The Importance of the First 5 Years

Identification of developmental delays, behavioral concerns, and social-emotional problems in very young children allows pediatricians and parents to determine appropriate treatment early in the child's development. If left untreated, many of these delays may hinder the child's developmental growth and functioning. However, there is limited research on pediatricians' experiences with developmental screening tools and on perceived barriers to conducting developmental surveillance for children ages 0 to 5 years. An online survey examined the awareness and experience of a purposive sample (N = 100) of Florida pediatricians with developmental surveillance, screening tools, and reliance on other sources of information in the screening of very young children. Statistical significance was noted in that more pediatricians (94%) who had heard or read about developmental surveillance updated the developmental history compared with those who were not familiar (79%) with the concept of developmental surveillance. Significance was also noted for the physicians' awareness of developmental surveillance and reliance on the opinions of mental health professionals during the developmental screening process. The authors include implications for research, training, and advocacy related to the identification of developmental delays and parental satisfaction with pediatric visits

Child development · Developmental age · Developmental disorder · Developmental Milestone · Developmental psychology · Developmental stage · Identification (biology · Child and Adolescent Psychosocial and Emotional Development · Infant Development and Preterm Care · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology

• Estimating the Prevalence of Early Childhood Serious Emotional/Behavioral Disorders

  Open Access•Cheryl Boydell Brauner, Cheryll Bowers Stephens•Public Health Reports•2006

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• Identifying Infants and Young Children With Developmental Disorders in the Medical Home

  Council on Children With Disabilities, Section on Developmental Behavioral…•PEDIATRICS•2006

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• Child Well‐Being

  Open Access•Gaëlle Amerijckx, Perrine Humblet et al.•Children & Society•2014

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• Predicting Internalizing and Externalizing Problems at Five Years by Child and Parental Factors in Infancy and Toddlerhood

  Open Access•Mirjami Mäntymaa, Kaija Puura et al.•Child Psychiatry & Human…•2011

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• Directions for developmental screening in child welfare based on the ages and stages questionnaires

  Open Access•Julie S McCrae, Helen Cahalane et al.•Children and Youth Services Review•2011

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• The capacity for understanding mental states

  Open Access•P Fonagy, M Steele et al.•Infant Mental Health Journal•1991

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• Contemporary pediactric practice

  Open Access•Peter A Gorski•Infant Mental Health Journal•2001

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• Pathways to competence

  Open Access•Jonathan Worcester•Infant Mental Health Journal•2005

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• Developmental Stages of Developmental Screening

  Jennifer A Pinto-Martin, Jennifer Pinto‐Martin et al.•American Journal of Public Health•2005

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• A Comparison of the National Ambulatory Medical Care Survey (NAMCS) Measurement Approach With Direct Observation of Outpatient Visits

  Valerie J Gilchrist, Valerie Gilchrist et al.•Medical Care•2004

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