Research indicates that parents are reliable sources of information about their children’s development. Following are suggestions for integrating screening services into primary care efficiently and at low cost, while ensuring thorough coordination of care.Īn example of how developmental screening activities might flow in your clinic:įor information on reimbursement for developmental screening: Integrating routine developmental screening into the practice setting can seem daunting. Top of Page Developmental Screening in Pediatric and Primary Care Practice This recommendation statement is not a recommendation against screening it is a call for more research. The final recommendation statement summarizes what the Task Force learned: There is not enough evidence available on the potential benefits and harms of ASD screening in all young children to recommend for or against this screening. They looked at whether screening all children for ASD helps with their development or quality of life. The Task Force reviewed research studies on the potential benefits and harms of ASD screening in young children who do not have obvious signs or symptoms of ASD. This final recommendation statement applies to children ages 3 and younger who have no obvious signs or symptoms of ASD or developmental delay and whose parents, caregivers, or doctors have no concerns about the child’s development. In February 2016, the United States Preventive Services Task Force released a recommendation regarding universal screening for ASD among young children. Read more about the recommendations for screening »

It is important for doctors to screen all children for developmental delays, but especially to monitor those who are at a higher risk for developmental problems due to preterm birth, low birth weight, or having a sibling or parent with an ASD. In addition, all children should be screened specifically for ASD during regular well-child doctor visits at:Īdditional screening might be needed if a child is at high risk for ASD (e.g., having a sibling with an ASD) or if symptoms are present. The American Academy of Pediatrics (AAP) recommends that all children be screened for developmental delays and disabilities during regular well-child doctor visits at:Īdditional screening might be needed if a child is at high risk for developmental problems because of preterm birth or low birth weight. The earlier an ASD is diagnosed, the sooner treatment services can begin. This delay means that children with an ASD might not get the help they need. However, many children do not receive a final diagnosis until they are much older. By age 2, a diagnosis by an experienced professional can be considered very reliable. Research has found that ASD can sometimes be detected at 18 months or younger.

Primary care providers have regular contact with children before they reach school age and are able to provide family-centered, comprehensive, coordinated care, including a more complete medical assessment when a screening indicates a child is at risk for a developmental problem. However, primary health care providers are in a unique position to promote children’s developmental health. Developmental screening can be done by a number of professionals in health care, community, and school settings.

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