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Mental Retardation

Rapid and significant changes in appropriate evaluation and care of infants and young children with mental retardation and other disabilities are substantively influencing the pediatrician's role. Pediatricians trained in models of development that emphasized biologic influences are now understanding the powerful influence of environmental forces on infant development and are beginning to recognize the landmarks of infant temperamental, emotional, and mental health development. Changes in the traditional American family and the resources available to the family are also exerting major influences on the developmental outcome of infants and children with and without disabilities. Pediatricians are becoming more aware of the value of joining in active interdisciplinary partnerships with parents and well-trained professionals as they evaluate, provide health care, and participate with others in coordinating services for infants with mental retardation.