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Inclusive ECCD: - Consultative Group on Early Childhood Care and ...

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Ainscow (1994) states, “If this is the case, a ludicrous<br />

procedure is taking place by which the ‘victims’ of a<br />

school system are given extra help by transferring finances<br />

in such a way that it becomes likely that even<br />

more victims will be created.” (21)<br />

What We Are<br />

Working Toward<br />

Greater Awareness<br />

Awareness is a part of the answer. Case studies (see<br />

pages 27–50) indicate that in order to develop sustainable<br />

inclusive programmes it is necessary to raise<br />

awareness. There is a need for advocacy <strong>on</strong> behalf of<br />

children with special needs. The general public must<br />

be made aware that all children have the right of access<br />

to the supports that promote healthy growth<br />

<strong>and</strong> development, regardless of where children start<br />

in terms of their knowledge, skills, <strong>and</strong> abilities.<br />

Arguments in favour of attenti<strong>on</strong> to children with<br />

special needs can be built <strong>on</strong> a variety of platforms.<br />

While research indicates the value of inclusive programming<br />

for all children, research is not frequently<br />

used to sell the c<strong>on</strong>cept. In some countries it is the<br />

internati<strong>on</strong>al declarati<strong>on</strong>s, <strong>and</strong> the government’s<br />

endorsement of these statements, that seem to motivate<br />

the development of inclusive programmes.<br />

Internati<strong>on</strong>al d<strong>on</strong>or agencies can play a significant<br />

role as well, by working with governments to develop<br />

programmes for children with special needs. In still<br />

other instances, it is the advocacy by parents that is<br />

forcing the government to take the needs of all children<br />

into c<strong>on</strong>siderati<strong>on</strong>. Moving to inclusi<strong>on</strong> may also<br />

be the result of financial c<strong>on</strong>straints <strong>and</strong> a recogniti<strong>on</strong><br />

that inclusive programmes cost less than specialised<br />

services. Any (or all) of these mechanisms can come<br />

into play in building a case for <strong>and</strong> shaping the development<br />

of inclusive programming.<br />

It is important to recognise that while awareness<br />

comes from knowledge <strong>and</strong> informati<strong>on</strong>, it also involves<br />

attitudes. Attitudes determine how informati<strong>on</strong><br />

is interpreted. The reality is that arguments in<br />

support of special educati<strong>on</strong> are often political <strong>and</strong><br />

emoti<strong>on</strong>al rather than rati<strong>on</strong>al.<br />

More Appropriate<br />

Screening <strong>and</strong><br />

Assessment<br />

Techniques for<br />

Determining<br />

Children’s Needs<br />

There are two processes for determining the specific<br />

needs of children: screening <strong>and</strong> assessment. These<br />

are not interchangeable processes. Screening is a<br />

preliminary process for identifying those who may<br />

<strong>Early</strong> assessment is crucial.<br />

be at risk of future difficulty. The identified children<br />

must then be assessed more carefully to evaluate the<br />

nature of the difficulty.<br />

■ Developmental screening<br />

In general, the more severe the disability, the earlier<br />

<strong>and</strong> more easily it can be detected (i.e., severe disabilities<br />

are likely to be detected at birth or so<strong>on</strong> thereafter).<br />

The more subtle the problem, the more difficult<br />

it is to detect <strong>and</strong> the later it is likely to be identified.<br />

Since there is great variati<strong>on</strong> in normal development<br />

<strong>and</strong> behaviour during the early years, infants <strong>and</strong><br />

young children under the age of eighteen m<strong>on</strong>ths are<br />

difficult to screen. As a result, the number of disabilities<br />

which can be detected during the first <strong>and</strong> sec<strong>on</strong>d<br />

years of life tend to be relatively small. Furthermore it<br />

requires a substantial financial <strong>and</strong> human investment<br />

to develop screening tests which are sensitive <strong>and</strong><br />

based <strong>on</strong> local norms. Additi<strong>on</strong>al costs are incurred in<br />

the training of health workers or others to administer<br />

screening tests. For these reas<strong>on</strong>s, the routine screening<br />

of all children may not be cost effective. Whatever<br />

screening is d<strong>on</strong>e needs to be quick <strong>and</strong> simple to<br />

administer by some<strong>on</strong>e who works with the child <strong>on</strong><br />

a daily basis, low cost, <strong>and</strong> easy to interpret. In additi<strong>on</strong>,<br />

there needs to be a good hit/miss ratio (i.e.,<br />

screening should correctly identify children with special<br />

needs—there should not be too many children<br />

who are falsely identified as having a problem nor too<br />

many children who are not identified when in fact<br />

they have a problem). An example of a simple screening<br />

instrument is found in Box 2.<br />

UNICEF/5747/Lauren Goodsmith<br />

14

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