Dilemmas in sharing care: maternal provision of professionally driven therapy for children with disabilities
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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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].”
From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [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].”
From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [10]
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].”
From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [10]
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A relationship-based integrative model of intervention for autism spectrum disorders
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The lived experience of mothering a young child with severe multiple disability
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- Authors
- Leiter, V.
- Affiliations
- Brandeis University (US)
- Corresponding author
- Leiter, Valerie
- ORCID
- 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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