Paeds SAQs · growth-development-and-behaviour
Early intervention and developmental care planning — formative SAQs
Formative SAQs on parallel referral, family-centred care plans and urgent developmental gates.
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SAQ 1 (10 marks)
A 24-month-old with speech delay and emerging social-communication concerns. Caregivers want a genetic label first. Temporary housing; prior missed appointments. [1] [2]
- List four urgent red flags that would bypass a routine EI queue. (2) [3] [5]
- Outline a parallel plan for the next 2 weeks including sensory checks and supports. (4) [1] [2] [5]
- Write two family-centred goals and name plan ownership elements. (2) [4]
- State two equity redesign actions for temporary housing. (2) [6]
Model answer — SAQ 1
Red flags (2): regression; epileptic encephalopathy/spasms features; safeguarding/severe neglect; unsafe caregiver mental health / acute neurological signs (any four correctly stated). [3] [5]
Parallel plan (4): hearing and vision pathways; medical-home developmental assessment; EI/allied health referral now; parent coaching while diagnostics (including genetics if indicated) run; safety-net contact and review date. [1] [2] [5]
Goals/ownership (2): e.g. “uses two signs/words for wants at meals”; “joins 5 minutes of joint play daily”; key worker + medical home owner + review date. [4]
Equity (2): flexible outreach/text calls; transport support; co-located appointments; interpreter if needed; do not close as declined after missed calls without re-engagement. [6]
References8ShowHide
- [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]Novak I Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment JAMA pediatrics, 2017.PMID 28715518
- [4]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
- [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]Dawson G Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model Pediatrics, 2010.PMID 19948568
- [8]Orton J Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants The Cochrane database of systematic reviews, 2024.PMID 38348930