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Dragoslav KOPACEV,

Petar NASTOV

THERAPEUTIC PROCEDURES OF CHILDREN WITH DISHARMONIOUS DEVELOPMENT AT THE EARLY SCHOOL PERIOD IN CONDITIONS OF DAY CARE  HOSPITAL

The term disharmonious is determined against the harmonious development of children. It is stressed that these children, because of the whole bio-psycho-social growth  which is at a lower level, very often react with psychical disorders, compared with the children which normally develop and this seems to be not only a serious problem in the diagnostics but also in the performing of the adequate and in due time treatment.

Trained by the existing experiences in the work with these children it is indicated that the best differential-diagnostics is performed in conditions of  Day hospital where a whole treatment is provided by a professional team. In the treatment in this category of children it is insisted on the respect of the developmental dynamic approach, and for this, the acknowledgments  that are given by the neuropsychology are used. The need of early treatment  of a child, parents and the closest environment is stressed because if these children are neglected, they show the tendency to organize themselves at their lowest values, they intellectually decline and lead to severe psycho social results .Working with these children in our Day care hospital although we use a great number  of therapeutic activities, we put the stress on the application  of psychomotor re education. The use of remedial therapy as the only  technic, without including the parents in the working plan, has shown as unadequate. Although there is an intellectual insufficiency, we tend these children to be mentally healthy, if we succeed to achieve bigger harmony in the function of the cognitive, emotional, motor and social aspects of the individual. Providing continuity in the treatment of this category of children, it is insisted to provide the pre-school institutions with planned and professional team work. The stress is put on the defectological activity, in a way to prepare the children to enroll in school.