Priority 4 from the Learning Difficulties Scotland PSP

UNCERTAINTY: Which early interventions are effective for children and young people with learning difficulties, at what ages and stages are they best introduced and what are the long-term outcomes? (JLA PSP Priority 4)
Overall ranking	4
JLA question ID	0070/4
Explanatory note	Not available for this PSP
Evidence	I. Novak, C. Morgan, L. Adde, J. Blackman, et al. (2017). Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment. JAMA Pediatrics. 171(9): 897-907. doi:10.1001/jamapediatrics.2017.1689 M. Hadders-Algra, A.G. Boxum, T. Hielkema, E.G. Hamer. (2017). Effect of early intervention in infants at very high risk of cerebral palsy: a systematic review. Developmental Medicine and Child Neurology. 59(3): 246-258. DOI: 10.1111/dmcn.13331 K. H. Ryberg. (2015). Evidence for the Implementation of the Early Start Denver Model for Young Children With Autism Spectrum Disorder. Journal of American Psychiatric Nurses Association. 21(5): 327-337. DOI: 10.1177/1078390315608165
Health Research Classification System category	Mental Health

Extra information provided by this PSP
Original uncertainty examples	As an ASN practitioner with a number of years experience these are some of the issues/questions: How best to manage and support young people and their families from an early age prior to schooling? ~ Have you analysed the long term outcome of early intervention in both the profoundly learning disabled and those with lesser learning disabilities? Where does early intervention make the most difference? ~ How can we provide effective support for children at school in ways that prevent stigma , make reasonable adjustments and enable them to be independent learners and contributors? What would progress look like from EYs through primary, secondary school and post school outcomes?
Submitted by	Professionals x 21 ~ parents/carers x 13 ~ Adults who experienced learning difficulties as a child x 0 ~ child/young person x 0

Extra information provided by this PSP

Original uncertainty examples

As an ASN practitioner with a number of years experience these are some of the issues/questions: How best to manage and support young people and their families from an early age prior to schooling? ~ Have you analysed the long term outcome of early intervention in both the profoundly learning disabled and those with lesser learning disabilities? Where does early intervention make the most difference? ~ How can we provide effective support for children at school in ways that prevent stigma , make reasonable adjustments and enable them to be independent learners and contributors? What would progress look like from EYs through primary, secondary school and post school outcomes?

Submitted by

Professionals x 21 ~ parents/carers x 13 ~ Adults who experienced learning difficulties as a child x 0 ~ child/young person x 0

PSP information
PSP unique ID	0070
PSP name	Learning Difficulties (Scotland)
Total number of uncertainties identified by this PSP.	40 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	11 June 2018