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Developmental/Behavioral

1 out of 6 children are diagnosed with a developmental disorder and/or behavioral problem.

By incorporating developmental surveillance and screening into preventive health care visits, the pediatrician has the ideal opportunity to offer anticipatory guidance to the family about supporting their child's development and to facilitate early detection of a disorder.¹ Understanding the importance of medical home in identifying developmental/behavioral issues ensures early treatment, access to early intervention programs, better school placement, and ultimately better developmental outcomes.²

Resources For Providers | For Families

Act Early on Developmental Concerns: Partnering with Early Intervention Teleconference

The American Academy of Pediatrics Division of Community-based Initiatives and Division of Children with Special Needs co-sponsered the Act Early on Developmental Concerns: Partnering with Early Intervention Teleconference on July 14, 2008.

To view powerpoint slides and an audio file of the conference please visit: http://www.aap.org/commpeds/resources/teleconf_EI.html

LEARNING OBJECTIVES
By the end of the web conference, participants will be able to:

Describe importance of referring children to Early Intervention and follow up services as soon as a developmental issue is suspected
Understand the role of the Early Intervention program
Utilize strategies identified on the teleconference to form partnerships, encourage referrals, and improve communication with Early Intervention and community services

The speakers include Georgina Peacock, MD, MPH, FAAP – Medical Lead, CDC/National Center on Birth Defects and Developmental Disabilities; Layla Mohammed, MD, FAAP - Pediatrician, Ypsilanti Pediatrics; and Diane Zedan, Director, Special Education First Steps Washtenaw/Early On as they offer tips for practical application, lessons learned, and resources and tools for working with Early Intervention and community services.

Policy Statements:

American Academy of Pediatrics; Committee on Early Childhood and Adoption and Dependent Care. Developmental Issues for Young Children in Foster Care
Pediatrics. 2000;106(5):1145-1150
American Academy of Pediatrics; Council on Children With Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee and Medical Home Initiatives for Children With Special Needs Project Advisory Committee. Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening. Pediatrics. 2006;118(1):405-420
American Academy of Pediatrics; Council on Children with Disabilities.
Role of the Pediatrician in Transitioning Children and Adolescents With Developmental Disabilities and Chronic Illnesses From School to Work or College
Pediatrics. 2000;106(4):854-856 Reaffirmed January 2004

Periodicals/Articles:

Bethell C, Peck C, Schor E. Assessing Health System Provision of Well-Child Care: The Promoting Healthy Development Survey. Pediatrics. May 2001;107:1084-109
Chen IC, Lee HC, Yeh GC, Lai CH, Chen SC. The relationship between parental concerns and professional assessment in developmental delay in infants and children--a hospital-based study. J Chin Med Assoc. 2004 May;67(5):239-444
Dworkin PH. 2003 C. Anderson Aldrich Award Lecture: Enhancing Developmental Services in Child Health Supervision—An Idea Whose Time Has Truly Arrived. Pediatrics. Sep 2004;114: 827-831.
Glascoe FP. Parents' evaluation of developmental status: how well do parents' concerns identify children with behavioral and emotional problems. Clinical Pediatrics. 2003 Mar;42(2):133-8
Kelly DP, Aylward GP. Identifying school performance problems in the pediatric office. Pediatr Ann. 2005 Apr;34(4):288-98

Resources:

CDC’s Child Development Web site
Learn about the Child Development Studies Team’s major projects and activities, public health issues in child development, child development milestones, and down-load Positive Parenting Tips sheets free of charge. You will also find links to more information, resources, and their partners in promoting child development.
Developmental and Behavioral Pediatrics Online (DB Peds)
This site is aimed at professionals interested in child development and behavior, especially in the medical setting. They have increased their focus on primary care development and behavior, especially early identification and screening.
The Learning section features the Toolbox, which is your link to special article features, keywords, and evidence. You can also explore their Handouts, which include both original and borrowed material, suitable for parents.
National Center on Birth Defects and Developmental Disabilities (NCBDDD)
The mission of the National Center on Birth Defects and Developmental Disabilities within the Centers for Disease Control and Prevention is to promote the health of babies, children, and adults, and enhance the potential for full, productive living. NCBDDD's work includes identifying the causes of birth defects and developmental disabilities, helping children to develop and reach their full potential, and promoting health and well-being among people of all ages with disabilities.

Early Intervention:
Increasingly, the benefits of early identification and treatment on child health outcomes are being proven.³ A child's primary healthcare professional's ability to perform continuous surveillance and structured screening within the context of a routine, well-child care visit provides an opportunity to identify special health care needs. However, once a child is identified with having a special health care need, appropriate diagnosis and follow-up must readily occur. It is in this "next step" phase that the relationship between the medical home and an Early Intervention program becomes critical. To learn more about Early Intervention, and strategies to access their services, click here.

Early Intervention Referral Form

1. American Academy of Pediatrics; Council on Children With Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee and Medical Home Initiatives for Children With Special Needs Project Advisory Committee. Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening. Pediatrics. 2006;118(1):405-420

2. Harris S, Handleman J. Age and IQ at intake as predictors of placement for young children with autism: A four-to six-year follow up. Journal of Autism and Developmental Disorders. 2000;30:137-142.

3. American Academy of Pediatrics, Committee on Children with Disabilities. Role of the pediatric clinician in family-centered early intervention services. Pediatrics. 2001; 107: 1155-1157.

Contact Us:
If you have additional questions related to the Medical Home Screening & Surveillance Program, please send your question or comment by e-mail to mhscreening@aap.org.

Last Updated February 12, 2009