Children's Evaluation & Rehabilitation Center

Interdisciplinary Diagnostic Units

As noted, the professionals who make up our staff are arranged into specialized programs or teams. The teams within CERC are described as follows.

Infant and Toddler Team (ITT)

Providing a family-based diagnostic assessment of children from birth to 3 years of age who have or are suspected of having developmental delay, the ITT provides multi-disciplinary evaluation for approximately 300 children each year. The evaluation process begins with a diagnostic screening to elicit the family’s concerns and identify problems. An evaluation is then tailored to meet the needs of the individual child and family from a diagnostic and treatment perspective. A wide array of medical and developmental services are provided on-site to address these needs. Following the evaluation, children may receive a set of interventions here at the center and are also helped to connect with appropriate services and entitlements in their home community. The ITT has particular expertise in the diagnosis and treatment of Autism Spectrum Disorders (ASD) in very young children.  A specialty program under the auspices of ITT designed to meet the needs of young children with ASD is known as the Rehabilitation, Evaluation and Learning for Autistic Infants and Toddlers at Einstein RELATE program. On-going developmental follow-up services are also offered to meet the changing needs of the child and family.

 

Infant and Preschool Unit (IPU)

This multi-disciplinary unit provides diagnostic assessments of children aged 3 to 6 years who have questionable or delayed development. As in the Infant Toddler Team, each child referred to the IPU receives an individually planned evaluation designed to assess intellectual and emotional functioning, clarify the medical and/or environmental causes of any disabilities, and determine the child's and family's strengths in coping with these deficits. The population served includes children with autism, developmental disability, mental health issues, and other disabling conditions.

Assessment of parents' need for support and child’s need for intervention is also provided. Appropriate therapeutic interventions and family supports are arranged for either at CERC or in the community through referrals.

 

School-Age Unit (SAU)

This unit provides multidisciplinary diagnostic services to school-age children, ages 6 to 14, who have learning difficulties, language delays, Attention-Deficit/Hyperactivity Disorder, as well as other behavioral and/or social adjustment problems. Case management and treatment services are also offered to monitor and enhance progress and provide for continued family support. Services available include psychoeducational treatment, speech and language therapy, social skills groups, parent and sibling groups and medication management. When necessary, referrals are made to community treatment centers, as well as public and private schools.

 

Adolescent Unit (AU)

Providing diagnostic and mental health treatment services to adolescents and young adults ages 12 to 21, who have experienced chronic school failure due (at least in part) to biologically-based difficulties, the AU offers assistance to adolescents with learning disabilities, limited intelligence and/or attention problems. The specific nature of the adolescent's difficulties and the role they play in his or her psychological adjustment are identified.

Treatment usually includes individual or group psychotherapy, family counseling, psychoeducational intervention, speech and language services and suggestions that enable the adolescent to better cope with his or her environment. Consultation is provided to public school programs and to Montefiore Medical Center’s School Health Project for youngsters experiencing chronic school failure.

 

Pediatric Rehabilitation Unit (PRU)

Individuals from birth to 21 years of age who have developmental and physical disabilities, usually related to congenital or acquired neuromuscular and musculoskeletal disorders are evaluated and treated by this unit. Individuals seen in the PRU include children with muscular dystrophy, cerebral palsy and brain injuries. To enable clients to be more self-sufficient, the PRU's multi-disciplinary team designs a comprehensive treatment plan, which may include braces, adaptive equipment, seating, transportation devices for use at home and in school and an array of interventions including physical, occupational and speech therapy; augmentative communication; feeding therapies; individual and group psychotherapy and psychosocial services. The unit also provides consultative services to all other CERC units.

 

Children's Hearing Program (CHP)

CHP offers an interdisciplinary approach to the diagnosis, assessment and intervention of deaf and hard of hearing children and adults. CHP provides comprehensive audiologic, otolaryngologic, pediatric neurodevelopmental, genetic and ophthalmologic evaluations. Besides these comprehensive services, CHP provides children and their parents or caregivers with auditory training emphasizing listening and speech and language development provided through individual and group sessions. Additionally, CHP offers services in the selection and fitting of personal hearing aids, assistive-listening devices, instruction in their use and long-term management of hearing needs. In collaboration with the Division of Pediatric Otolaryngology at the Children's Hospital at Montefiore, the staff of CHP provides services for cochlear implantation and follow-up programming for this device. Finally, CHP partners with the New York City Department of Education and local private schools for the deaf to enhance these services and maximize auditory outcome for children throughout the New York City metropolitan area.

 

Developmental and Family Services (DFSU)

The DFSU provides exclusive services for individuals from birth to 24 who are infected or affected by HIV. Our mission is to provide wide-ranging developmental, educational and vocational assistance to children, adolescents and young adults living with HIV. In addition, we also provide a range of services to HIV+ mothers and caregivers whose children are presenting with developmental or behavioral difficulties.

Services specifically geared towards adolescents and young adults are: academic assessment, educational advocacy, psychoeducational evaluation and treatment services, literacy services, group psychotherapy, individual psychotherapy, and educational or vocational planning.

Services for HIV+ women include: academic assessment and educational advocacy for themselves or their children, supportive psychotherapy groups, psychotherapy for individual and/or child, behavioral interventions for the child, rehabilitation services for the child (Speech, OT, PT, etc.), and parenting groups for mother and child.

DFSU also provides the above services to children diagnosed with chronic illnesses (CCMI), including sickle cell disease, childhood cancers, such as childhood leukemia and brain tumors. We also provide services to children being followed for diagnosis of lead poisoning, who are at risk for developmental disabilities.

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