Putting the Milestones into Practice: Jacob and Tyler, a Case Study

Centers for Disease Control and Prevention (CDC)
2 Aug 202107:41

Summary

TLDRThe speaker shares a story about identifying developmental delays in a two-year-old boy, Tyler, using the 'Learn the Signs, Act Early' materials. Despite the differences between Tyler and his twin brother Jacob, the teacher noticed Tyler was missing key milestones. After discussing concerns with the center director and the boys' parents, steps were taken to seek developmental screening. Tyler was later diagnosed with autism and began receiving speech therapy. The story highlights the importance of early intervention and using the free 'Learn the Signs, Act Early' resources to support child development.

Takeaways

  • 👶 The teacher had fraternal twin boys, Jacob and Tyler, in her class who showed significant developmental differences.
  • 📊 After a month of observation, the teacher noticed that while Jacob was meeting milestones on time, Tyler was missing several.
  • 🏫 The teacher followed her center's policy and consulted the director before speaking to the parents about Tyler's development.
  • 📝 She used the 'Learn the Signs, Act Early' milestone checklist and prepared resources to guide the conversation with Tyler's parents.
  • 👨‍👩‍👦 The teacher highlighted positive aspects of Tyler’s behavior before addressing developmental concerns to the parents.
  • ✅ The milestone checklist filled out by both the teacher and parents helped identify consistent concerns regarding Tyler’s development.
  • 👩‍⚕️ The teacher recommended the parents schedule a pediatrician check-up and request developmental screenings for both boys.
  • 🧑‍⚕️ Tyler was eventually diagnosed with autism by a psychologist and began receiving speech therapy and other interventions.
  • 📈 Tyler's communication has improved thanks to early intervention, and he now splits time between the center and a special needs program.
  • 🎯 The teacher emphasized the importance of acting early and using 'Learn the Signs, Act Early' materials to help parents recognize developmental issues.

Q & A

  • What is the purpose of the 'Learn the Signs, Act Early' program mentioned in the script?

    -The 'Learn the Signs, Act Early' program helps teachers and parents track developmental milestones in young children, ensuring early intervention if there are concerns about a child's development.

  • Why did the speaker choose to wait a month before tracking the milestones of the twins?

    -The speaker wanted to give the twins time to adjust to their new environment and get to know them better before starting to track their developmental milestones.

  • How did the speaker identify that one of the twins, Tyler, was behind in his development?

    -The speaker used the milestone checklist and noticed that Tyler was missing several milestones, while his brother Jacob was meeting or exceeding them.

  • What was the speaker's first step after realizing Tyler was behind in his development?

    -The speaker followed the center's policy and spoke to the center director to discuss Tyler's missed milestones and plan the next steps.

  • How did the speaker prepare for the meeting with the twins' parents?

    -The speaker provided the parents with blank milestone checklists to fill out for each child, printed relevant fact sheets, and gathered additional resources like early intervention contacts and developmental screening tips.

  • How did the speaker handle the meeting with the twins' parents?

    -The speaker started by discussing the positive traits of both boys, then reviewed the milestones, addressing the concerns with Tyler's development and guiding the parents on the next steps to take.

  • What recommendations did the speaker make to the parents for Tyler's development?

    -The speaker recommended that the parents schedule a developmental screening for Tyler with their pediatrician and contact the local Early Intervention program for further support.

  • What actions did the parents take following the meeting with the speaker?

    -The parents scheduled an appointment with the pediatrician, followed up with Early Intervention, and later consulted a psychologist, who diagnosed Tyler with autism.

  • What progress did Tyler make after starting speech therapy?

    -Tyler began communicating more after several months of speech therapy, which was coordinated with the center's activities to reinforce his learning.

  • How did the 'Learn the Signs, Act Early' materials help the speaker?

    -The materials provided clear milestones to look for, a simple way to document progress, and increased the speaker's confidence when discussing child development with parents, even when there were no concerns.

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Related Tags
early interventionmilestoneschild developmentautism diagnosisspeech therapyparent-teacher collaborationdevelopmental screeningtwin differencesteaching toddlerscaregiver support