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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics

This policy is a revision of the policy in

  • 118(1):405
From the American Academy of PediatricsClinical Report

Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening

Paul H. Lipkin, Michelle M. Macias and COUNCIL ON CHILDREN WITH DISABILITIES, SECTION ON DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Pediatrics January 2020, 145 (1) e20193449; DOI: https://doi.org/10.1542/peds.2019-3449
Paul H. Lipkin
aDepartment of Neurology and Development Medicine, Kennedy Krieger Institute, and Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland; and
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Michelle M. Macias
bDivision of Developmental-Behavioral Pediatrics, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina
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aDepartment of Neurology and Development Medicine, Kennedy Krieger Institute, and Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland; and
bDivision of Developmental-Behavioral Pediatrics, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina
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    FIGURE 1

    Early childhood screening for the identification of neurodevelopmental disorders and behavioral and emotional problems. (Content with an asterisk corresponds to current AAP guidance, using broad categories. This figure may not be inclusive of all specific developmental and behavioral disorders.)

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    FIGURE 2

    Algorithm for screening a patient without identified risks for developmental problems at a health supervision visit. Numbers and headings refer to steps in the algorithm. aTo identify problems not previously recognized during earlier screenings, clinicians should pay particular attention to developmental surveillance at the age 4- or 5-year visit, before entering kindergarten. Developmental surveillance should continue throughout childhood. bScreening instruments may be administered through a previsit process initiated by the practice or by the family. cProviders should create methods in their record system (paper or electronic) to ensure that these facts are visible to clinicians in future visits and in the appointment scheduling process. CK, creatine kinase.

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Pediatrics
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1 Jan 2020
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Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening
Paul H. Lipkin, Michelle M. Macias, COUNCIL ON CHILDREN WITH DISABILITIES, SECTION ON DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Pediatrics Jan 2020, 145 (1) e20193449; DOI: 10.1542/peds.2019-3449

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Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening
Paul H. Lipkin, Michelle M. Macias, COUNCIL ON CHILDREN WITH DISABILITIES, SECTION ON DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Pediatrics Jan 2020, 145 (1) e20193449; DOI: 10.1542/peds.2019-3449
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    • Abstract
    • Note on Terminology
    • The Algorithm
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    • Summary
    • Clinical Guidance for Developmental Surveillance and Screening
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    • Contributors
    • Editor
    • Council on Children With Disabilities Executive Committee, 2019–2020
    • Past Council on Children With Disabilities Executive Committee Members
    • Liaisons
    • Staff
    • Section on Developmental and Behavioral Pediatrics Executive Committee, 2018–2019
    • Past Section on Developmental and Behavioral Pediatrics Executive Committee Members
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