Diagnosis or functional approach: IS THIS EVEN A SENSIBLE QUESTION
Exploring the issues with a multidimensional perspective.
In the field of developmental disability, considerable debate and tension remain regarding the best approaches to thinking about how engage with and serve children with developmental challenges and their families. In many places, service eligibility is based on diagnosis. This approach puts pressure on families to get a diagnosis, and on service providers to make a diagnosis. Among the implications of this challenge are what can become a ‘diagnostic odyssey’ for many families, and the moral and ethical dilemmas for service providers to ‘make up’ a diagnosis in order to support the family to access services.
At the same time, people in our field recognize that there may be clinical, political, ethical, moral and resource implications of this dilemma, and most of us – whatever our personal views – are frequently involved in discussions and debates about this matter.
Peter Rosenbaum, Arnab Seal, Jenny Carroll and Bernadette Gillick are discussing this issue in the video below.