Contompasis, Steve, MD

Kay, Shannon

English

Scholarly Commons @ Baystate Health

PRACTICAL PEARL:  Developmental Delay  INTRODUCTION • Early identification of developmental delays or disabilities is important.  • Timely identification leads to appropriate referrals for intervention, consideration of the etiologic diagnosis, as well as support and anticipatory guidance.  Reference: Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening https://pediatrics.aappublications.org/content/118/1/405  INITIAL EVALUATION AND MANAGEMENT BY PRIMARY CARE  • Ongoing developmental surveillance and standardized developmental screening including the modified checklist for autism and toddlers at 18 months and two years.   • Sharing pertinent history and or documentation with the Developmental Clinic   WHEN TO REFER • If a child’s MCHAT-R shows concern, refer if 2 or more items are positive. • Indications for further evaluation include poor joint attention, lack of showing gestures, and repetitive movements or rigid play.   • Skill regression at any age.  • Significant delay in developmental milestones, such as no two word phrases by 2 years or not walking at 18 months.  • High lead levels. • Genetic or other conditions likely to result in significant delay.  • Determine the level of delay or presence of specific conditions such as Autism Spectrum Disorder, and assist in referral for services.  HOW TO REFER • (413) 794-KIDS  WHAT TO EXPECT FROM BAYSTATE CHILDREN’S HOSPITAL VISIT • Quality developmental assessment and reporting. • Appropriate testing will be completed after an initial clinical visit.  Testing may not be necessary for all children referred. • Recommendations for intervention or other services  • Recommendations for etiologic evaluations (Genetic and /or Neurology) when significant delays are found. • Ongoing follow up of developmental and behavioral concerns in collaboration with the Medical Home.  

Practical Pearl: Developmental Delay - May 2019

https://scholarlycommons.libraryinfo.bhs.org/cgi/viewcontent.cgi?article=1049&amp;context=pedipearl

Practical Pearl: Developmental Delay - May 2019

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