursue advanced micro-specialization programs in the field.

Along with this, NHI’s sixth batch of Certificate in Special Education also passed with flying colours and had their graduation ceremony on 26th September 2017.Each student came with a dream to join this enriching realm of Special Education and their adventure has flagged off to a beautiful start with all their hard work and creativity! It is indeed a matter of great pride that NHI graduates live and work by the New Horizons philosophy that Every Child Can Do Better in numerous esteemed educational organizations. We wish all our students the very best in their endeavour to change lives while reaching for the stars!

A NEW ADVENTURE BEGINS - DREAMS TAKE FLIGHT AT NEW HORIZONS INSTITUTE OF EDUCATION AND RESEARCH (NHI)!

PGDSE 2017-2018 Convocation Ceremony at TISS

Ms. Nita Mehta (left) and Ms. Sandhya Kulkarni (right) with the Students of Certificate in Special Education Batch 6 at their

Graduation Ceremony

New Horizons Child Development Centre, Mumbai

Indus International School, Bangalore

Step by Step School, Noida

Prayatna Child Development Centre, Cochin

The Aditya Birla Integrated School, Mumbai

VIBGYOR High School, Mumbai

Dr. S. Radhakrishnan International School, Mumbai

JBCN International School, Mumbai

Gateway School, Mumbai

Ummeed Child Development Center, Mumbai

Seth Juggilal Poddar Academy, Mumbai

Neev Child Development Centre, Mumbai

Muskan Foundation, Mumbai

Theraplay, Mumbai

AROGYA DNYANESHWARI MOVEMENT HONOURS DR. SAMIR DALWAI.

The annual Arogya Dnyaneshwari Movement Awards saw Dr. Samir Dalwai (Founder-Director New Horizons Group, IAP President - Mumbai, National Chairperson, Chapter of Neurodevelopmental Paediatrics – IAP, 2014-2017) being felicitated for his contribution in the fields of child-care and child-law and for the phenomenal work done by him and Team New Horizons.