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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Consensus Statement of the IAP - Neurodevelopmental Chapter On Neurodevelopmental Disorders Habilitation Process:
M K C Nair1, Shabina Ahmed2, Kawaljit Singh Multani3
1NIMS-SPECTRUM-Child Development Research Centre (CDRC) NIMS Medicity, Thiruvananthapuram, Kerala and Emeritus Professor, Allied Health Science, NICHE, Kumarakovil, Kanyakumari District, Tamil Nadu.
These guidelines offer practical strategies for preventing, diagnosing, and managing neurodevelopmental disorders (NDDs) in Indian children. They clarify roles for healthcare professionals to improve care for conditions like specific learning disability.
Area of Science:
- Pediatrics
- Neurodevelopmental Disorders
- Public Health
Background:
- Neurodevelopmental disorders (NDDs) are conditions originating in childhood, requiring clear distinctions between habilitation and rehabilitation in India.
- Addressing the burden of NDDs necessitates defining stakeholder roles and improving care pathways.
Purpose of the Study:
- To establish practical clinical guidelines for pediatricians in India for NDD prevention, early diagnosis, and management.
- To define the specific roles of developmental pediatricians and development nurse counselors in NDD care.
Main Methods:
- Guidelines were developed by subject experts and members of the Indian Academy of Pediatrics (IAP) Chapter of Neurodevelopmental Pediatrics.
- Literature review, key question development, and consensus-building through online discussions informed the guideline creation.
Main Results:
- The guidelines provide a framework for early identification and intervention for NDDs in Indian children.
- Recommendations include nationwide epidemiological studies, early screening at key developmental milestones, and multidisciplinary assessments.
Conclusions:
- There is a critical need for early detection and intervention for NDDs in India, particularly within the first 1000 days of life.
- Capacity building through training programs and promoting academic initiatives in clinical child development is essential for effective community-based therapies.
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