Interventions for Children at Risk Due to Substance Exposure:
Dealing with the Myth of Cocaine
A Series for Caregivers of Infants and Toddlers
MITCH Module 13

Information in the Introduction should be reviewed by each instructor or user of this material. The Users Guide to Series begins on page 5. Information relating to this module begins on page 11.

PROJECT MITCH OVERVIEW

The purpose of the Project MITCH (Model of Interdisciplinary Training for Children with Handicaps) training series is to assist local school districts in Floridain providing interdisciplinary training and resources to parents, non-degreed daycare workers, and healthcare providers who work with special needs infants and toddlers ages 0-5, with emphasis on ages 0-2.

This series was funded by a grant to the Florida Diagnostic and Learning Resources System/South (FDLRS/South), on behalf of the FDLRS Network, from the Florida Department of Education, Bureau of Education for Exceptional Students (BEES).

In 1987, the Florida Legislature designated $100,000.00 of the total appropriation for the FDLRS Network to "expand services to infants and preschool children." The application submitted by Dade County on behalf of the FDLRS/South Associate Center serving Dade and Monroe Counties was selected for funding and was initiated on May 25, 1988. FDLRS/South collaborated with FDLRS/Mailman at the University of Miami and FDLRS/Gateway, serving Hamilton, Columbia, Lafayette, Madison and Suwannee Counties, to complete the work under the grant. Outcomes of the project include:

• assessment of the status of training and resources for the designated population
• design of a collaborative implementation and training model to include development of competencies, replicable training modules which enhance or expand the HRS eight-hour special needs child care module, an adapted training plan for daycare providers, recommendations for curricula to be used in daycare and preschool programs, and recommendations for provision of consultation to parents
• validation of the training modules in Dade, Monroe, and counties served by FDLRS/Gateway
• provision of training for potential instructors and other interested personnel in the 18 FDLRS Associate Center service regions.

Topics for the eleven training modules, as well as information which provided the basis for the competencies, policy framework, and other products of Project MITCH, were obtained from a literature search, interviews, and letters of inquiry and needs assessments sent to over 600 persons throughout the State of Florida. The modules were written by several authors from various disciplines, including early childhood education, exceptional student education, nursing, occupational and physical therapy, speech and language, nutrition and social work. Each module was read by several critical readers and was piloted in both north and south Florida at least three times before final rewriting took place.

The training series emphasizes developmentally appropriate practice and normal development as the means for working with youngsters who have special needs. The eleven three-hour modules that currently make up the series have relevance for caregivers of normally developing children as well as caregivers who may be working with children who are handicapped, experiencing delays, or who may be at-risk. Although several of the modules specifically address normal and abnormal development from birth to 36 months of age, the material is also meaningful to caregivers of preschoolers who are chronologically older but who are functioning developmentally within the birth to three year range.

MITCH MODULES

Thirteen MITCH training modules have been developed.

1. Intellectual Development: What You Can Do to Help

2. Speech and Language Development: What You Can Do to Help

3. The Child Who Seems Different: Meeting Special Needs

4. Family Functioning: The Impact of a Child with Special Needs

5. Listening and Sensory Integration: What to Do Before Speech and Language Develop

6. The Caregiving Environment: Planning an Effective Program

7. Behavior Management: Preventing and Dealing with Problem Behavior

8. Health Care: Infection Control, Medication Administration, and Seizure Management

9. Motor Development: What You Need to Know

10. Nutrition and Feeding Practices: What You Need to Know

11. Working Together: Communication Skills for Parents, Caregivers, and Other Professionals.

12. Visual Impairments: What You Need to Know

13. Interventions for Children At Risk Due to Substance Exposure: Dealing with the Myth of Cocaine

Each of the three-hour modules can be used independently. Although the modules are numbered sequentially, they may be presented in any order since no module provides prerequisite material for another. Each module contains a script for the instructor, activities, references, resource list, and reproducible handouts/overheads. In some cases, a videotape and/or an audiotape and other materials are available to supplement the written material.

MITCH BOOKLETS

Three booklets have also been produced through MITCH. These may be used with modules as indicated or may be used independently. The booklets are listed below:

. A Simple Introduction to Physical and Health Impairments, to be used with Module 3

. Welcome to the World: An Overview of Your Growing Child, to be used with Modules 1, 2, 3, 6, and 7

. Curricula for Use with High Risk and Handicapped Infants and Toddlers, for use as a supplement to the modules.

GOALS AND OBJECTIVES

Goal for Hour 1: Participants will gain knowledge of the development of an unborn baby and thepossible effects of cocaine use by the mother.

Objectives - Participants will gain an understanding of:

. cocaine

. prenatal development

. the effects of cocaine on the mother

. the possible effects of cocaine on development.

Goal for Hour 2: Participants will gain knowledge of characteristics of infants and toddlers exposed before birth to cocaine and methods of intervention.

Objectives - Participants will gain an understanding of:

• how to recognize and identify infant states of behavior
• strategies for intervention to promote healthy development of infants
• what is known and what is not known about the carryover effects of cocaine
• the role of the caregiver.

Goal for Hour 3: Participants will gain knowledge of environmental effects on infants and toddlers.

Objectives - Participants will gain an understanding of:

• how to recognize and identify the characteristics of a healthy environment
• strategies for promoting a healthy environment
• the importance of accepting each child without labeling any child as a "cocaine baby."

Module 13
INTERVENTIONS FOR CHILDREN AT RISK DUE TO SUBSTANCE EXPOSURE:
Dealing with the Myth of Cocaine

Hour 1

Goal: PARTICIPANTS WILL GAIN KNOWLEDGE OF THE DEVELOPMENT OF AN UNBORN BABY AND THE POSSIBLE EFFECTS OF COCAINE USE BY THE MOTHER.

Objectives -Participants will gain an understanding of:

• cocaine
• prenatal development
• the effects of cocaine on the mother
• the possible effects of cocaine on development.

Module 13
INTERVENTIONS FOR CHILDREN AT RISK DUE TO SUBSTANCE EXPOSURE:
Dealing with the Myth of Cocaine

Hour 2

Goal: PARTICIPANTS WILL GAIN KNOWLEDGE OF CHARACTERISTICS OF INFANTS AND TODDLERS EXPOSED BEFORE BIRTH TO COCAINE AND METHODS OF INTERVENTION.

Objectives -Participants will gain an understanding of:

• how to recognize and identify infant states of behavior
• strategies for intervention to promote healthy development of infants
• what is known and what is not known about the carryover effects of cocaine
• the role of the caregiver.