What do we treat?
At our clinic, we routinely see children with developmental delays such as social communication challenges or suspected diagnosis of autism spectrum disorder. Children with the following conditions are commonly referred for a developmental evaluation:
- Suspected Autism - referral for the following additional evaluations are recommended: Audiology, Early Intervention & Early Childhood Special Education, Occupational Therapy and Speech & Language
- Suspected ADHD presenting with complex needs (difficult to differentiate from other conditions by PCP) referral for the following additional evaluations are recommended: Occupational Therapy and mental health
- Educational diagnosis of Autism within the school system but needs medical diagnosis
- Multiple Developmental Delays identified by “failing” in two or more areas of ASQ or similar screening tool- referral for the following additional evaluations are recommended: Early Intervention & Early Childhood Special Education and therapy for the specific “failed” developmental area
- Single delay identified by “failing” in one area of ASQ or similar screening tool with little improvement in targeted therapies (see Recommendations Prior to Referral below)
- MCHAT score of “high risk” as defined by a total score of 8-20, referral for the following additional evaluations are recommended: Audiology, Early Intervention & Early Childhood Special Education, Occupational Therapy and Speech & Language
- MCHAT score of “medium risk” as defined by a total score of 3-7, please visit https://www.cpqcc.org/sites/default/files/M-CHAT-R_F_1.pdf for a follow up screening tool. This form to be completed by the child’s primary care provider. If there are 2 or more “no” answers on this list, child may be appropriate for a Developmental referral in addition to referring to Early Intervention & Early Childhood Special Education, Audiology, Occupational Therapy and Speech & Language
Do you offer services for patients without developmental delays, suspected autism or ADHD disorders but who have learning, attention, or emotional adjustment problems?
- For children with learning problems, we recommend requesting an IEP evaluation (psychoeducational evaluation) through the local school district or to an outside clinical psychologist.
- For children with behavioral concerns in combination with any mental health history (such as abuse, trauma, etc.), we recommend a referral for a psychological evaluation.
- For children with mood and/or anxiety concerns, we recommend a referral to a mental health provider for assessment and treatment.
- For children with documented medical or neurological conditions that affects brain function (e.g., concussion/brain injury), we recommend neuropsychological evaluation or a physiatry evaluation. See site for age restrictions.
Recommendations prior to considering referral
- For children with only a speech and language delay, we recommend referral and evaluation with: Audiology, Early Intervention/Early Childhood Special Education and Speech Therapy.
- Speech and Language Pathologist or Early Childhood Special Education specialist should recommend Developmental referral if they have additional concerns.
- For children with only sensory processing and regulatory disorders, we recommend referral and evaluation with: Occupational Therapy, Mental Health, and Early Intervention/Early Childhood Special Education.
- Occupational Therapist, Mental Health Therapist or Early Child Special Education Specialist should recommend Developmental referral if they have additional concerns.
- For children with only a motor delay, we recommend referral and evaluation with: Physical Therapy, Occupational Therapy, or Physiatry. Additionally, we recommend a referral and evaluation with Early Intervention/Early Childhood Special Education.
- Physical Therapist, Occupational Therapist, Physiatrist or Early Child Special Education Specialist should recommend Developmental referral if they have additional concerns.
*In the state of Washington, children ages 3 - 5 years of age with developmental concerns, should be referred to the child’s local school district for an IEP evaluation.
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