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The Journal of School Nursing
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Feature Article

Early Intervention and School Nursing Practice

Keeta DeStefano Lewis, RN, PhD, FNASN

Keeta DeStefano Lewis, RN, PhD, FNASN, is a health and educational consultant and school nurse in the Napa County Office of Education in California

Bonnie Johnson Bear, RN, MA

Bonnie Johnson Bear, RN, MA, is a school nurse in the San Diego City Schools Infant Toddler Development Program in California

The most vital and critical period for early intervention is in the first 3 years of life. The school nurse working in an early childhood program plays a pivotal role in assessing and meeting the health and developmental needs of very young children and their families. This article discusses early intervention, as denned by federal law, as an age-related service delivered within a family-focused, multidisciplinary, interagency, and collaborative model. An assessment framework for school nurses working with this population is described, which includes physical, social, and emotional domains. Identifying children early and then providing needed interventions and services will assist at-risk children in realizing their developmental potential.

Key Words: cognitive development • developmental assessment • hearing • school nursing • at-risk infants and toddlers • special education • vision

The Journal of School Nursing, Vol. 16, No. 5, 16-24 (2000)
DOI: 10.1177/105984050001600503
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