Massachusetts Family TIESWelcome to Early Intervention Services Service Description . There are many certified community- based programs serving all cities and towns in the Commonwealth. Early Intervention programs provide comprehensive, integrated services, utilizing a family- centered approach to facilitate the developmental progress of eligible children. The family's growth toward independence in planning for the child’s continuing and changing needs is supported and encouraged. Early Intervention staff works in partnership with those individuals present in the child’s natural environment, which may include settings other than the child’s home. Staff disciplines on individual teams may include speech, occupational and physical therapists, developmental educators, social workers, psychologists and nurses. In addition, Early Intervention programs may contract with consultants in areas such as nutrition, adaptive equipment, and behavior management. Referrals may be made by any individual concerned about a child’s development and are often made by family members, physicians, hospitals, community social service agencies and family friends. Families are encouraged to refer themselves, but if referred by someone else, the family will be contacted to request permission to proceed. Early Intervention accepts referrals for evaluations of eligibility for services. Within 4. 5 days of referral, a meeting to plan for evaluation/assessment will take place and, if eligibility is established and the family elects to receive services, an Individualized Family Service Plan (IFSP) will be developed by the team, of which the family is a member. When making a referral to an Early Intervention program, it is important to have pertinent information available. Some of the larger catchment areas in the state have more than one certified Early Intervention program. Parents may want to find out more about each program before having an eligibility evaluation. Early Intervention programs are responsible for providing individualized services to families as outlined in the IFSP. Occasionally this means that services may be provided outside the catchment area where the family resides. Special note for families residing within the City of Boston and its environs: The Boston area, with the exception of Charlestown and East Boston, is considered to be one catchment area (this includes: Allston, Brighton, Brookline, Dorchester, Hyde Park, Jamaica Plain, Mattapan, Roslindale, Roxbury, and West Roxbury).
Families who live in Boston may choose any of the programs listed on page 1. Guide, but many families choose the program closest to their home because of the close ties they may have and the connections that the specific Early Intervention program has with other neighborhood services. Eligible children may receive EI services for as long as they meet eligibility criteria, up to but not on their third birthday. On an individual level, family members are involved in determining and participating in services for their child and family. On the program level, families are encouraged to advise and participate in the development and monitoring of policies, procedures and practices. Family members may choose to participate in these advisory functions as part of a group or as individuals. To ensure comprehensive family participation, all members of the EI service team share responsibility for providing an environment in which such participation can occur. Family Involvement across the broad Early Intervention System is a core value of the Massachusetts EI system. Family TIES can be reached at 1- 8. EI Programs (A-Z) EI Programs (by City) READY TO GET INVOLVED in parent activities? Contact the Early Intervention Parent Leadership Project. Welcome to Early Intervention Services. Parental Involvement in Early Intervention Programs for Children with Autism MSW Clinical Research Paper Submitted by Alexis M. Bennett May, 2012 The Clinical Research Project is a graduation requirement for MSW students at St.
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Impact of Eating Disorders on Athletes Eating disorders and disordered eating are commonly experienced by female athletes, but sorely under recognized by coaches, teachers, parents, therapists and physicians. Learn about eating disorder treatment programs developed specifically for athletes at the Victory Program at McCallum Place in St. Athletes and Eating Disorders by Raquel Hunter. Eating disorders continue to be on the rise among athletes, especially those involved in sports that place great emphasis on the athlete to be thin. What Causes Eating Disorders in Athletes? The causes of eating disorders in athletes differ according to each individual and the sport they perform in. Various reasons why someone may over- exercise and develop an eating disorder include: Competitive nature . Competitive athletes will do whatever is necessary to win including sacrificing their physical health in order to perform better. In the end however, many of these athletes decline in their overall performance of the sport. Pressure from coaches . Many athletes however, train with someone who encourages them to loose weight or who is very critical and harsh. This type of an influence may cause an athlete to develop an eating disorder in an attempt to please their coach. Some athletes with eating disorders take bulimia and anorexia to such an extreme that they no longer enjoy participating in their chosen sport. Athletes are very strong and determined people; this is what makes them successful in what they do. However, when an athlete develops an eating disorder, they may also incorporate this same determination into continuing their disorder. This is very dangerous and can lead them away from their original intentions of health and enjoyment found in their chosen sport. Many athletes will ignore health complications and injuries associated with bulimia or anorexia all for the sake of success in their sport, when in fact they are hindering their overall success. If you are an athlete who struggles with an eating disorder, find eating disorder treatment today. Do not risk the chance that your career and overall health will suffer, anorexia treatment facilities and bulimia help centers can help you overcome your eating disorder today. Common Signs of Eating Disorders. Signs and symptoms of eating disorders vary depending on a person. Twenty general signs of an eating disorder include: Dizziness. Avoidance of other people, isolation. Loss of muscular tissue. Blood shot eyes. Depression. Poor performance at school. Tiredness. Injury (stress fractures)Obsession with food. Poor relationships. Cardiac arrhythmias. Anxiety. Weight loss. Feelings of fragileness. Strange eating habits. Poor body image. Fainting. Electrolyte imbalance. Poor concentration. Change in mood. A damaged career is one very unfortunate consequence of an eating disorder in an athlete. Women are at a greater risk of developing this disorder than men are. This is because women have a higher chance of gaining weight and a more difficult time loosing it. Also, women face more pressure from society to stay thin and are taught to desire thinness above all else. Bulimia help and anorexia treatment are offered at a wide variety of eating disorder treatment centers. Athletes with eating disorders may find bulimia programs or anorexia therapy very helpful. Recovery is difficult on your own, but with the help of an eating disorder residential center, freedom from your eating disorder is possible. Addressing the Unique Treatment Needs of Athletes with Eating Disorders . Accordingly, what occurs in the larger world will likely occur in the sport world as well. Unfortunately, this includes eating disorders. Despite the fact that athletes are often viewed as . Research suggests that athletes, especially those in lean sports where a lower body weight or lean body is believed to confer a competitive advantage, have more eating problems than their non- athlete counterparts. Why are many athletes at increased risk for developing eating disorders? Athletes have the same risk factors for developing eating disorders as non- athletes . In addition, athletes have physical and energy demands related to significant expenditure and training and may not understand or have the knowledge to regulate their energy needs. Athletes also have risk factors that are related to aspects of the sport environment or that may be unique to a particular sport. For example, they may have been told to lose weight by a coach or received negative comments about their weight from teammates. Decline in performance level can sometimes precipitate an eating disorder. The athlete might train more and eat . This can spiral out of control and lead to unhealthy eating and training behaviors. Recognizing signs and symptoms within athletes who have eating disorders can be difficult. Athletes are often praised for pushing themselves and having a . In general, athletes feel pressure to. Further, many coaches and athletics staff are hesitant to report suspected problems if the athlete is still performing well. Many athletes can sometimes perform well despite having a serious eating disorder; but eventually the disorder begins to affect the athlete both physically and psychologically. Often, athletics administrators wait until the athlete. Unfortunately, at this point, the athlete may be too enmeshed with their eating disorder. When conceptualizing and responding to athletes with eating disorders, athletics administrators and treatment providers need to avoid assuming that the only (or even primary) contributing factor to the disorder involves a need to be lean solely for performance enhancement. Eating disorders serve multiple functions and purposes in an individual. A common function of an eating disorder is emotional management; that is, the individual uses eating disorder symptoms to try to manage difficult emotions. Such a decline usually increases the need for engaging in the behaviors of the disorder. For this reason, in addition to many others, the athlete with an eating disorder should be referred for treatment. Despite the fact that eating disorders constitute a prevalent and serious problem for many athletes, there are few specialized treatment programs for athletes. Most eating disorder treatment facilities in the U. S. This is in part because the treatment program cannot be changed to meet the special needs of an athlete when it treats only a few eating disorders in athletes each year. The Victory Program at Mc. Callum Place in St Louis, Missouri is specifically designed to treat eating disorders in athletes. The Victory Program provides eating disorder treatment to help athletes overcome eating disorders while aiming to improve physical and psychological health for maximum performance and emotional well- being. Treatment at the Victory Program is multi- disciplinary in nature. Each athlete is assigned a . An exercise specialist helps design training guidelines for the athlete and communicates with coaches about the athlete. An athletic trainer is on staff to assess and rehabilitate any injuries the athlete may have sustained prior to arriving. It is important for athletes to have a treatment team in place that understands and appreciates the importance of sport in their lives and who uses sport participation as a means to motivate athletes in treatment. Taking a holistic approach to treatment and staying connected to the athlete. This collaborative approach focuses on building relationships within the athlete. Some professionals are hesitant to introduce exercise during treatment as they feel it may adversely affect weight gain, medical stability and recovery- oriented thoughts. Athletes, however, face unique issues related to exercise, as they train at high levels to stay competitive in their sport. For athletes who are motivated to return to sport after treatment, it is critical for them to learn the principles of balanced exercise and prepare for continued healthy sports participation after leaving treatment. Incorporating sport training while in treatment can provide the necessary support, structure and motivation for athletes to progress in treatment and stay connected to their sport. By including training, athletes are afforded the opportunity to challenge counterproductive training beliefs, attitudes and behaviors. Moreover, physical training during treatment allows the athlete to maintain an important sense of their athletic identity and can facilitate effective weight management techniques. It also provides athletes with reasonable preparation for the training load they will encounter as they return to full sports participation. A lack of available resources makes it difficult for professionals working with athletes with eating disorders to address exercise directly and work toward addressing issues that may inhibit the athlete. Victory Program staff connect with and help sport coaches, strength and conditioning coaches, athletic trainers and administrators within the college setting assess physical and psychological readiness to return to training. In addition, the Victory Program can be a resource in providing general information on how to help individuals achieve a healthy and balanced relationship with exercise and recognize the signs and symptoms of overtraining. Engaging in mental training along with physical training serves many critical functions for athletes while they are in treatment for an eating disorder. One of the primary functions of sport psychology during treatment is that it enables athletes to stay connected to sport. One unique facet of the Victory Program is a weekly group devoted specifically to mental training. During these sessions, the focus is on developing mental skills to utilize in preparation for return to the sport setting and during practice and competition. The mental skills that patients learn are transferable to life and enable the athlete to effectively cope with life situations beyond sport. Some of the topics include visualization, coping with competition anxiety, concentration and focus, addressing fear of success and/or fear of failure and goal setting. Sport psychology is also useful for helping athletes gain awareness of how. For example, most athletes get anxious before they compete. It is important to focus on how individuals interpret that anxiety. In other words, does that anxiety send them into a downward spiral of negative thinking or does that anxiety get used as fuel to psych them up for performance? Interpreting the anxiety (e. The Victory Program hopes to increase awareness of available treatment options, open avenues of referrals between on- campus and community resources, and expose the myths regarding eating disorder treatment in athletes. It is critical for the collegiate sport community to develop and enforce guidelines regarding how to address issues related to eating disorders and create an effective and efficient system for connecting athletes to the specialized treatment they need. About Jen Gapin, Ph. D., CC- AASPDr. Jen Gapin serves as a Sport and Exercise Psychology Consultant/ Performance Enhancement Specialist with the Victory Program at Mc. Callum Place in St Louis, Missouri. She received her Ph. D. She is a Certified Consultant through the Association for Applied Sport Psychology (CC- AASP) and has been providing sport psychology services to athletes, teams and coaches at all age and competition levels since 2. |
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