Neuro-Muscular Disorders e.g.
- Cerebral Palsy
- Muscular Dystrophy
Sensory Defects e.g.
- Visual Impairment
- Hearing Impairment
- Other
BIOLOGICAL
Diseases
A. Acute e.g. Meningitis
b. Chronic e.g.
- Cancer
- Congenital Heart Disease
- Otitis Media
- Other
Trauma e.g.
- Head Injury
- Toxins (such as lead)
- Other
Malnutrition e.g.
- Failure to Thrive
- Feeding problems
- Weight below 10 percentile and height below 10 percentile
- Failure to gain or loss of weight
- Other
Technology Dependent e.g.
- Monitors
- Ventilators
Nutrition Support
- Other
ENVIRONMENTAL
Routine Well Child Care e.g.
- Behind in immunizations
- Other
Degree of Availability or of Parenting Figure (emotional or physical ) e.g.
- Foster care Placement
- Chronic Illness of Parent
- Other
Ability of Parents to Understand and Follow Through with Complex Medical Regimens e.g
- Monitors
- Ventilators
- Nutritional Support
- Other
Safety/Accidents e.g.
- Exposure to environmental hazards
- Suspected abuse in home
- Physical/sexual /emotional abuse or neglect of any family member, past or
present”-Children known to protective services
- Other
Parents with Disabilities
Maternal/Paternal Level of Education
Appropriate Formal and/or Informal Supports
Financial Concerns
Parent/Child Interaction with biological, adopted, or foster child e.g.
- Attachment concerns
- Inappropriate perceptions or expectations of infant
- Difficult temperament of infant
- Maternal rejection of infant
- Other