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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neuropsychology's Role in Multidisciplinary Follow-Up Care of Neurologically Complex Infants and Toddlers
Lauren E Miller1, Danielle M Glad1, Jessica C Luepke1
1Division of Neuropsychology, Department of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Insights
Pediatric neuropsychologists are vital in multidisciplinary clinics for monitoring neurodevelopmental outcomes in infants with neurological conditions. Their involvement improves care for neurologically complex young children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Prenatal and early childhood neurological insults can severely impact cognitive development.
- Infants and toddlers with neurological conditions face heightened risks for medical and neurodevelopmental complications.
- Pediatric neuropsychologists are crucial for assessing brain-behavior relationships and identifying developmental delays in this population.
Purpose of the Study:
- To review and discuss the roles of pediatric neuropsychology in caring for neurologically complex young children.
- To highlight a novel neonatal intensive care unit (NICU) follow-up clinic model.
- To demonstrate the value of pediatric neuropsychologists in multidisciplinary care settings.
Main Methods:
- The Developmentally Ready: Engagement for Achievement of Milestones (DREAM) Clinic, a multidisciplinary NICU follow-up clinic, was established.
- The clinic integrates neonatal neurology, pediatric neuropsychology, neonatology, physical medicine and rehabilitation, and pediatric psychology.
- Pediatric neuropsychologists' contributions within the DREAM Clinic were reviewed.
Main Results:
- Pediatric neuropsychologists were identified as essential members of the multidisciplinary care team.
- Their expertise proved valuable to both medical providers and families.
- The review underscored the collaborative nature of care in the DREAM Clinic.
Conclusions:
- The DREAM Clinic serves as a successful model for integrating pediatric neuropsychology into developmental follow-up care.
- The model demonstrates the structure, feasibility, and significance of this integration.
- Involving pediatric neuropsychologists is crucial for optimizing outcomes in neurologically complex young children.
Background:
Adverse effects on brain development prenatally and during early childhood can disrupt cognitive development, with earlier neural insults often proving to be particularly detrimental. As such, infants and toddlers with neurological conditions are at increased risk for medical and neurodevelopmental complications. Pediatric neuropsychologists are well suited to evaluate brain-behavior relationships and identify emergent delays in these patients. The roles of pediatric neuropsychology in the care of neurologically complex young children are reviewed and discussed by highlighting a novel neonatal intensive care unit (NICU) follow-up clinic model.
Methods:
The Developmentally Ready: Engagement for Achievement of Milestones (DREAM) Clinic is a multidisciplinary NICU follow-up clinic designed for the care of neurologically complex young children. The DREAM Clinic is led by neonatal neurology and supported by pediatric neuropsychology, neonatology, physical medicine and rehabilitation, and pediatric psychology.
Results:
The review of pediatric neuropsychologists' contributions to the DREAM Clinic elucidated that pediatric neuropsychologists are valuable care partners to both medical providers and families in this multidisciplinary setting.
Conclusions:
The DREAM Clinic provides a model for the structure, feasibility, and importance of involving pediatric neuropsychologists in the multidisciplinary developmental follow-up care of neurologically complex young children.
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