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Over the past decade, there has been a momentous and dire increase in the incidence and prevalence of children with developmental disabilities. Extended research has made it evident that every state of an individual such as physical, emotional, cognitive and social is interlinked. This has increased the demand for multi-disciplinary approach to intervention.

At FIVE, we acknowledge the need for a more global approach to identification and intervention and incorporate this by using an integrated multi-disciplinary style of working, effective management of child development, and a more organized and structured framework of rehabilitation.

We have emerged with a system that looks at individual needs of the child and support them when and where most required and help them sustain the skills they have learned, to cope within their community. We believe in a system that will reflect the multicultural and multilingual nature of our community.

Our qualified TEAM of child care specialists with expertise in the areas of health and education cater to any need of the child and concern of the parents. It may be just a chat with someone about their child, detailed assessment of the child's learning and developmental needs, integrated therapy solutions, parental counseling, and enhancing learning potential consultancy for schools to identify specific needs of the students or general awareness among the community.

We follow a very systematic approach to identify, intervene and manage the child and the family who needs support. We do a detailed assessment if necessary, and a comprehensive therapy plan is drafted by involving the parent. The structure of assessment and our integrated model is briefed below.

At FIVE, we follow the "Dynamic Assessment Model". Dynamic assessment is an interactive approach to conducting assessments within the domains of psychology, speech/language, motor functioning and education that focuses on the ability of the learner to respond to intervention. Our professionals use the underlying assumption of dynamic assessment that all learners are capable of some degree of learning (change; modifiability). Each procedure provides different information, and assessors need to determine what information is most relevant. However, we do acknowledge that the model is only an addition to the current, more traditional, approaches, and is not a substitute for existing assessment procedures.

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Based on the information gathered, a most effective intervention plan is drawn by the therapists. We keep in mind that single treatment approaches such as parent training, behavior management, speech-language therapy, occupational therapy, cognitive and educational techniques may yield benefits but each in isolation is inadequate to encompass a total treatment plan for children. In promoting an optimal model of service delivery, we follow an Integrated Model of Service Delivery where we combine the expert contributions of health care and educational professionals along with parents to put together an individualized comprehensive care package of evidence-based services with competency, consistency, continuity, coordination, and collaboration.

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FIVE also provides a unique service in form of a CASE MANAGER . The role of the Case Manager is to act as the link between the professionals and the child and child's family/care giver. The child need not necessarily be availing treatment services from our centre to receive this privilege. The Case Manager, will in that case, coordinate with the outside agencies involved and meet with the Parents/Care givers once a month to help them gain understanding of the whole process thus forming a bridge between them and all the others involved with the child. They help Parents/Care givers to understand what is happening, the significance of it, emphasize on parental role in the process and where things are headed. They will maintain personal files for each child. Clients can be either individuals or even organizations such as schools etc. In case of schools, the Case Manager will be the contact between the school agencies and "FIVE".

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Evidence base practice helps our professionals quantify the progress of the suggested intervention programme, by documenting every step in the process. At FIVE, documentation is given utmost importance where information regarding each child, from as many sources (family, doctors, school, previous reports etc.) is recorded and compiled as base for designing an effective intervention programme. Assessment reports, therapy plans, progress reports and notes of each session are recorded in each child's file. This provides a clear picture of the child to all those concerned thus facilitating close monitoring of the whole process and making decisions regarding how the course of intervention should progress. All correspondence between professionals at FIVE and anyone concerned with the child is also recorded for later reference.

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Networking and maintaining liaison with various persons/organizations involved with the child such as schools, home tutors, doctors etc is an integral part of our service. Smooth transition and handing-over of adequate documentation is important to facilitate transfer of information and knowledge between professionals and ease the stress of new challenges that the individual and family may face.

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