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One in eight children are born with some delay in development.
With more responsibilities , patients and meetings, your clinical eye is more challenged now than ever before.
Typical surveillance misses up to 60% of children with a developmental problem, and we all know how important early detection is for families and doctors.
20% of mental health problems identified without tools: (Lavigne et al. Pediatr. 1993; 91:649-655) 30% of developmental disabilities identified without tools: (Palfrey et al. JPEDS. 1994; 111:651-655) 80-90% with mental health problems identified with tools: (Sturner, JDBP 1991; 12:51-64) 70-80% with developmental disabilities correctly identified with tools:(Squires et al., JDBP 1996; 17:420-427)
The CADLC developmental screening tools follow recommendations of the American Academy of Pediatrics. These tools are multi-question surveys. Parents or caregivers answer the questions before a well child visit. Providers score the answers (we teach you how) and determine and appropriate course of action (we teach you that too.)
-Delayed development is common.
-You’re seeing the kids when it matters.
-Developmental screening is best practice.
-Everyone is starting to do it.
-Developmental screening improves access services that help young children develop physically, socially and emotionally.
It’s Best Practice Ohio Chapter AAP Recommendations AGE Recommended Tool 9 months PEDS or ASQ:3 12 months ASQ : SE 18 months PEDS or ASQ:3 24 months M-Chat 30 months PEDS or ASQ:3 36 months ASQ: SE 48 months PEDS or ASQ:3 Annually ages 6-18 Pediatric Symptom Checklist
What will the Partnership MD do? Evaluation team sends “ referral” and report to Partnership MD Are results such that further consultation is recommended? Partnership MD sends report to HMG/LEA and referring MD Partnership MD refers to regional diagnostic center YES Partnership MD completes medical evaluation & counsels family
Four counties have had at least one child go through the Diagnostic Partnership process : Number of children evaluated 23 Gender 15 M 8 F Chronological age Range 17-91 months Under 36 months 10 37-48 months 6 49-60 months 5 > 60 months 2
Four counties have had at least one child go through the Diagnostic Partnership process : Diagnoses Number % Autism 6 26% PDD-NOS 3 13% Aspergers 1 4% TOTAL ASD 10 43% Language Delay/Disorder 6 26% Language + Behavior 3 13% Global Delay 3 13% No Clinical Dx 1 4%
Four counties have had at least one child go through the Diagnostic Partnership process : Diagnosis x Age Age ASD Other Under 36 months 5 5 37-48 months 1 5 49-60 months 3 2 > 60 months 1 1