Paeds Cases · growth-development-and-behaviour
Starting early intervention before the label — OSCE
OSCE on counselling parallel early intervention referral, family goals and waitlist safety-netting without cure promises.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
Parents of a 21-month-old with speech delay and social-communication concerns; they ask to 'finish all tests first' and fear therapy means you have decided the child has autism forever; one prior missed appointment due to shift work.
Station tasks
Acknowledge fear and prior dismissal. Explain that support and diagnosis run in parallel. Clarify that starting EI is not a lifetime label announcement. Agree two functional family goals. Arrange hearing/vision as indicated and EI referral with a named owner. Safety-net the waitlist and offer flexible appointment options for shift work. Avoid cure promises and coercion. [1] [2] [3] [5] [6]
References7ShowHide
- [1]Lipkin PH Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening Pediatrics, 2020.PMID 31843861
- [2]Adams RC Early intervention, IDEA Part C services, and the medical home: collaboration for best practice and best outcomes Pediatrics, 2013.PMID 24082001
- [3]Council on Children with Disabilities and Medical Home Implementation Project Advisory Committee Patient- and family-centered care coordination: a framework for integrating care for children and youth across multiple systems Pediatrics, 2014.PMID 24777209
- [4]Dawson G Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model Pediatrics, 2010.PMID 19948568
- [5]Council on Children With Disabilities Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening Pediatrics, 2006.PMID 16818591
- [6]Coker TR Well-child care clinical practice redesign for serving low-income children Pediatrics, 2014.PMID 24936004
- [7]Rogers SJ A Multisite Randomized Controlled Two-Phase Trial of the Early Start Denver Model Compared to Treatment as Usual Journal of the American Academy of Child and Adolescent Psychiatry, 2019.PMID 30768394