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1Centre for Community Child Health, Royal Children's Hospital, Melbourne, Victoria. frank.oberklaid@rch.org.au
Insights
Early detection of developmental problems in children is crucial for lifelong health. A comprehensive approach called developmental surveillance, incorporating parental concerns and skilled observation, is recommended over traditional methods.
Area of Science:
- Pediatrics
- Developmental Psychology
- Primary Care Medicine
Background:
- Developmental problems in young children are prevalent and can have lasting effects on health and well-being.
- Early identification of these issues enables timely intervention, potentially altering a child's developmental path and maximizing their potential.
Purpose of the Study:
- To advocate for a comprehensive developmental surveillance model.
- To propose this broader concept as a replacement for traditional early detection methods like milestone checklists, parent recall, screening tests, and clinical judgment.
Main Methods:
- Developmental surveillance integrates eliciting parental concerns.
- It includes skilled observation of the child's development.
- It provides age-appropriate guidance on health and development to parents.
Main Results:
- General practitioners and other professionals in close contact with children are well-positioned for monitoring development.
- These professionals can detect problems early and intervene to optimize child development.
- Standardized tools can aid general practitioners in gathering parental concerns and informing clinical decisions.
Conclusions:
- Developmental surveillance offers a more effective approach to early detection and intervention for childhood developmental problems.
- This method supports optimizing child development, promoting long-term health, and enhancing overall well-being.
- It empowers healthcare professionals to provide targeted support based on child's needs and parental input.
Background:
Developmental problems in young children are common and have lifelong implications for health and wellbeing. Early detection of developmental problems provides an opportunity for early intervention to shift a child's developmental trajectory and optimise their potential.
Objective:
This article describes and recommends a broader concept of developmental surveillance that should replace the reliance on traditional methods of early detection such as milestone checklists, parent recall, developmental screening tests and clinical judgment.
Discussion:
General practitioners and other professionals in regular contact with children and their families are ideally placed to monitor a child's development, detect problems early and to intervene to optimise the child's development and thus promote long term health and wellbeing. Developmental surveillance involves eliciting parental concerns, performing skilled observations of the child, and providing guidance on health and development issues that are relevant to the child's age and the parents' needs. Standardised tools are available to assist GPs to elicit parental concerns and guide clinical decision making.
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