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Training programme for public health nurses and doctors in child health screening surveillance and health promotion unit 5 development assessment
Health Service Executive (HSE)
There is a wide range of disorders that fall within the context of ‘Developmental Assessment and Behavioural Paediatrics’. It is recognised that early diagnosis and intervention is desirable in these delays and disorders of behaviour and development. This is based on the views that parents value early diagnosis; outcome is improved in some disorders and there is the likelihood to improve quality of life for children and families. There is also some evidence to suggest that early intervention is beneficial. ‘Low incidence high severity disorders’ such as cerebral palsy, spina bifida, severe language disorder and classic autism will usually be evident and will self present. Problems of a lesser severity include impaired language development, milder autistic spectrum disorders, developmental co-ordination disorder (“clumsiness”), general learning disability, specific learning difficulty, attention deficit hyperactivity disorder (ADHD), and behaviour problems. These latter disorders often described as the ‘high incidence low severity disorders’ are common and important as they affect the lives of many children, their families and school progress. The estimation of the prevalence of all these types of disorders has been put as high as 18%. The so-called ‘low incidence high severity disorders’ have a prevalence of 3% the so called ‘high incidence low severity disorders’ make up the rest. Once off developmental assessments appear not to be beneficial in terms of population “screening” for these disorders. There are also concerns that such programmes may lead to anxiety, unnecessary referrals, and missed cases. This is often complicated by unclear referral pathways and inadequately resourced secondary services. There are no specific recommendations from published reports with respect to population based surveillance programmes to aid the early identification of developmental and behavioural disorders in children. Recommendations with respect to the benefit of population based developmental screening are varied.
Publication Date:
Type: Report
Peer-Reviewed: Unknown
Language(s): English
Institution: Lenus
Publisher(s): Health Service Executive (HSE)
First Indexed: 2014-04-02 06:12:21 Last Updated: 2017-04-26 09:00:07