Cited by 68Family and Disability Support ResearchMental Health and Patient InvolvementDisability Rights and Representation

Dilemmas in sharing care: maternal provision of professionally driven therapy for children with disabilities

Leiter, Valerie·2004·Social Science & Medicine

Abstract

This paper explores some of the dilemmas that result when mothers and professionals collaborate in providing care to young children with disabilities within a US public program called Early Intervention. Successful collaboration between professionals and activist parents resulted in the program having a "family centered" approach, but the implementation of that approach is problematic. Professionals transmit therapeutic knowledge and skills to mothers of young children with special needs, urging them to perform therapeutic care work with their children. Through these efforts, professionals create a "therapeutic imperative" for mothers, expecting them to do therapeutic work that usually exceeds the amount of work that professionals do with their children. This paper explores the dilemmas mothers and professionals face when implementing family centered care and the ways in which mothers and professionals negotiate contested understandings of the optimal mixture of public (professional) and private (maternal) provision of therapeutic care to young children with disabilities.

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Crossref · 10.1016/s0277-9536(03)00258-2

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  • Some providers consider FCC as delegating more responsibility to families for care and decision making than families desire.

    “Some providers consider FCC as delegating more responsibility to families for care and decision making than families desire [9, 10].”
  • Families of children with chronic or complex conditions report multiple unmet needs on information and physician collaboration, specifically on community services, condition understanding, and networking.

    “Families of children with chronic or complex conditions report multiple unmet needs on information and physician collaboration [9, 10], specifically on community services, condition understanding, and networking [63, 64].”
  • Parents consistently rate high levels of satisfaction with a sense of partnership in a variety of child health care settings, even as subjective descriptions of care are far less satisfactory.

    “Parents consistently rate high levels of satisfaction with a sense of partnership in a variety of child health care settings [76–78], even as subjective descriptions of care are far less satisfactory [9, 10].”

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Authors
Leiter, V.
Affiliations
Brandeis University (US)
Corresponding author
Leiter, Valerie
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
2004-02
Volume
58
Issue
4
Pages
837-849
ISSN
0277-9536 (ISSN-L)
OpenAlex
W1986212514
Cited by
68
References
81
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 5 · 2014: 5 · 2013: 6 · 2012: 3
FWCI
2.32
Type
journal article
Language
en
Open access
closed
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Social Sciences › Safety Research › Disability Rights and Representation
Keywords
family-centered care, early intervention, children with disabilities
MeSH terms
Attitude of Health Personnel, Child, Preschool, Cooperative Behavior, Home Nursing, Humans, Infant, Interviews as Topic, Massachusetts, Mothers, Professional-Family Relations, Professional-Patient Relations, Caregivers, Early Intervention, Educational, Children with Disabilities, Family Nursing

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