Asthma is a very common medical condition.  In this webinar,  Dr. Beth DelConte provided participants with tools to understand asthma. She explained how to care for children with this special need. to view a PDF of the PowerPoint for this webinar, open the attachment.  Reviewed and Reaffirmed 3/2017.

This workshop uses interactive discussion, visual aids and hands-on demonstrations to address the causes, symptoms, bodily responses, and current prevention and management for asthma episodes. 

This asthma website includes handy forms and links to other resources for the care of children with asthma in English and Spanish. These forms help families and early care and education providers exchange information easily when the child is having symptoms at home or in the program. Other forms on the website help health professionals to communicate their recommendations for the child's care to families and other caregivers. Reviewed and reaffirmed 3/2018.

Asthma is one of the most common chronic diseases in children. Use the recorded ECELS webinar presented on Wednesday, February 4, 2015 to learn more about asthma. In this webinar you will learn about asthma symptoms, resources and tools to care for children with this special need.  Presenters for this webinar include Dr. Susan S. Aronson, MD, FAAP, ECELS Founder and Pediatric Advisor and Zalika Shani, MPH, MCHES - Program Manager, Kids Asthma Management Program, Crozer-Keystone Health System.

This webinar is designed for Child Care Program Directors and Teachers/Caregivers. Family Child Care Providers, Child Care Health Advocates, Child Care Health Consultants, Head Start Coordinators and teachers. Pennsylvania participants can receive 1.5 hours of PA Key and PA Act 48 professional development credit if they were logged on for the full live webinar or use the recorded version. To claim the credit, download, complete and submit the evaluation form to ECELS. CEU credit from the University of Pittsburgh School of Medicine was only available for those who participated in the live webinar.

To listen to the recording, click here.  There is a 30 second delay before the webinar recording starts.  Download the handouts and evaluation form in the links below. 

General information about ADHD for parents and caregivers. Written in 2004. Reviewed and reaffirmed 11/2012. For more detailed information about this condition, see Managing Children with Chronic Health Needs in Child Care and Schools, 2010, available from the bookstore of the American Academy of Pediatrics at

Is there a child in the early education program who is more active than the other children? Is this a child who doesn't seem to pay attention or follow directions? Such children are very hard to handle!

Teachers/caregivers, the child's family and the child will benefit from seeking guidance about how to care for a child with this behavior. Teachers should talk with a supervisor about a good way to share their concerns with the child's family. The family may have similar concerns and not know where to turn for help.

Behavioral problems, inattention, hyperactivity, or impulsivity are symptoms of attention-deficit/hyperactivity disorder (ADHD). The American Academy of Pediatrics publishes clinical practice guidelines. One of these specifies how to assess, diagnose and treat children as young as 4 years of age who have ADHD symptoms. The guideline says that the child's health care provider should do an assessment that includes a complete health history, vision, hearing and developmental-behavioral screening and a physical exam. The assessment may reveal one or more problems that require further evaluation.

With parent consent, the early education staff should offer to share with the child's health care provider any information the program has collected about the child. Include any developmental-behavioral screening or observations. You can use the Behavioral Data Collection Sheet, a form in the Tools tab of the ECELS website. This sharing of information can be a valuable contribution to the health professional's assessment.

The initial treatment for preschool-aged children with ADHD is evidence-based family and/or teacher-administered behavior therapy. Plan with the child's therapist and family how the program staff should handle the child's behavior. Consistent approaches at home and in the education program usually work well. The best way to do this is to have a written Care Plan.

Pediatric health professionals will be aware of local options for behavior therapy for young children. A good starting point for families and teachers/caregivers to learn about "challenging behaviors" is to go to the PA Promise for Children website, Click on the "Help Your Child Grow" heading on the home page. Then select "Dealing with Challenging Behavior". Caring for a child's challenging behavior is difficult. However, the child will benefit when program staff, the child's family and the child's health care provider make and carry out a plan together.

Contributed by Beth DelConte, MD, FAAP - ECELS Pediatric Advisor

Reference: Center for Disease and Prevention (CDC)/Attention Deficit Hyperactivity Disorder (ADHD)

Autism spectrum disorder (ASD) is a developmental disability. ASD causes social, communication and behavioral difficulties. Children with ASD can be diagnosed and start to receive services as early as 2 years of age. Children with ASD can receive free services that help minimize their disability. These services can be provided at home, in a child care center, nursery school, play group, Head Start program, early childhood special education classroom or other settings.  

Early education and child care providers can help identify children who might have ASD. Observations of a child's behavior and development are essential. Early diagnosis and intervention can make a big difference. With therapy, many children with ASD can significantly reduce their disability. Learn about the signs and common symptoms of ASD on the CDC website at

Tips for parents and caregivers addressing the causes and solutions for common behavior concerns in young children. Reviewed and reaffirmed 4/2018.

This online self-learning module includes reviewing examples of school-age children with challenging behavior. Learn about tools recommended to sort out the motives behind such behavior. By understanding these motives, practitioners can give children socially acceptable alternatives to their challenging behavior. PA child care practitioners may submit completed work for review for credit by scanning the pages and attaching them to an e-mail, sending them by fax or by surface mail to ECELS. Be sure to follow the instructions in the “Important Reminders” box next to the list of self-learning modules on this webpage. (ECERS: Interaction. K7-C2-84.) Instructions 2009.

This online self-leaning module will help you to promote mental health in young children. Learn about biological and environmental risk factors for challenging behaviors. Use tools to review for behaviors related to childhood development. Find out strategies to help manage children with challenging behaviors and identify policies to help prevent suspension and expulsion of children. Understand the importance of open communication with parents and use resources to help children with challenging behaviors and their families. (ECERS-ITERS: Interaction0. 6/2017