Risk Baby Unit
Growth and Development are the two complementary processes peculiar to children, which influence the quality of life in their later life. Advances in the peri-natal care and the establishment of neonatal nurseries have improved the survival chance of many newborns that would otherwise have succumbed. This, however, tends to increase childhood developmental delays, speech problems, behavioral problems, attention deficit and hyper-kinetic disorders and scholastic backwardness. Very often, these problems are identified late, may be at school going age by which time the rehabilitation measures that can be taken, are not able to bring out the best in the child. Hence, if special care/ intensive care services are available in a hospital, it should be mandatory that neonatal follow up and early stimulation service are also made available.
In an increasingly competitive world it is essential to ensure that a child grows and develops to its full developmental potential. Even for a normal healthy newborn, parenting skills are necessary. Medical science has developed to such an extent that it is now in a position to save the lives of a number of a very low birth weight babies, asphyxiated and sick babies. This highlights the need for A "Risk baby Unit", where a trained Clinical Child Developmental Therapist adopts early detection practices for developmental delay, subsequently leading on to early intervention therapy. There are many sophisticated, scientific methods for the assessment of development in children, simple screening procedures which can be used by the community by field workers and can be propagated even among illiterate mothers.

A child is said to have developmental delay when he/she does not attain the specified developmental milestones at the excepted times?

Adarsh was able set up such a RISK BABY UNIT in August 2005 in association with Child Developmental Centre, Trivandrum at 2 major Hospitals in Ernakulam District. Gradually the service of the unit was extended to 2 more hospitals. Now the unit functions in 4 major hospitals, namely Ernakulam Medical Centre (2 days), Lakshmi Hospital (2 days), PVS Hospital (1 day) and Lissy Hospital. In these hospitals, this unit works under the close supervision of Neonatology and Pediatric departments.
What does the Child Development Therapist do?Determines the existence of a developmental delay
Identifies the strengths and needs
Develops strategies for intervention
Determines progress on significant developmental achievements
Serves as a medium for reporting to parents about the child? Progress Counsels parents

For this, the Therapist uses various assessment tools, they are:

Trivandrum Developmental Screening Chart (TDSC)
Denver Developmental Screening Test (DDST)
Neurological Evaluation- Amiel-Tison Passive Angles Method
CDC grading for motor milestones (Child Development Center-Trivandrum)
Developmental Observation Cards (DOC)
Assessment of Hearing loss in Early Infancy

The objectives of this unit are:
1. Stimulating the child through normal developmental channels
2. Prevention of developmental delay
3. Prevention of Asymmetry and Abnormalities
4. To prevent atrophy of muscles
5. To prevent deformity of joints
6. To prevent contractures of joints
7. To decrease the tone of muscles
8. To prevent the tightening of tendons
9. Detection of transient abnormalities and minimization of persistent abnormalities