Developmental assessment: practice tips for primary care physicians

Choo, Ying Ying; Yeleswarapu, Sita Padmini; How, Choon How; Agarwal, Pratibha

doi:10.11622/smedj.2019016

Cited by 18 publications

(19 citation statements)

References 6 publications

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“…In Singapore, every well child is scheduled to be seen by trained nurses or doctors for a developmental screening at specific ages for 6 rounds between the ages of one month and 4-6 years. 15) The developmental checklist is based on the Denver Developmental Screening Test (DDST-Singapore). 15) In Taiwan, under the Enforcement Rules of the Children and Youth Welfare Law of Taiwan, the Taipei City Developmental Checklist for Preschoolers, second version has been used as the assessment tool to identify children with DD.…”

Section: Asian Countriesmentioning

confidence: 99%

“…15) The developmental checklist is based on the Denver Developmental Screening Test (DDST-Singapore). 15) In Taiwan, under the Enforcement Rules of the Children and Youth Welfare Law of Taiwan, the Taipei City Developmental Checklist for Preschoolers, second version has been used as the assessment tool to identify children with DD. 16) The government of Taiwan further promotes the early intervention of DD at the Child Developmental Assessment Center under the laws of the "Protection of Children and Youths Welfare and Rights Act".…”

Section: Asian Countriesmentioning

confidence: 99%

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Worldwide national intervention of developmental screening programs in infant and early childhood

Kim

2022

Clin Exp Pediatr

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Prevalence rate of developmental disabilities has been reported from 8% to 15% and its rate is increasing worldwide.-The critical period of intervention for developmental delay is before the child reaches 3 years of age.-All primary care pediatricians should conduct developmental surveillance and screening tests to infants and children at scheduled visits. Through this, they are liable for providing early identification and timely intervention.

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Section: Asian Countriesmentioning

confidence: 99%

Section: Asian Countriesmentioning

confidence: 99%

Worldwide national intervention of developmental screening programs in infant and early childhood

Kim

2022

Clin Exp Pediatr

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“…When a child is referred for developmental concerns, the specialist will undertake a detailed developmental, medical, family and social history (Fig. 4), 33,34 observe the behaviour and examine the child for underlying causes. A developmental screening test 35 or a formal assessment tool 34 will also be undertaken to ascertain the severity of the developmental delay.…”

Section: What Happens When a Child Is Referred?mentioning

confidence: 99%

Child Development Screening 18 months to 4 years old

Sylvia¹

2020

SFP

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In Singapore, there is a rising prevalence of children with developmental and behavioural disorders referred to the KKH's Department of Child Development and NUH's Child Development Unit with a 76 percent increase in children presenting with developmental issues from 2010 to 2014. 2 e mean age of referral for children with developmental delays to government-funded early childhood intervention programs in Singapore is 35.8 months, suggesting that early detection could be improved. 6 Even though parents are usually the rst to raise concerns about the child's development, a local study evaluating the parental perceptions of the child development screening in the health booklet found that only half the parents completed the developmental checklist and only one in four parents took their child to the two to three-year developmental monitoring visit. 7 General Practitioners (GPs), through the Child Development Surveillance Programmes, are well placed to bridge this service gap by identifying those who are not meeting their developmental milestones. However, variability in knowledge and skills of family physicians in screening for early developmental delays, combined with limited time in the clinic may impact prompt identi cation. 8 is may delay early detection and referral of those with developmental delay or atypical development resulting in less satisfactory developmental trajectories as children are more responsive to early intervention if started before three years of age. 9 is topic review aims to provide an overview on the child development screening between 18 months to four years and includes normal development, international recommendations on Child Developmental Surveillance including screening for Autism Spectrum Disorder and the current situation in Singapore. It accompanies the guidelines on Child Development Screening developed by the Ministry of Health. Normal Child Development Child development is a continuous interactional process that is a ected by biological and psychosocial risk factors. It relates to a child's ability to move, use of his or her hands, communicate, learn, interact with others and self-care. Changes in these areas occur throughout childhood. e pattern of development is predictable, and milestones are acquired in a sequential manner with minor individual variation. If a child is late in achieving milestones which 90 percent of the children have met, then it is cause for concern. Assessing a child's development involves observing a child's step-wise acquisition of skills in di erent developmental domains and detecting delays or deviations in normal development.

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“…Primary care providers face the challenge of time for each clinic visit. 3 In the short clinic visit, the doctor has to perform a physical examination, address parents' common concern about growth and diet. Another challenge is that a di erent doctor or nurse practitioner is present for each visit.…”

Section: Primary Care Challenges and Opportunitiesmentioning

confidence: 99%

Childhood Developmental Screening from Birth until 18 months in Singapore: Update on Clinical Practice

Tzay¹

2020

SFP

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Child development starts from conception until early childhood. It is influenced by antenatal, perinatal as well as early childhood factors. Social and environmental factors also affect child development. The National Childhood Immunisation Programme and Childhood Developmental Screening programme provide crucial touchpoints for primary care practitioners to screen, assess and refer cases of developmental delay. At the same time, good parent-child interaction can be promoted during these visits.

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Developmental assessment: practice tips for primary care physicians

Cited by 18 publications

References 6 publications

Worldwide national intervention of developmental screening programs in infant and early childhood

Worldwide national intervention of developmental screening programs in infant and early childhood

Child Development Screening 18 months to 4 years old

Childhood Developmental Screening from Birth until 18 months in Singapore: Update on Clinical Practice

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