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Developmental delays and autism: Screening and surveillance
1Department of Developmental and Rehabilitation Pediatrics, Cleveland Clinic Children's, Cleveland, OH, USA.
Insights
Early detection of developmental disorders in children through surveillance and screening is vital for timely interventions and better outcomes. These methods help identify delays and specific concerns like autism at every well-child visit.
Area of Science:
- Child Development
- Pediatric Healthcare
- Early Intervention Services
Background:
- Early detection of developmental disorders is critical for effective intervention.
- Surveillance and screening are key components in identifying these disorders in children.
- Timely identification leads to interventions that improve long-term outcomes.
Purpose of the Study:
- To highlight the importance of surveillance and screening for early detection of developmental disorders.
- To differentiate between surveillance and screening methods.
- To outline considerations for selecting appropriate screening tools.
Main Methods:
- Surveillance is a continuous, longitudinal process during well-child visits.
- Screening involves brief, standardized, age-appropriate tools to identify developmental delays or concerns like autism.
- Screening is recommended at all office visits and when parental concerns arise.
Main Results:
- Two types of screening tests exist: problem-specific and broadband developmental screening.
- Various screening tests are available for administration by parents or healthcare providers.
- Test selection depends on age range, completion time, cost, format (paper/electronic), and language.
Conclusions:
- Surveillance and screening are essential for early identification of developmental disorders.
- Appropriate selection of screening tools is crucial for accurate assessment.
- Early detection facilitates timely interventions, optimizing developmental trajectories for children.
Abstract:
Screening and surveillance are crucial components to the early detection of developmental disorders in children, which enables early interventions that provide the best chances for improved outcomes. Identifying a developmental disorder is the initial step in evaluating the disorder. Surveillance is a flexible, continuous, longitudinal process aimed at identifying concerns, and it should be performed at every well-child visit. Screening involves administering a brief, standardized tool normalized for specific ages and stages of development to identify any developmental delays or specific concerns such as autism. Screening is recommended at every office visit and whenever a parent expresses a concern. Two general types of screening tests are available: problem-specific screening and broadband developmental screening. For each type, there are multiple different tests available that can be administered by a parent or a health care provider. Factors to consider in the test selection are the age range for which it is intended, time it takes to complete and score, cost, whether the test is paper-based or electronic, and the language availability.
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