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Goran AJDINSKI, S. BOSNJAKOVSKA, L. UGRINOVSKA,

M. DUKOVSKI, M. CAKAR, L. BOGOEVSKA

EARLY DIAGNOSIS AS DETERMINATING FACTOR FOR PROFESSIONAL, RATIONAL AND EFFECTIVE TREATMENT OF CHILDREN WITH DEVELOPMENTAL DIFFICULTIES

Early diagnosis of children with developmental difficulties is one of the most important segments in the process of rehabilitation. It is not only an assessment and evaluation of the functional conditions, but also and detection of the possibilities for treatment and it’s improvement.

In our presentation we give the first  noticing for diagnostics of children with developmental difficulties in the Republic of Macedonia, the present capacities, possibilities, needs and suggestions for it’s improvement and  advancement. Speaking about that we stress the need of multidisciplinary and complete professional team in the present institutions and solving out a number of problems that exist on that plan. It especially relates to the unique terminology, the procedure and involvement of defectologists in the diagnostic process.

Having in mind the bio-psycho and social aspects of the personality of children with developmental difficulties, together with the need of a complex diagnostic procedure, we have tried to give the professional activities of all the profiles of professionals that take part in the diagnostic process. So, we give a review of the work of:

·         physician-pediatrician who is involved in the diagnostics of all children

·         audiologist who is involved in the diagnostics of children with damaged hearing from a medical point of view.

·         the clinical psychologist who works in the institute for medical rehabilitation and whose task is to prepare and realize all the necessary tests for the personality of the child with developmental difficulties.

·         physiologist for children with somatic damages.

·         neuropsychiatrist for children with psychological  difficulties

·         specialist for eye diseases giving his report about the child’s damaged eyesight etc.

We consider that  we shouldn’t neglect the role of the defectologist, his examinations on psychomotor status, speech, i. e. the functions of the individual in relation to the social aspect in a close connection with the space and time, as a prognosis for treatment.

All the findings got in the assessment of the child’s damages, should be synchronized and synthesized, agreed in the last assessment showing that this is a very complex and responsible task. That will depend on the professional approach, before all on the team work.