OBJECTIVE To address the need for a comprehensive, developmentally appropriate method to facilitate primary care pediatricians' recognition, management, and referral of a wide spectrum of childrens' behavioral and developmental problems, as well as stressful situations. METHODS Use of the Diagnostic and Statistical Manual for Primary Care (DSM-PC), Child and Adolescent Version can facilitate ...

1Queensland Centre for Intellectual and Developmental Disability, School of Medicine, The University of Queensland, Brisbane, QLD 4072, Australia 2Department of Primary and Community Care Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Nijmegen Medical Centre, 6525 GA Nijmegen, The Netherlands 3Centre for Developmental Disability Health, School of Primary Health...

Special health care needs include any physical, developmental, mental, sensory, behavioral, cognitive, or emotional impairment or limiting condition that requires medical management, health care intervention, and/or use of specialized services or programs. The condition may be congenital, developmental, or acquired through disease, trauma, or environmental cause and may impose limitations in pe...

OBJECTIVES To describe and discuss key findings from a recent research project that challenge an increasingly prevalent theme, apparent in both family-centred care research and practice, of conceptualizing family-centred care as shifting care, care management, and advocacy responsibilities to families. The purpose of the research, from which these findings emerged, was to develop a conceptualiz...

During the period from 1970 to 1990, there was a dramatic improvement in survival and impairment rates for high-risk newborns thanks to major advances in neonatal physiology, technology and the organization of regionalized neonatal intensive care. The primary focus of intensive care remained medical and physiological, with patients subjected to prolonged periods of repeated medically necessary ...

Children and youth with cerebral palsy present pediatricians with complex diagnostic and therapeutic challenges. In most instances, care also requires communication and comanagement with pediatric subspecialists and pediatric surgical specialists, therapists, and community developmental and educational teams. The importance of family resilience to the patient’s wellbeing broadens the ecologic s...

Developmental biology is expanding into several new areas. One new area of study concerns the production of adult-onset phenotypes by exposure of the fetus or neonate to environmental agents. These agents include maternal nutrients, developmental modulators (endocrine disruptors), and maternal care. In all three cases, a major mechanism for the generation of the altered phenotype is chromatin m...