Paeds Vivas · growth-development-and-behaviour
Early intervention and developmental care planning — branching viva
Viva on parallel EI referral, family goals, urgent gates and evidence humility.
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Study tools
Target exams
RACP DCEMRCPCH Clinical
Prompt
Clinic: 20-month-old not talking; possible social-communication concerns; parents want 'all tests first'; previous doctor said watch and wait; family works shifts and has already missed one appointment.
Opening
Examiner prompt and strong answer — definition: Early intervention is timely family-centred multi-agency support that changes daily practice while diagnosis continues. Watch-and-wait without a plan is not care. [1] [2] [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]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]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
- [6]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
- [7]Coker TR Well-child care clinical practice redesign for serving low-income children Pediatrics, 2014.PMID 24936004
- [8]Novak I Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment JAMA pediatrics, 2017.PMID 28715518