SnehaThis is the actual case study of Sneha , which gives an example of our preschool early intervention services.

Sneha was identified through our surveys by the community survey worker. She had no head or trunk control, was unable to recognize family members and had low muscle tone in entire body. She also had no eye contact and suffered epileptic fits, which further deteriorated her condition. Both parents were under tremendous mental and social pressure as Sneha showed little improvement despite her treatment from the well known city hospital. Further, Sneha’s mother, Mohini was subjected to mental trauma by her husband's family as her first child was aborted and her second child, Sneha, is born with Cerebral Palsy.

SnehaSneha was 15 months old when she came to Samadhan on 18/8/06 with frequent seizures. According to her mother, antenatal and natal history was perfectly normal. At the age of 1 year and 6 months as per Indian immunization schedule, child was vaccinated for DPT+ Polio and Hepatitis B dose. The same night she had high fever followed by seizure. She had anti convulsant treatment, when she came to Samadhan.  She had no neck control; anthroponomical measurement was below normal.  Neuro development, social and behavior development were very poor. She was advised to continue anti epileptic drugs, added physiotherapy, folic and pyridoxine in high dose with extra fat and protein chart. The seizures stopped and the child started improving in neurological behavior as well as in her growth and development of social behavior. After a period of 9 months and efforts by the professional team and the one to one sessions provided at the center, the child started standing without support. She also started saying a few words and shows a good understanding which is age appropriate. Sneha at the age of two years showed remarkable improvement. She started to recognize all family members.

She was able to understand and respond to many commands. She developed full head control. She was able to sit by her own. She could turn around for toys or other things and tries to catch them. She learnt to use her hand and fingers for purposeful activities. She does not require any support for sitting. She is learning toilet control. She started crawling. She enjoys group play and the company of peer group. Her epileptic fits are well under control by medicines. Now Sneha is one of her pre-schoolers who enjoys her classes and very reluctant to bid goodbye to her teachers and friends.

Most heartening is the change in attitude of family members towards Mohini, Sneha's mother by both her own family and the community to which she belongs. Now there is acceptance and a place for her and her child in her social circle. Mohini has gained in self-image and self-confidence and knows that she can make a major change in Sneha's life.