Developmental-behavioural problems in general paediatrics

J M Holt1, M J McDowell

  • 1Community Child Health Service, Royal Children's Hospital and District Health Service, Brisbane, Queensland, Australia.

Insights

Private general paediatricians manage a significant number of children with developmental-behavioural (DB) problems. Findings highlight a need for improved training and public/private collaboration in child health services.

Area of Science:

  • Child Health
  • Developmental Paediatrics
  • Behavioural Science

Background:

  • Private general paediatricians play a crucial role in managing children's developmental and behavioural issues.
  • Understanding their current involvement is essential for service planning.

Purpose of the Study:

  • To determine the current role of private general paediatricians in managing developmental-behavioural (DB) problems.
  • To assess their referral rates, ongoing management practices, and training needs.

Main Methods:

  • A survey was distributed to general paediatricians registered with the Australian College of Paediatrics.
  • Data analysis focused on 172 private practitioners spending over 25% of their time on developmental-behavioural issues.

Main Results:

  • An average of 32% of new referrals were for DB problems.
  • Paediatricians opted to co-manage with allied health services in 65% of presented clinical vignettes.
  • Respondents recommended increased training durations in DB paediatrics, developmental disabilities, and child psychiatry.

Conclusions:

  • Private general paediatricians are actively involved in developmental-behavioural care.
  • The study indicates a need for enhanced training programs and better collaboration between public and private child health sectors.
Abstract

Related Concept Videos

Introduction to Developmental Psychology01:27

Introduction to Developmental Psychology

Developmental psychology explores the changes and continuities in human abilities throughout life, encompassing physical, cognitive, linguistic, and social dimensions. Human development is not restricted to growth, but includes aspects of decline, particularly in physical abilities as individuals age. Developmental psychologists seek to understand how people change as they age and how their mental and social skills evolve.Developmental MilestonesA key concept in developmental psychology is...
Three Developmental Domains01:29

Three Developmental Domains

Human development is typically examined across three main domains: physical, cognitive, and socio-emotional. These domains represent the significant areas of change and continuity throughout the lifespan, from infancy to late adulthood.
Physical Development
Physical processes, also known as maturation, encompass the biological changes that occur across an individual's life. These changes begin with genetic inheritance and continue through various stages, including growth in height and weight,...
Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Oppositional Defiant Disorder01:30

Oppositional Defiant Disorder

A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...