
With intensive early intervention using the Hawaii Early Learning Programme (HELP) I work on Jesse's gross, fine motor, expressive and receptive communication, cognitive, and self help skills. Using the HELP workbook I programmed each day with activities to teach him developmental skills. He gradually began to make gains in his development. The most significant delay at that stage was his physical development. He had a right side hemiplegia with his right leg and foot most effected by the cerebral palsy and he struggle to weight bare, sit, crawl and to finally walk. Jesse's fine motor was very delayed. He had poor balance and would topple when he reached across the midline on his body.
I needed to go back to work and had to place Jesse into child care. Almost immediately it was observed by the centre that Jesse need one to one due to his global developmental delay and behavioural difficulties. There were numerous safety issues in the home, child care and in the community. Once he started walking independently he became increasingly difficulty to manage with risky behaviours and frequent temper tantrums if unable to do what he wanted although a behavioural norm his behaviour put other children at risk of injury.
We attended the Infant Health Service and he was graduated from this service with no skills development or at home therapy ideas or assistance. He was referred to Children's hospital physiotherapy and occupational therapy service but suspend at the age of 3 due to his challenging behaviour. We were referred to the Psychology department of the hospital but this never referral never produced an appointment despite frequent follow up by me. This was an early taste of what was to be a frequent pattern in the inability to access services.
I made numerous attempts to find services and have assistance with his physical disability. He had significant problems with his right foot and leg resulting in many falls. Finally after giving up on the infant help and children's hospital I self referred to the Cerebral Palsy Association where we final started to get the help we were needing.