Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening

@article{Duby2006IdentifyingIA,
  title={Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening},
  author={John C. Duby and Paul H. Lipkin and Michelle M. Macias and Lynn Mowbray Wegner and Paula M. Duncan and Joseph F. Hagan and W. Carl Cooley and Nancy L. Swigonski and Paul G. Biondich and Donald J. Lollar and Jill Ackermann and Amy Brin and Mary Crane and Amy Gibson and Stephanie Mucha Skipper and Darcy Steinberg-Hastings and Melissa Capers},
  journal={Pediatrics},
  year={2006},
  volume={118},
  pages={405 - 420}
}
Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home and an appropriate responsibility of all pediatric health care professionals. This statement provides an algorithm as a strategy to support health care professionals in developing a pattern and practice for addressing developmental concerns in children from birth through 3 years of age. The authors recommend that developmental… 

Figures and Tables from this paper

Developmental Screening in Rural Primary Care
TLDR
Although it is clear that formal screening of development is necessary to better identify those in need of further assessment and intervention, less is known about ways to efficiently carry out this task and there is also some concern related to the applicability of such instruments to general pediatric practice.
Developmental screening in a pediatric care practice.
TLDR
A survey of 241 primary care pediatricians to better understand the current pediatric practice related to developmental surveillance and screening, identify barriers to developmental screening and assess the interest in training and support regarding developmental screening found that all respondents indicated that they were providing developmental surveillance for their patients less than five years of age.
Well-Child Visits for Infants and Young Children.
  • K. Turner
  • Medicine
    American family physician
  • 2018
TLDR
The well-child visit allows for comprehensive assessment of a child and the opportunity for further evaluation if abnormalities are detected, and to answer parents' or caregivers' questions and to provide age-appropriate guidance.
Identifying Children With Autism Early?
The American Academy of Pediatrics (AAP) policy statement “Identifying Infants and Young Children With Developmental Disorders: An Algorithm for Developmental Surveillance and Screening” (published
Implementing developmental screening.
  • D. McBride
  • Medicine
    Journal of pediatric nursing
  • 2010
Introducing Screening for Family Risks in Young Children in Primary Care
TLDR
Standardizing screening for family risks allows providers to assess the impact of home environment on their patient’s future health while addressing many of the perceived barriers that have prevented childhood adversity screening in the past.
Developmental Screening in Primary Care: The Effectiveness of Current Practice and Recommendations for Improvement
TLDR
There appears to be significant under-detection of developmental delays in early childhood, and several recommendations are made to strengthen developmental surveillance and screening, and thereby improve outcomes for young children and families.
Implementing an early childhood developmental screening and surveillance program in primary care settings: lessons learned from a project in Illinois.
Incorporating developmental screening and surveillance of young children in office practice
TLDR
Existing developmental screening and monitoring tools for children validated in Indian under-five children are reviewed, and a proposed practice paradigm for developmental screening in office practice is provided.
Developmental screening of healthy children between 6-24 months
TLDR
Evaluated developmental stages for healthy children referring to the pediatric clinic for early childhood check-ups found that; awareness skills of infants with siblings were better than those without siblings, and social content skills were better in infants cared for by mothers and relatives than the others.
...
...

References

SHOWING 1-10 OF 65 REFERENCES
Recommendations for Preventive Pediatric Health Care
TLDR
These Recommendations for Preventive Pediatric Health Care are designed for the care of children who are receiving competent parenting, have no manifestations of any important health problems, and are growing and developing in a satisfactory fashion.
Pediatricians' Reported Practices Regarding Developmental Screening: Do Guidelines Work? Do They Help?
TLDR
The findings indicate that, despite the AAP policy and national efforts to improve developmental screening in the primary care setting, few pediatricians use effective means to screen their patients for developmental problems.
Well-Child Care: Effectiveness of Current Recommendations
TLDR
The evidence for the effectiveness of the current recommendation for well-child care is reviewed including the recommendations for the number of visits, history and physical examination as a screening technique, observation of parent-child interaction, and the recommendation for provision of anticipatory guidance.
British and American recommendations for developmental monitoring: the role of surveillance.
TLDR
Recommendations for developmental monitoring during preventive child health care are compatible, and the importance of eliciting parents' opinions and concerns, obtaining a relevant developmental history, and performing skilled, longitudinal observations of children is emphasized.
Developmental stages of developmental screening: steps to implementation of a successful program.
TLDR
The challenges of instituting universal developmental screening as part of pediatric care are discussed and 2 models of existing or planned programs of early screening for autism spectrum disorder and developmental disability are presented, and the pros and cons of the different strategies are discussed.
Role of the pediatrician in family-centered early intervention services.
TLDR
The purpose of this statement is to assist the pediatrician in assuming a proactive role on the multidisciplinary team providing early intervention services.
A New Definition of Children With Special Health Care Needs
TLDR
Recognizing these difficulties, health policy leaders at the state and federal levels, with broad input from public and private agencies, providers, and families, effected legislative changes in the federal Omnibus Budget Reconciliation Act of 1989 which expanded the mission of CSHCN programs to facilitate the development of community-based systems of services for children with special health care needs and their families.
...
...