A Review of Psychosocial Risks and Management for Children with Cleft Lip and/or Palate This article reviews the psychosocial risks associated with congenital craniofacial conditions with a specific focus on the most common condition, cleft lip and/or palate (CL/P). Risks will be detailed from infancy through adolescence for both children and their families. Families of children with CL/P are at risk for adjustment problems, ... Article
Article  |   August 07, 2017
A Review of Psychosocial Risks and Management for Children with Cleft Lip and/or Palate
Author Affiliations & Notes
  • Canice E. Crerand
    Departments of Pediatrics and Plastic Surgery, The Ohio State University College of Medicine, Columbus, OH
    Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, OH
  • Hillary M. Kapa
    Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, OH
  • Jennifer Litteral
    Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, OH
  • Disclosures
    Disclosures ×
  • Financial: Canice E. Crerand, Hillary Kapa, and Jennifer Litteral have no relevant financial interests to disclose.
    Financial: Canice E. Crerand, Hillary Kapa, and Jennifer Litteral have no relevant financial interests to disclose.×
  • Nonfinancial: Canice E. Crerand, Hillary Kapa, and Jennifer Litteral have no relevant nonfinancial interests to disclose.
    Nonfinancial: Canice E. Crerand, Hillary Kapa, and Jennifer Litteral have no relevant nonfinancial interests to disclose.×
Article Information
Special Populations / Genetic & Congenital Disorders / Early Identification & Intervention / Attention, Memory & Executive Functions / Part 1
Article   |   August 07, 2017
A Review of Psychosocial Risks and Management for Children with Cleft Lip and/or Palate
Perspectives of the ASHA Special Interest Groups, August 2017, Vol. 2, 23-34. doi:10.1044/persp2.SIG5.23
History: Received February 12, 2017 , Revised May 10, 2017 , Accepted May 10, 2017
Perspectives of the ASHA Special Interest Groups, August 2017, Vol. 2, 23-34. doi:10.1044/persp2.SIG5.23
History: Received February 12, 2017; Revised May 10, 2017; Accepted May 10, 2017

This article reviews the psychosocial risks associated with congenital craniofacial conditions with a specific focus on the most common condition, cleft lip and/or palate (CL/P). Risks will be detailed from infancy through adolescence for both children and their families. Families of children with CL/P are at risk for adjustment problems, which may in turn impact child social and behavioral functioning. Children with CL/P are vulnerable to internalizing and externalizing problems, social stigmatization, as well as learning problems. Children and their families may also experience distress related to surgery and other aspects of their cleft treatment. Strategies for addressing psychosocial risks including provision of condition-specific education, enhancement of social support, and utilization of regular screening and referral to empirically supported psychological interventions will be described.

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