Birth to One Year
How K&H HealthKare Developmental and Behavioral Pediatric Services can help you:
Physician services available:
 Comprehensive Developmental Evaluation (Play-based)
 Diagnostic and Therapeutic Behavioral Assessment
 Second opinion for questions regarding diagnosis, management or prognosis
 Hospital consults for developmental or behavioral issues
We do NOT provide:
 primary care pediatric services
 psychiatric care (including psychosis, deliberate harm to self or others, etc)
 forensic evaluations
 emergency treatment for acting out or other acute problems
Our model of service is to evaluate a child
offer recommendations to the family
help mobilize resources
get treatments going
remain available for future follow-up as needed
return the child’s care to the pediatrician for continued management
We can help the most by seeing children as young as possible (newborn to six weeks ideally)
to prevent delays or problems
to take positive action before the child fails to meet milestones.
Developmental problems that might suggest referral in infancy:
 suspected motor deficit or tone abnormality – or “floppy”
“frog-legs” prone or supine; when excited arms extend and pronate, hands fist
 asymmetric development, such as one side stronger or more coordinated than the other
baby shows lateral hand preference; when up in prone, leans to same side, uses
opposite hand to play; when learning to stand, usually comes up on same leg
 legs or trunk too strong or too weak –
arching back, seems stiff, “hates” tummy time, doesn’t crawl but tries to walk
 one area not keeping up with the rest of the child’s progress
 suspected (or predisposition to) developmental delay
Behavioral problems that might suggest referral of a baby (0-12 mos):
 problems with infant state regulation –jittery, hard to console or settle,
 stronger emotions or more fluctuation in moods than expected
 developmental problems which may not meet criteria for Early Steps
Nursery School Through High School
How K&H HealthKare Developmental and Behavioral Pediatric Services can help you:
Physician services available:
 Comprehensive Developmental Evaluation (Play-based to middle school)
 Diagnostic and Therapeutic Behavioral Assessment
 Initial adjustment of psychotropic medications (which the pediatrician plans to manage)
 “Second opinion” for questions regarding diagnosis, management or prognosis
We do NOT provide:
 primary care pediatric services
 psychiatric care (including psychosis, deliberate harm to self or others, etc)
 forensic evaluations
 late adolescent care (with certain exceptions)
 emergency treatment for acting out or other acute behavior problems
Our model of service is to evaluate a child
offer recommendations to the family
help mobilize resources
get treatments going
remain available for future follow-up as needed
return the child’s care to the pediatrician for continued management
Developmental and behavioral problems we can evaluate and help you manage:
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suspected mental retardation, cognitive delay or learning disability
suspected or confirmed “gifted with complications” – LD, ADHD, mood disorder
questionable school readiness six to nine months before kindergarten
trouble with reading or math even though the child is smart
school and learning problems – nursery school through high school
language or fine motor skills lagging behind cognition
complicated ADHD or difficult to treat ADHD
 foster placement or adoption (pre- and post-)
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behavior management problems that seem complex, persistent or more severe than usual
symptoms of inattention, impulsivity and/or hyperactivity – not necessarily from ADHD
unhappy, anhedonic or apathetic children – especially in middle school or high school
trouble adjusting to life’s challenges and problems (death, divorce, moving, new sibling)
 anything you or the parents have concerns about and want checked out “just to be sure”
*Includes: vision and hearing screens, complete physical, interactive diagnostic interview with child, extensive oral and written
history from parents and others, neurobehavioral status exam, (lab work, academic or cognitive testing if appropriate,)
conference regarding diagnoses and treatment planning with family. Does not include “psychological testing” required by
school system.