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Developmental consultation services in two communities.

S E Gottlieb

    Journal of Developmental and Behavioral Pediatrics : JDBP
    |June 1, 1987
    PubMed
    Summary
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    Children with developmental delays, especially language issues, present with more severe problems in less affluent communities and are referred later for evaluation. Early detection of developmental disabilities needs improvement.

    Area of Science:

    • Developmental Pediatrics
    • Child Psychology
    • Community Health

    Background:

    • Developmental services are crucial for children with developmental disabilities.
    • Understanding referral patterns and severity of conditions is key to improving care.
    • Socioeconomic factors may influence access to and timeliness of developmental services.

    Purpose of the Study:

    • To characterize children referred for developmental services across two distinct communities.
    • To compare the severity and age of referral for developmental issues between settings.
    • To identify areas for enhancing early detection of developmental disabilities.

    Main Methods:

    • Retrospective analysis of children's records referred for developmental services.
    • Comparison of presenting complaints, problem severity, and age at referral.

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  • Analysis stratified by community socioeconomic status.

    • Main Results:

    • Delayed language development was the most common referral reason in both communities.
    • Children from the less affluent community presented with significantly more severe issues.
    • Referral for language problems occurred at a significantly later age in the less affluent setting.
    • Parental awareness of developmental problems was consistent across both communities.

    Conclusions:

    • Socioeconomic disparities impact the severity and timing of developmental disability presentation.
    • Targeted interventions are needed to address delayed referrals in underserved communities.
    • Enhanced strategies for early detection of developmental disabilities are essential for equitable care.