Shanti Raman¹, Sinthu Vivekanandarajah¹, Olaf Kraus de Camargo²
1- South Western Sydney Local Health District, Australia
2- Ron Joyce Children's Health Centre, Hamilton, Canada
Abstract Body
Background: Children with disability experience various challenges but also display strengths and resilience. Traditionally, the focus of developmental assessments and intervention has been on medicalising disability. The “F-words for Child Development” is a framework that is gaining international prominence.
Methods: We implemented “F-words” framework (Function, Family, Fitness, Fun and Friends) into routine clinical practice within Child Development clinics in South Western Sydney in 2024. The framework was incorporated into standardised clinic proformas, with regular education/ awareness building activities conducted within the team. The “voice of the child” model was already in place in practice. We audited clinical reports pre-intervention and post-intervention to assess how well the ‘F-words’ framework was incorporated. We also assessed clinician and family perspectives and experiences with this tool. Thematic analysis was performed on the open text responses.
Results: Audit of 88 reports pre-intervention and 112 post-intervention showed: 95% (n=106) of reports clearly documented the child’s strengths compared with 74% (n=65) pre-intervention; 85% (n=95) documented at least 4 of the F-words domains, compared with 8% (n=7) preintervention. Multidisciplinary clinicians (n=21) and families (n=18) response to the electronic surveys showed the ‘F-words’ framework was very well received; most clinicians and families found it effective and helpful in enhancing clinical assessment, presenting a balanced reflection of the child, broadening understanding of the child’s strengths.
Conclusion: The ‘F-words’ framework and the ‘voice of the child’ can be easily incorporated into clinical practice. Child health professionals dealing with children with a disability need to respond in a holistic, child-rights affirming manner.