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  1. #2
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    Aug 2013
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    Big red flags. In the future, always make sure child and all family members are present for the interview. I always screen with questions about when baby rolled/sat up/crawled/pulled up on furniture/feeding questions/sleep routines/attachment/personality etc. Try to use the Nipissing screening tool as a basic guide for the appropriate age group, and then you might anticipate the high needs of the child in advance. Some babies skip the crawling stage all together. It sounds like there are other issues here, especially if the child is small, and appears to have delays with motor skills. Are they seeing a paedeatrician? There must be some kind of medical tracking going on for a child with these delays, unless the parents don't follow up with the doctor.
    You have to know your limits. If you have other infants/toddlers in your group, this may be more than you bargained for. If there are delays now, think of potential injuries/feeding issues/how much carrying and shadowing you might need to do with this child.
    The parents should have been up front with you- maybe that's why they sent Dad.
    Did they tell you the child was a preemie, or you are assuming by the size/lack of skills?
    If they haven't divulged "preemie" status, then do the Nipisssing based on chronological age, and that's the starting point for discusssion on medical followup with the parents.
    If you ultimately realize this is too much, then start looking for a new client.

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