Approach to the Child with Developmental Delay
|
|
- Toby Booth
- 6 years ago
- Views:
Transcription
1 Approach to the Child with Developmental Delay Arwa Nasir Department of Pediatrics University of Nebraska Medical Center DISCLOSURE DECLARATION Approach to the Child with Developmental Delay Arwa Nasir Arwa Nasir has No Conflicts of Interest to disclose. 1
2 Normal Development Newborn Adult 2
3 Streams of Development Gross Motor Fine Motor Language Emotional Higher cognitive, Problem solving Developmental Surveillance Developmental Surveillance: flexible, longitudinal, continuous, and cumulative process, whereby knowledgeable professionals identify children who may have developmental problems Screening: formal process that relies on validated instruments administered at specified time points to identify individuals with a high risk of pathology 3
4 Normal Development: general principles Highly predictable sequence Cephalocaudal Proximal to distal 4
5 Objectives Define Development Outline the principles of Normal Development Evaluate the Factors that influence Development Recall some of the major developmental milestones Develop an Approach for the assessment of the child with suspected developmental delay Normal Development: Gross Motor 2 weeks Turns head to side, flexed tone, tight fists, moves all extremities, fixes on face 2 months Lifts head off table when prone, head lag, relaxed tone 4 months Lifts chest of table when prone, rolls from front to back 6 months Leads with head when pulled from supine position, tripod sit, rolls from back to front, moves toys from hand to hand 9 months Sits without support, army crawl, 12 months Cruises/walks 5
6 Normal Development: Language Age Language milestone 1 month Social smile 2 months Coos 4 months laughs 6 months babble 9 months Mama, Dada, Bye bye 1 year Emerging words (average 10) 18 months 25 words 2 years 2 word sentences, 200 words 3 years 3 word sentences, ¾ speech intelligible 4 years Tells stories, all speech intelligible Developmental red flags Not achieving milestones Out of sequence milestones Generalized hypotonia Associated dysmorphic features Associated neurologic symptoms: seizures Family history of conditions associated with developmental delay 6
7 Developmental Delay: Most Common Causes Cerebral Palsy Mental Retardation or Intellectual Disability Meningomyelocele Autism Spectrum Disorders Gross Motor Delay: Red flags Not raising chest by 4 months Poor head control by 6 months Persistence of fisted hands by 6 months Rolling over before 4 months Hand dominance before 18 months Not walking by 18 months 7
8 Gross Motor Delay: Approach 1. History: risk factors: prematurity, Birth asphyxia, congenital infections, inherited familial conditions 2. Physical Examination: Dysmorphic features, cutaneous manifestations, head circumference, growth velocity, Muscle Tone 3. Work up: if muscle tone in increased, this suggests an upper motor neuron pathology and CNS imaging may be indicated 4. If tone is normal or decreased, consider checking CK and thyroid function Cerebral Palsy: Causes CNS anomalies Genetic Disorders Chromosomal anomalies Neuromuscular junction: Muscular dystrophies: Duchene and Becker Metabolic: Inborn Errors of Metabolism Endocrine: Hypothyroidism 8
9 Fine motor delay: approach Isolated fine motor delay is not common, it is usually associated with delays in other streams of development Isolated fine motor delay is associated with sensory impairment, such as blindness or deafness Language delay: red flags No words by 18 months Unintelligible speech by 3-4 years Does not acquire new words 9
10 Language delay: Language is the most sensitive milestone to cognitive function The most common causes of speech delay are mental retardation and autism spectrum disorders Hearing impairment, whether congenital or acquired can cause speech delay Mental retardation Cognitive Impairment Definition: IQ score < 70 and poor adaptive functioning onset before 18 years 10
11 Mental Retardation Cognitive Impairment Cognitive delay tends be stable over time Cognition is difficult to assess in the first few years, so we depend on motor and language skills and assessment of risk factors and frequently associated factors The more severe cognitive delays present earlier Mental retardation Cognitive Impairment Etiology: Prenatal: Genetic disorders, chromosomal trisomy, inborn errors or metabolism, lysosomal disorders, leukodystrophis Intrauterine: infections, toxic exposures, drugs, alcohol, radiation Postnatal: hypoxemia, hypoglycemia, CNS infections 11
12 Mental retardation Cognitive Impairment Presentations Newborn Period: Dysmorphic features, seizures, metabolic instability, birth asphyxia, abnormal tone 3-6 months: abnormal tone, states of neural dysregulation 6-12 months: Motor delay and abnormal tone months: Motor delay, language delay >24 months: language delay, behavioral disturbance, poor problem solving Mental Retardation Cognitive Impairment Diagnostic considerations: Evaluation of Hearing and Speech, as well as hemoglobin and lead levels should be done in all children suspected of MR Dysmorphic features should prompt a detailed family history and possible genetic evaluation Associated motor delay or failure to thrive should prompt a metabolic work up Associated muscle weakness and hypotonia should prompt work up for muscular dystrophy 12
13 Mental Retardation Cognitive Delay Indications for imaging MRI: Asymmetric findings on neurologic exam Abnormal neurologic exam such as weakness or hypotonia, seizures, deafness or blindness Evolving impairments Autism Spectrum Disorder Impairment of social emotional functioning Prevalence of 1:150 Third most common DD after MR and CP Multimodal etiology (Poly genetic/multiple gene on the x chromosome) 13
14 Autism and Pervasive Developmental Delay Qualitative impairments of social functioning Qualitative impairment in verbal and non verbal communication Restrictive, repetitive pattern of interests and behaviors Autism Spectrum Disorder Diagnostic considerations: Screening recommended at 18 and 24 months Common presenting features include sensory dysregulation, language delay, lack of social interactive skills (eye contact, reciprocity and sharing, joy in interacting with others) and perseverating and stereotypic behaviors 14
15 Autism Spectrum Disorders Common associated comorbidities: Obsessive compulsive tendencies Attention Deficit Disorder MR (70%) Sensory oversensitivity Aggression Sleep problems Picky eating Autism Spectrum Disorders Management: Behavioral therapy Educational accommodation Parent support Medications (to treat secondary symptoms) 15
Autism or Something Else? Knowing the Difference
Autism or Something Else? Knowing the Difference SUSAN BUTTROSS, M.D., FAAP PROFESSOR OF PEDIATRICS CENTER FOR THE ADVANCEMENT OF YOUTH UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MISSISSIPPI Disclosure
More informationReport of Children with Disabilities (IDEA) Ages 6 through 21 by Disability, Educational Environment, and Age Group (OSEP010)
Disability Category class 80% or more of the class 40% through 79% of class less than 40% of 6-11 12-17 18-21 6-11 12-17 18-21 6-11 12-17 18-21 Intellectual disability 818 1,624 462 1,005 1,830 483 3,036
More informationNeurodevelopmental Disorders
Neurodevelopmental Disorders Intellectual Disability Disorder Autism Spectrum Disorder (ASD) Attention-Deficit Hyperactivity Disorder (ADD/ADHD) Motor Disorders/Tourette s Disorder Intellectual Disability
More informationLearn the steps to identify pediatric muscle weakness and signs of neuromuscular disease.
Learn the steps to identify pediatric muscle weakness and signs of neuromuscular disease. Listen Observe Evaluate Test Refer Guide for primary care providers includes: Surveillance Aid: Assessing Weakness
More informationHypotonia Care Pathway Update: Diagnosis Garey Noritz, MD...
Hypotonia Care Pathway Update: Diagnosis Garey Noritz, MD Disclosure Information- AACPDM 72 nd Annual Meeting October 9-13, 2018 Speaker Name: Garey Noritz, MD Disclosure of Relevant Financial Relationships
More informationNeurological Comorbidity
Neurological Comorbidity Ann M Neumeyer, MD Child Neurology Medical Director, Lurie Center for Autism Disclosures Neither I nor my spouse/partner has a relevant financial relationship with a commercial
More informationAppendix A California Longitudinal Pupil Achievement Data System Disability Codes
Appendices Appendix A California Longitudinal Pupil Achievement Data System Disability Codes Intellectual Disability (ID) Hard of hearing (HH) Deafness (DEAF)/Hearing impairment (HI) Speech or language
More informationAFL NSW/ACT Exemption & Dispensation Policy
AFL NSW/ACT Exemption & Dispensation Policy Last reviewed 14 May 2012. AFL NSW/ACT s policy is that age exceptions and/or dispensations will only exist in cases of disability These exemptions require approval
More informationBabies First and CaCoon Risk Factors (A Codes and B Codes)
Babies First and Risk Factors (A Codes and B Codes) (Birth through 4 years of age) Medical Risk Factors A1. Drug exposed infant (See A29) A2. Infant HIV positive A3. Maternal PKU or HIV positive A4. Intracranial
More informationThe Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children. Overview
The Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children Jessica Greenson, Ph.D. Autism Center University of Washington Overview Diagnostic Criteria Current: Diagnostic & Statistical
More informationAutism/Autism Spectrum Disorders
Autism/Autism Spectrum Disorders Autism spectrum disorders (ASDs) are a group of developmental disabilities that can cause significant social, communication and behavioral challenges. People with ASDs
More informationUnderstanding Autism Spectrum Disorder. By: Nicole Tyminski
Understanding Autism Spectrum Disorder By: Nicole Tyminski What is Autism? Autism spectrum disorder (ASD) and autism are both general terms for a group of complex disorders of brain development. These
More informationAn Autism Primer for the PCP: What to Expect, When to Refer
An Autism Primer for the PCP: What to Expect, When to Refer Webinar November 9, 2016 John P. Pelegano MD Chief of Pediatrics Hospital for Special Care Disclosures None I will not be discussing any treatments,
More informationGenetic Conditions and Services: An Introduction
Genetic Conditions and Services: An Introduction Jennifer Roberts, MC, MS, CGC Laboratory Genetics Counselor The Children s Mercy Hospital, 2017 Goals Determine which children/families may benefit from
More informationDevelopmental delay Poor School Progress. I Smuts Department of Paediatrics
Developmental delay Poor School Progress I Smuts Department of Paediatrics References Normal development: Handbook of Neurology: Paediatric clinical examination guideline How do children present Children
More informationEAC-AZ Webinar #7 November 18 th & 25 th. Today s Objectives 11/17/2015. Month 4 Related Medical/Behavioral Issues
EAC-AZ Webinar #7 November 18 th & 25 th Robin Blitz, MD Sara Bode, MD Amber Wright, CPNP Today s Objectives Month 4 Article Review STAT Reliability Testing ADOS Interpretation AzEIP / School Testing M-CHAT-R
More informationDevelopmental Disabilities: Diagnosis and Treatment. Sara Sanders, Psy.D. 03/05/15
Developmental Disabilities: Diagnosis and Treatment Sara Sanders, Psy.D. 03/05/15 1 Developmental Disability A severe and chronic disability that is attributable to a mental or physical impairment that
More informationDSM 5 Criteria to Diagnose Autism
DSM 5 Criteria to Diagnose Autism Patient Name Patient Date of Birth Patient Health Plan Provider Name and Credential Date of Exam Only a doctoral level clinician (MD, PhD, and/or PsyD) can complete this
More informationMunicipal Employee Guide to Autism Awareness
RISK Winter 2014 Municipal Employee Guide to Autism Awareness A D M M R M A V I S O A D M R Y C I N O I S T R A T M M I T T I V E E Michigan Municipal Risk Management Authority Administrative Advisory
More informationDevelopmental Disabilities
Developmental Disabilities Developmental Red Flags Anne M. Leavitt, MD Developmental Behavioral Pediatrics October 30, 2017 DEVELOPMENTAL DISABILITIES/DELAYS: definitions Developmental Early childhood,
More informationValarie Kerschen M.D.
Valarie Kerschen M.D. Greek word meaning self 1940 s Dr Leo Kanner describes classic autism 1940 s Dr Hans Asperger describes Aspergers Syndrome 1960 s Autism theorized to be due to refrigerator mothers
More informationFrom Diagnostic and Statistical Manual of Mental Disorders: DSM IV
From Diagnostic and Statistical Manual of Mental Disorders: DSM IV (I) A total of six (or more) items from (A), (B), and (C), with at least two from (A), and one each from (B) and (C) (A) qualitative impairment
More informationRED FLAGS IN DEVELOPMENTAL DELAY. DR. Monika Bajaj Royal London Hospital
RED FLAGS IN DEVELOPMENTAL DELAY DR. Monika Bajaj Royal London Hospital WHAT I HOPE TO COVER Red Flags in developmental milestones when to refer Cases Red flags to suspect ASD IT IS ABNORMAL IF A CHILD
More informationPaediatric Clinical Assessment for a possible Autism Spectrum Disorder
Dr Rosie Richardson Plymouth Hospitals NHS Trust May November 2013 Paediatric Clinical Assessment for a possible Autism Spectrum Disorder Clearly there is a lot of variation in how we approach diagnosis
More informationThe Role of the GP in Autism Spectrum Conditions (ASC) Peter Carpenter with thanks to Dr Carole Buckley The Old School Surgery
The Role of the GP in Autism Spectrum Conditions (ASC) Peter Carpenter with thanks to Dr Carole Buckley The Old School Surgery carolebuckley@nhs.net Learning Objectives What is autism The history of autism
More informationAutism Spectrum Disorder What is it?
Autism Spectrum Disorder What is it? Robin K. Blitz, MD Director, Developmental Pediatrics Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes?
More informationOptic Nerve Hypoplasia Part 2: Clinical Problems
Optic Nerve Hypoplasia Part 2: Clinical Problems Hypopituitarism Deficiencies in: Growth hormone Thyroid hormone ACTH (cortisol) Anti-diuretic hormone (diabetes insipidus) Sex hormones Hypothalamic Dysfunction:
More informationAUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA. Lisa Joseph, Ph.D.
AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA Lisa Joseph, Ph.D. Autism Spectrum Disorder Neurodevelopmental disorder Reflects understanding of the etiology of disorder as related to alterations
More informationAutism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1
Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes? What is Autism? What are the Autism
More informationAutism Spectrum Disorder Pre Cengage Learning. All rights reserved.
Autism Spectrum Disorder Pre 2014 2012 Cengage Learning. All rights reserved. DSM- 5 In 2013, the American Psychiatric Association released the fifth edition of its Diagnostic and Statistical Manual of
More informationEarly Autism Detection Screening and Referral. What is Autism? ASD Epidemiology. ASD Basic Facts 10/10/2010. Early Autism Detection and Referral
Early Autism Detection and Referral Early Autism Detection Screening and Referral Learning Objectives: Define autistic spectrum disorders, their epidemiology and etiology; Recognize the earliest signs
More informationAutism Spectrum Disorder What is it?
Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes? What is Autism? What are the Autism
More informationPage24. Indexed in: Autism Spectrum Disorder (ASD) Sunny Agarwal Founder / Digital Marketing Specialist at Code- LIT. September 2018; 5(3):24-28
Page24 Autism Spectrum Disorder (ASD) Sunny Agarwal Founder / Digital Marketing Specialist at Code- LIT Email: agarwalsunny68@gmail.com KEY WORDS: Autism, Sign/symptoms of ASD (Autism Spectrum Disorder),
More informationThe child with hemiplegic cerebral palsy thinking beyond the motor impairment. Dr Paul Eunson Edinburgh
The child with hemiplegic cerebral palsy thinking beyond the motor impairment Dr Paul Eunson Edinburgh Content Coming to a diagnosis The importance of understanding the injury MRI scans Role of epilepsy
More informationPsychological Assessment For Children With Neurodevelopmental Disorders and Autism Rose M. Alvarez-Salvat, Ph.D.
Psychological Assessment For Children With Neurodevelopmental Disorders and Autism Rose M. Alvarez-Salvat, Ph.D. What is a Developmental Delay? Milestones are not reached at expected times An ongoing major
More informationHealth Care for People of all ages with Autism. Karen Ratliff-Schaub, M.D. Associate Professor, Clinical Pediatrics, Ohio State University
Health Care for People of all ages with Autism Karen Ratliff-Schaub, M.D. Associate Professor, Clinical Pediatrics, Ohio State University Overview DSM-5 Autism Spectrum Disorders Incidence Causes of ASD
More informationDevelopmental Disorders also known as Autism Spectrum Disorders. Dr. Deborah Marks
Pervasive Developmental Disorders also known as Autism Spectrum Disorders Dr. Deborah Marks Pervasive Developmental Disorders Autistic Disorder ( Autism) - Kanner Asperger Syndrome Pervasive Developmental
More informationCerebral Palsy. What is Cerebral Palsy? Clues to Diagnosis of Cerebral Palsy 12/30/2012
What is Cerebral Palsy? Cerebral Palsy Hamza Alsayouf,MD American Board Of neurology with Special Qualification in Child Neurology American Board of Pediatric Neurology In 2005, a committee of the American
More informationCenter For Autism and Neurodevelopmental Disabilities 3525 E Louise Dr Suite 250 Meridian, Idaho Phone: (208) Fax: (208)
Center For Autism and Neurodevelopmental Disabilities 3525 E Louise Dr Suite 250 Meridian, Idaho 83642 Phone: (208) 381-7312 Fax: (208) 381-7313 ABOUT YOUR CHILD: Today's Date Child's Name Name child goes
More informationNormal development & reflex
Normal development & reflex Definition of Development : acquisition & refinement of skills 1 대근육운동발달 2 소근육운동발달 3 대인관계및사회성발달 4 적응능력혹은비언어성발달 5 의사소통및언어발달 6 학습, 청각, 시각의발달 Department of Rehabilitation Medicine,
More informationFrom: What s the problem? Pathway to Empowerment. Objectives 12/8/2015
Overcoming Intellectual Disability and Autism to Achieve Vocational & Academic Success Pathway to Empowerment Objectives 1 2 4 Learn to distinguish between intellectual disability and autism spectrum disorders.
More informationPRINCIPLES OF CAREGIVING DEVELOPMENTAL DISABILITIES MODULE
PRINCIPLES OF CAREGIVING DEVELOPMENTAL DISABILITIES MODULE CHAPTER 1: KNOWLEDGE OF DEVELOPMENTAL DISABILITIES CONTENT: A. Developmental Disabilities B. Introduction to Human Development C. The Four Developmental
More information5. Diagnostic Criteria
5. Diagnostic Criteria The questions that are going to be answered in this chapter are: What are the diagnostic criteria of ASD? Are the diagnostic criteria laid down in the DSM-IV-TR or ICD-10 manuals
More informationMedical Conditions Resulting in High Probability of Developmental Delay and DSCC Screening Information
Jame5. L.Jma5, ~reuiry Medical Conditions Medical Conditions Resulting in High Probability of Developmental Delay and DSCC Screening Information I Not Listed later Children with medical conditions which
More informationDepartment of Psychiatry\Behavioral Health 200 Mercy Drive, Suite 201 Dubuque, IA or
Department of Psychiatry\Behavioral Health 200 Mercy Drive, Suite 201 Dubuque, IA 52001 563 584 3500 or 800 648 6868 C H I L D H I S T O R Y F O R M Today s Date: Child s Name: Date of Birth: Age: Grade:
More informationWHAT IS AUTISM? Chapter One
WHAT IS AUTISM? Chapter One Autism is a life-long developmental disability that prevents people from understanding what they see, hear, and otherwise sense. This results in severe problems with social
More informationTranscript of learning module Developmental delay: a guide for GPs (Dur: 18' 52") You are listening to an audio module from BMJ Learning.
Transcript of learning module Developmental delay: a guide for GPs (Dur: 18' 52") Contributors: Dianne Cottle and Mitch Blair Available online at: http://learning.bmj.com/ V/O: You are listening to an
More informationLegal aspects in accidents and neglect.
Al-Al Bayt University Princess Salma Faculty of Nursing Adult Health nursing Course Title :Child Health Nursing Course Number :1001341 Credit Hours :3 Pre requisite :1001222 Placement : Instructor:,, Course
More information2018 KLEEFSTRA SYNDROME CONFERENCE BOSTON, MA
2018 KLEEFSTRA SYNDROME CONFERENCE BOSTON, MA June 29- July 1 st, 2018 Doctors and Therapies: A Parent s Perspective What We ll Cover Today 2 q The Kleefstra Syndrome team of doctors that are required
More informationMENTAL RETARDATION A REVIEW FOR DENTAL PROFESSIONALS
MENTAL RETARDATION A REVIEW FOR DENTAL PROFESSIONALS Purpose of this Module The information presented in this module is intended to familiarize dental personnel with the definition, etiology, descriptive
More informationOBJECTIVES 1. Background of 47,XXY 2. Clinical Features of 47,XXY 3. Developmental and Behavioral profile
Streams of Development and Behavior in XXY Jeannie Visootsak, MD Emory University OBJECTIVES 1. Background of 47,XXY 2. Clinical Features of 47,XXY 3. Developmental and Behavioral profile 4. Syndrome-specific
More informationEligibility Criteria for Children with ASD
AUTISM SPECTRUM DISORDER SERIES Eligibility Criteria for Children with ASD Review the Characteristics of Children with ASD* The following are the most common signs and symptoms of a child with ASD: The
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Genetics
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Genetics 1. GOAL: Understand the role of the pediatrician in preventing genetic disease, and in counseling and screening
More informationAutism: Practical Tips for Family Physicians
Autism: Practical Tips for Family Physicians Keyvan Hadad, MD, MHSc, FRCPC Alberta College of Family Physicians 61st Annual Scientific Assembly March 5, 2016 No conflict of interest Diagnosis and Misdiagnosis
More informationAutism/Pervasive Developmental Disorders Update. Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011
Autism/Pervasive Developmental Disorders Update Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011 Overview Diagnostic criteria for autism spectrum disorders Screening/referral
More informationInclusive Education. De-mystifying Intellectual Disabilities and investigating best practice.
Inclusive Education De-mystifying Intellectual Disabilities and investigating best practice. Aims for this session: To understand what the term Intellectual Defiency means To understand the broad spectrum
More informationAutism: Treatment Trends
Lewis County Autism Coalition Friday, November 2 nd, 2012 Autism: Treatment Trends Glenn C. Tripp, M.D. Developmental Behavioral Pediatrics Medical Director, Developmental Services Mary Bridge Children
More informationWell Child Surveillance And Screening: Emphasizing the Identification of General Developmental and Autism Spectrum Disorders
Well Child Surveillance And Screening: Emphasizing the Identification of General Developmental and Autism Spectrum Disorders Patricia Quigley, M.D. Clinical Assistant Professor Stead Family Department
More informationTRACKING CREATINE DEFICIENCY
TRACKING CREATINE DEFICIENCY Think your loved one may have a CCDS? Recently diagnosed with a CCDS? (Cerebral Creatine Deficiency Syndrome) This document is intended as educational information for patients
More informationAutism Spectrum Disorder Part I: Overview, Screening, Diagnosis and Treatment Planning
Autism Spectrum Disorder Part I: Overview, Screening, Diagnosis and Treatment Planning Robin K Blitz, MD, FAAP Senior Medical Director, Special Needs Initiative UnitedHealthcare Learning Objectives At
More informationFrom Diagnosis to Intervention: ASD & Seizures-Epilepsy Indications for EEG and MRI. Reet Sidhu, MD Gregory Barnes, MD Nancy Minshew, MD
From Diagnosis to Intervention: ASD & Seizures-Epilepsy Indications for EEG and MRI Reet Sidhu, MD Gregory Barnes, MD Nancy Minshew, MD Overview Autism Spectrum Disorders (ASD) and the role of the Neurologist
More informationPediatric Primary Care Mental Health Specialist Certification Exam. Detailed Content Outline
Pediatric Primary Care Mental Health Specialist Certification Exam Detailed Content Outline Description of the Specialty The Pediatric Primary Care Mental Health Specialist (PMHS) builds upon the Advanced
More informationDevelopmental Disabilities Definitions, ICF-CY, and F-words in childhood disabilities
Developmental Disabilities Definitions, ICF-CY, and F-words in childhood disabilities Anne M. Leavitt, MD Developmental Behavioral Pediatrics October 8, 2018 DEVELOPMENTAL DISABILITIES/DELAYS: definitions
More informationEvaluations. Learn the Signs. Act Early. The Importance of Developmental Screening. Conflict of Interest Statement.
Learn the Signs. Act Early. The Importance of Developmental Screening. April 19, 2012 Featured Speakers Judith Lucas, MD Pediatrician, Behavioral Health Albany Medical Center Donna M. Noyes, PhD Associate
More informationNeonatal Hypotonia Guideline Prepared by Dan Birnbaum MD August 27, 2012
Neonatal Hypotonia Guideline Prepared by Dan Birnbaum MD August 27, 2012 Hypotonia: reduced tension or resistance to range of motion Localization can be central (brain), peripheral (spinal cord, nerve,
More informationOVERVIEW OF PRESENTATION
AUTISM SPECTRUM DISORDERS IN EMERGING ADULTS Douglas J. Scambler, Ph.D. Clinical Psychologist Presented at the University of Wyoming November 6, 2012 OVERVIEW OF PRESENTATION What are the autism spectrum
More informationDBP Fast Track and Young Child Intake
Phone Numbers: Appointments 203 785-4081 Office 203 785-7521 DBP Fast Track and Young Child Intake INTAKE QUESTIONNAIRE Please take the time to complete this packet prior to your child s first appointment.
More informationAutism Spectrum Disorders
Autism Spectrum Disorders The gap between research and interventions Sara Schroer & Michael Goldstein The plan 1. What is autism? 2. How does it emerge across development? 3. What are the core impairments?
More informationAUTISM Definition. Symptoms
AUTISM Definition Autism spectrum disorder is a serious neurodevelopmental disorder that impairs a child's ability to communicate and interact with others. It also includes restricted repetitive behaviors,
More informationTeaching Students with Special Needs in Inclusive Settings: Exceptional Learners Chapter 9: Autism Spectrum Disorders
Teaching Students with Special Needs in Inclusive Settings: Exceptional Learners Chapter 9: Autism Spectrum Disorders Background Autistic is a broad term coined in the twentieth century by Bleuler that
More informationDEVELOPMENT OF THE MOTOR SYSTEM
DEVELOPMENT OF THE MOTOR SYSTEM HDP1: Fall 2007 Joan Stiles Department of Cognitive Science University of California, San Diego Motor system development begins during the Prenatal period Thalamocortical
More informationDevelopmental Red Flags. Beth Ellen Davis, MD, MPH Director, Clinical Training Unit UW LEND Developmental Pediatrics
Developmental Red Flags Beth Ellen Davis, MD, MPH Director, Clinical Training Unit UW LEND Developmental Pediatrics OBJECTIVES The most common presentation of a developmental disability is failure to achieve
More informationDevelopmental Delay In Children. Special Focus on Autism and Foster Children
Developmental Delay In Children Special Focus on Autism and Foster Children Objectives Statistics Definitions Causes BiopsychosocialStreams and Red Flags Autism/DD First Signs DSM-5 Early Intervention/Screening
More informationDiagnosing Autism, and What Comes After. Natalie Roth, Ph. D. Clinical Psychologist, Alternative Behavior Strategies
Diagnosing Autism, and What Comes After Natalie Roth, Ph. D. Clinical Psychologist, Alternative Behavior Strategies Cigna Autism Awareness Education Series, January 12, 2017 1 Autistic Spectrum Disorder
More informationScreening of Developmental Delay and Autism Spectrum Disorders
Screening of Developmental Delay and Autism Spectrum Disorders Current guideline and significant revision written by Angela Scott, MD, PhD, in collaboration with the ANGELS Team, August 1, 2016. Guideline
More informationRecognizing Autism Under the Age of 2. Objectives YES! 11/29/2016. Are ASD symptoms present in infants and toddlers?
Recognizing Autism Under the Age of 2 Beth Ellen Davis MD MPH Developmental Behavioral Pediatrics Clinical Professor of Pediatrics, UW, Seattle Objectives Recognize typical and atypical/delayed early social
More informationCommunity Connections. Volunteer Manual. Facebook Group : I support Community Connections. Follow on Twitter: 4specialkids
Community Connections Volunteer Manual Facebook Group : I support Community Connections Follow on Twitter: 4specialkids Community Connections History of our Organization: Community Connections is a 501c3
More informationMedical Genetics. Consult and Referral Guidelines
Medical Genetics Consult and Referral Guidelines HDVCH has developed these consult and referral guidelines as a general reference tool to assist referring physicians with the specialty referral process.
More informationStarting Points. Starting Points. Autism Screening and Resources for the Practitioner. The Importance of Screening
Autism Screening and Resources for the Practitioner Ruth Aspy, Ph.D., and Barry G. Grossman, Ph.D. The Ziggurat Group, PA www.texasautism.com Keynote Presented for the Greater Texas Chapter National Association
More informationRecognizing Autism Under the Age of 2
Recognizing Autism Under the Age of 2 Beth Ellen Davis MD MPH Developmental Behavioral Pediatrics Clinical Professor of Pediatrics, UW, Seattle February 2, 2015 Objectives Recognize typical and atypical/delayed
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice 1 Guideline title SCOPE Autism: the management and support of children and young people on the autism spectrum 1.1 Short
More informationAutism and Other Autism Spectrum Disorders (ASD) or Pervasive Developmental Disorders (PDD)
June 22, 2011 Autism and Other Autism Spectrum Disorders (ASD) or Pervasive Developmental Disorders (PDD) Institute for Development of Mind and Behavior Masataka Ohta MD (Email: mohta-dmb@nifty.com) OUTLINE
More informationDEVELOPMENTAL BEHAVIOURAL REFERRAL
Date DEVELOPMENTAL BEHAVIOURAL REFERRAL Completed By Role: Paediatrician/GP How long Other professionals involved with the child (e.g. psychologist, OT, speech therapist) Reason for this referral List
More informationPaediatric HIV -Developmental Aspects. Dr Kirsty Donald Division of Developmental Paediatrics Red Cross Children s Hospital
Paediatric HIV -Developmental Aspects Dr Kirsty Donald Division of Developmental Paediatrics Red Cross Children s Hospital Normal Development Development occurs with sequential acquisition of skills in
More informationImproving Communication in Autism Spectrum Disorders (ASD) Eniola Lahanmi Speech & Language Therapist
Improving Communication in Autism Spectrum Disorders (ASD) Eniola Lahanmi Speech & Language Therapist Communication in ASD We will cover Typical language development Language presentation in ASD Language
More informationESP 755A SUMMER Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Autosomal recessive disorders
ESP 755A SUMMER 2017 Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Autosomal recessive disorders a. affect only males c. are caused when the abnormal
More information1/27/2017. Nursing Care of the Pediatric Neurosurgical Patient. Assessment is the key...
Nursing Care of the Pediatric Neurosurgical Patient Julie Deibel, APN, NP-C, CNE Pediatric Neurosurgery Illinois Neurological Institute Assessment is the key..... Overview Consideration of development
More informationExploring the effectiveness of homoeopathy in children with cerebral palsy (CP)
2018; 2(4): 01-05 E-ISSN: 2616-4493 P-ISSN: 2616-4485 IJHS 2018; 2(4): 01-05 Received: 01-08-2018 Accepted: 02-09-2018 Homeopathic Psychiatric Consultant. Mumbai, Maharashtra, India Exploring the effectiveness
More informationOverview. Clinical Features
Jessica Greenson, Ph.D. Autism Center University of Washington Clinical Features Overview Diagnostic & Statistical Manual IV (DSM IV) Prevalence Course of Onset Etiology Early Recognition Early Recognition
More informationIntellectual Disability
Intellectual Disability Tara Anne Matthews, MD Fellow Kapila Seshadri, MD Associate Professor of Pediatrics UMDNJ Robert Wood Johnson Medical Wednesday November 14, 2012 Intellectual Disability (Mental
More informationAutism. Laura Schreibman HDP1 11/29/07 MAIN DIAGNOSTIC FEATURES OF AUTISTIC DISORDER. Deficits in social attachment and behavior
Autism Laura Schreibman HDP1 11/29/07 MAIN DIAGNOSTIC FEATURES OF AUTISTIC DISORDER Deficits in social attachment and behavior Deficits in verbal and nonverbal communication Presence of perseverative,
More informationMovement disorders in childhood: assessment and diagnosis. Lucinda Carr
Movement disorders in childhood: assessment and diagnosis Lucinda Carr Movement disorders in childhood: Assessment Classification Causes Diagnosis Presentation of movement disorders in childhood: Concerns
More informationPossible Precautions or Contraindications. Physical/Sexual/Emotional Abuse. Exacerbations of medical conditions
Dear Physician, Your patient,, DOB: is interested in participating in one of the following: Physical and/or Occupational Therapy evaluation and treatment using all appropriate treatment methods including
More informationAdaptive Behavior Profiles in Autism Spectrum Disorders
Adaptive Behavior Profiles in Autism Spectrum Disorders Celine A. Saulnier, PhD Associate Professor Emory University School of Medicine Director of Research Operations Marcus Autism Center Vineland Adaptive
More informationEducation Options for Children with Autism
Empowering children with Autism and their families through knowledge and support Education Options for Children with Autism Starting school is a major milestone in a child s life, and a big step for all
More informationPaediatric HIV -Developmental Aspects. Dr Kirsty Donald Division of Developmental Paediatrics Red Cross Children s Hospital
Paediatric HIV -Developmental Aspects Dr Kirsty Donald Division of Developmental Paediatrics Red Cross Children s Hospital Normal Development Development occurs with sequential acquisition of skills in
More informationApproach to Intellectual Disability
Approach to Intellectual Disability Dr Prajnya Ranganath Definition Significant sub-average intellectual function existing concurrently with deficits in adaptive behaviour and manifested during the developmental
More informationEmotional Disturbance Multiple Disabilities 1. Autism
The Administrator s Assignment Manual F-19 1/10 Visual Education Specialist Instruction Credentials (initially issued effective September 7, 1997) *Authorizes providing resource instructional services
More informationEvaluation of the Hypotonic Infant and Child
Evaluation of the Hypotonic Infant and Child Basil T. Darras, M.D. Neuromuscular Program Boston Children s Hospital Harvard Medical School Boston, MA, USA Classification and General Clinical Evaluation
More informationAutism Spectrum Disorders. Erin McFarland, M.Ed., LPC November 1, 2012
Autism Spectrum Disorders Erin McFarland, M.Ed., LPC November 1, 2012 What are Autism Spectrum Disorders (ASD)? Range of complex neurodevelopmental disorders characterized by social impairments, communication
More information