Indications for referring children and adolescents to PMPK

In a broad sense, indications for sending children and adolescents to PMPK are developmental deviations that prevent their stay, adaptation, development and education (training, education) in educational institutions, in the family, in society.

PMPK specialists examine and monitor children and adolescents from 0 to 18 years of age. The first step towards raising the issue of sending a child to PMPK is usually to classify him as a risk group. Already in preschool educational institutions, specialists working with children, on the basis of observation, easily select children who need observation and examination by specialists of the PMP-consilium with a possible subsequent referral to the PMPK.

Direction to PMPK

The institution (department) (official name of the institution) sends (full name of the child, age, address) to the PMPK examination in connection with: (specific indications for sending the child to the PMPK are indicated) Annex (list of documents sent by the applying institution to the PMPK ): Stamp of the institution Signature of the head of the institution

Referral to the PMPK is required only in cases where the specialists of the PMPK-concilium do not find the best ways to solve the problem of the child and provide him with adequate assistance in this educational institution and it becomes necessary to transfer the child to other conditions, both educational and other institutions and departments. In addition, if it is necessary to transfer a child within the framework of this educational institution to a class in which education is based on a program that differs from the general education one, referral to the PMPK is mandatory. It is known that in some regions of Russia, classes for mentally retarded children, for children with other developmental anomalies (visually impaired, hearing impaired, etc.) are opened on the basis of general education schools.

Parents (legal representatives) are usually prompted to self-appeal to the PMPK by awareness of the differences between a child or a teenager from their peers, associated with maladaptation. Moreover, maladaptation has a wide range of manifestations: from difficulties in mastering skills, abilities and knowledge in accordance with age norms to behavioral deviations.

It should be noted that, on their own initiative, parents (legal representatives) very rarely apply to the PMPK, although it is they who usually notice deviations in the development of their children before others. There are many reasons behind this problem. One of them is the tradition of admitting children and adolescents to the PMPK, mainly at the signal of one or another educational institution or health care institution (most often, a neuropsychiatric dispensary or a children’s clinic).

Such a method was due to the focus of the PMPK on the selection of children in special (correctional) educational institutions, that is, on the completion of these institutions and, accordingly, was carried out when the child entered the educational institution. Children who, for one reason or another, were not covered by preschool educational institutions could come to the attention of PMPK specialists very late, only at the stage of entering school. Lost time, as you know, can lead to irreversible or slightly reversible developmental disorders, so that the issues of education and upbringing are already solved with great difficulty, and in some cases give way to the most difficult tasks of medical rehabilitation.

At the same time, we have already noted above that for modern PMPK the task of timely diagnosis and overcoming deviations in the development of children and adolescents in adequate conditions for them (training, education, treatment) comes to the fore. Therefore, the educational activities of the PMPK should be aimed, among other things, at informing parents about the goals, objectives and capabilities of modern PMPK, as well as the criteria for classifying children and adolescents into the category that PMPK specialists deal with.

Let us single out in more detail the main indications for sending a child or for parents to independently apply with their child to the PMPK:

– the duration and pronounced difficulties of the period of adaptation to the conditions of the children’s institution, the children’s team, the group of children with whom the child communicates on the street;

– difficulties in communicating with peers, phenomena of isolation or opposing oneself to the team, rejection of the child by the team;

– slowness in the formation and implementation of self-service skills (lagging behind peers when eating, dressing, preparing for classes, etc.), as well as worldly knowledge;

– difficulties in the formation and automation of educational skills, abilities and knowledge in accordance with educational standards characteristic of a particular age stage of development;

– suspicion of a child’s lag in intellectual development;

– pronounced originality, exaggeration, rigidity and other manifestations on the part of the interests and abilities of the child, leading to complications of social adaptation in traditional conditions;

– manifestations of the child’s giftedness, requiring other, more adequate conditions for development and / or hindering social adaptation in traditional conditions;

– exaggerated manifestations of motor disinhibition and impaired attention, general problems of voluntary regulation of activity;

– the presence of any speech disorders;

– lag in the development of general and fine motor skills;

– Suspicion of decreased vision and hearing;

– absurdity, inadequacy of the child’s behavior of the situation;

– increased emotional excitability, aggressiveness and other manifestations of this series;

– antisocial tendencies in behavior;

– self-doubt, tearfulness, touchiness, etc.

Direction to PMPK

If the initiators of the application to the PMPK are parents (legal representatives), the official referral of the child to the PMPK is not mandatory. If desired, parents can contact the PMPK anonymously.

In the case of the initiative of applying to the PMPK by employees of institutions and departments cooperating with the PMPK and who have found relevant indications for sending the child to the PMPK, they can recommend that parents contact the PMPK in a professional, psychologically and ethically correct and understandable form. It is important to substantiate the positive role of the official referral, and most importantly, the documents attached to it, for solving the problem of the child.

Without the consent of the parents (legal representatives), the child cannot be sent to PMPK.

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