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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Pediatric neuro-developmental and behavioral disorders. Practitioners` perspectives.

Mohammed M Jan¹

¹Department of Neurosciences, King Faisal Specialist Hospital & Research Centre, MBC J-76, PO Box 40047, Jeddah 21499, Kingdom of Saudi Arabia. Tel +966 (2) 6677777 Ext. 5819. Fax +966 (2) 6677777 Ext. 5813.

Neurosciences (Riyadh, Saudi Arabia)

|April 5, 2012

Summary

Pediatricians frequently encounter developmental and behavioral disorders but lack confidence in management due to insufficient training. Enhanced training in developmental pediatrics and child psychiatry is recommended to improve care for these common childhood conditions.

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Area of Science:

Pediatrics
Neurodevelopmental Disorders
Behavioral Disorders

Background:

Developmental and behavioral (DB) disorders are prevalent in general pediatric and neurology practices.
There is a significant regional demand for specialized developmental pediatricians and child psychiatrists.

Purpose of the Study:

To investigate practitioners' experiences with DB disorders.
To analyze referral practices for children with DB disorders.

Main Methods:

A 25-item questionnaire was administered to attendees of an international pediatric symposium on neuro-developmental and behavioral disorders.
The survey assessed participant demographics, training, practice patterns, and referral habits.

Main Results:

131 out of 167 (78%) practitioners responded, with 43.5% in general pediatrics.
Only 24% felt highly confident in managing DB disorders, and many lacked structured training (35% developmental, 31% psychiatry).
Structured developmental rotations improved diagnostic and treatment confidence (OR 4 and 3.8, respectively), yet 32% lacked direct referral access to specialists.

Conclusions:

DB disorders are common, but practitioners often lack confidence and adequate training for management.
Limited access to developmental pediatricians and child psychiatrists exacerbates the challenge.
Recommendations include enhancing developmental and psychiatric training for pediatric practitioners.