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Child Development Centre (TDH)

The Paediatric department inaugurated the path-breaking TDH Rehabilitation Centre with the aid of a German social service organisation – the Terre Des Hommes, in 1979. This was the first such centre in India for the comprehensive diagnosis and therapy of children with all manner of physical and mental challenges.

The centre is devoted to providing diagnostic and therapeutic services for all kinds of developmental and behavioural disorders under one roof, with an interdisciplinary team approach. Various facilities at the centre include IQ and behavioural testing, hearing assessment, speech therapy, occupational therapy, sensory integration and physiotherapy.

In 2007 Dr. Anjali Morris, a pediatrician and Dr. Don Morris, a physicist, very generously offered to re-equip and redesign the TDH Centre into a child friendly integrated unit through their Morris Family Fund. In recognition of their munificent generosity, the name “Morris Child Development Centre” has been added to the TDH Rehabilitation Centre.

The focus of all work done at the centre is enabling each child to achieve his/her potential. Early detection and intervention are important steps in this direction.

 

The First Contact

A child’s first contact at the Centre is with the Rehabilitation Officer, whose role is:

  • Medical assessment
  • Referral for testing, in-depth evaluation, therapy
  • Counselling and motivation

 

Developmental Paediatrics

  • Developmental assessment with investigations and diagnosis
  • Counselling
  • If needed, pharmacotherapy (medication) initiation and follow up
  • Regular assessment of the child’s progress
  • Management of feeding, sleep, behavior issues in children

 

Child Development Unit

Assessment

  • Intelligence Quotient (IQ) testing
  • Development Quotient (DQ) testing
  • Behavioural assessment
  • Personality evaluation
  • Aptitude testing and career counselling
  • Attention Deficit Hyperactivity Disorders (ADHD) Test

 

Counselling

  • Behavioural: temper tantrums anti-social behavior, bed-wetting, etc.
  • Management of Autistic Spectrum Disorders
  • ADHD
  • Learning disabilities, scholastic backwardness
  • Down’s Syndrome, MR, CP
  • Parent training and support groups

 

Therapy

  • Play therapy
  • Stimulation program for development delays
  • Behavioural modification

 

Occupational Therapy

Occupational Therapy is provided to facilitate and stimulate normal motor, mental and social development in order to improve the quality of life. Our services include:

  • Improving neuro-motor coordination and perceptual skills
  • Training in basic tasks such as feeding, bathing and dressing of children with special needs
  • Development of hand functions in children with writing problems
  • Exercise and hand activities for upper extremity disorders

 

Physiotherapy for Children

  • Muscle testing and charting
  • Exercises to improve power and coordination of muscles
  • Exercise to prevent contractures and deformities in cerebral palsy, tonal abnormalities
  • Electric stimulation and diathermy
  • Gait training
  • Prescription of appliances if necessary

 

Audiology Clinic “Big Ears”

The special ‘BIG EARS’ project was added in 2006 and is the first of its kind in India with focus on early detection, diagnosis and therapy of hearing loss. Another area of focus, results from the premise that people with impaired hearing loss can learn to listen and talk. BIG EARS is the only centre in Maharashtra which offers all the services needed for the hearing impaired; from a variety of tests that detect hearing loss to hearing aids, speech therapy, counselling and cochlear implants for the totally deaf.

KEM has established a universal hearing screening program – the only one in Maharashtra – whereby every baby born at KEM is assessed for hearing loss before discharge. Special attention is paid to children in the Neonatal Intensive Care Unit (NICU) as these premature, low birth weight babies are at a high risk to develop deafness.

 

The role of Medical Social Workers (MSWs)

  • Liaison between doctors, therapists, parents and families of children with special needs
  • Provide emotional support and in-depth counselling to enable parents and other family members understand and accept the child’s limitation and ‘different abilities’
  • Motivate the parents/family to continue the necessary long-term therapies
  • Help with socio-economic problems
  • Conduct home and school visits
  • Provide referrals to integrated schools, special schools and institutions

 

Other Activities at the Centre

  • Parent counselling
  • Support groups
  • Skill workshops for teachers, parents, medical and paramedical professionals
  • Awareness building in the community