developmental pediatrician :: Article CreatorWhat Is A Developmental-Behavioral Pediatrician?
Childhood is a time of growth, learning, and development. Your child is increasing in height and weight, learning new physical and social skills, and laying the foundations of adulthood. If you have concerns about your child's behavior or development, your pediatrician may refer you to a specialist. Behavior and development pediatrics is a specialty that deals with children who are not following the expected developmental path or have concerning behavior. A developmental and behavioral pediatrician assesses children's development, learning skills, and behavior and suggests remedies. They try to find underlying causes for deviations in development and behavior and coordinate treatment to move children toward the expected development pathway.
Pediatricians specializing in child and adolescent behavior and development are known as developmental-behavioral pediatricians. They have the training and expertise to assess your child's development and social skills and detect any divergence from the norm. They consider the medical and psychosocial aspects of children's and adolescents' learning, developmental, and behavioral problems and advise appropriate treatment.
Developmental-behavioral pediatricians are medical doctors. They have completed four years of medical school and internship and three years of residency, then passed board examinations to qualify as pediatricians. They have then undergone further specialized training in developmental and behavioral pediatrics. The American Board of Pediatrics certifies them after a comprehensive examination process.
Behavior and development pediatrics is a specialty of pediatrics that studies children's behavior, development, and social communication skills. Doctors specialized in this field see children and adolescents with concerns about learning, social skills, or behavior. Your primary care pediatrician may refer you to one if you feel your child is not developing or behaving as expected. Your pediatrician may also refer you to your state's early intervention program. A developmental-behavioral pediatrician may be part of the team there.
A developmental-behavioral pediatrician provides expert care for children and adolescents with developmental delays and learning difficulties. They also detect and manage the treatment of autism, attention deficit hyperactivity disorder (ADHD), and social communication issues. These disorders may need help from multiple specialists. Your developmental-behavioral pediatrician will coordinate a comprehensive package of care to best meet your child's needs.
Every child is different, of course. Some children do not crawl at the expected age but learn to walk early. Others walk late but begin speaking early.
Most children who worry their parents by not achieving developmental milestones turn out to be fine. But you shouldn't ignore delayed development. You should talk to your pediatrician if your child seems behind in achieving age-appropriate skills.
Behavior also develops over time. Behavior like temper tantrums and aggression may upset you but are quite normal at age three. The same behavior is considered a significant problem at age five. A developmental-behavioral pediatrician will assess your child and reassure you or advise therapy as appropriate.
A developmental-behavioral pediatrician has expertise in the normal variations of child development. They can assess your child's development with various tests and tools and judge whether any delay or deviation is cause for concern. They can also suggest early intervention programs.
These specialists are invaluable in identifying and addressing many disorders. Some of them are:
Learning disorders such as dyslexia, problems with mathematics or writing, and other issues that create difficulties at school Delay in learning, language, speech, thinking, and physical skills Attention and behavioral disorders such as ADHD, depression, anxiety disorders, and conduct issues Habit disorders like tics and Tourette syndrome Development and behavior issues associated with genetic disorders and chronic disorders like asthma, cancer, diabetes, and epilepsy Disorders like autism spectrum disorder (ASD), cerebral palsy, spina bifida, intellectual disability, and hearing and visual impairments Regulatory disorders such as bedwetting, sleep disorders, toilet-training difficulties, discipline issues, and encopresis (uncontrolled passing of stools) They assess children and adolescents for deviations in development, learning, and behavior and suggest treatment strategies.
Treating behavioral and developmental disorders is complex and requires the services of a variety of experts. Your developmental-behavioral pediatrician will decide what help your child needs and refer you to the appropriate experts. They will also coordinate care. Some specialists your developmental-behavioral pediatrician may work with:
Child psychologists Child neurologists Child psychiatrists Physiotherapists Occupational therapists Speech and language pathologists Clinical social workers Your developmental-behavioral pediatrician will integrate the information from all these specialists and organize the care of your child.
Developmental-behavioral pediatricians also pursue diagnoses for children with delayed development or intellectual disability. The diagnostic process includes clinical examination; brain scanning by magnetic resonance imaging (MRI); genetic testing; metabolic disorder screening; and testing for specific conditions like hypothyroidism, lead exposure, and infections before birth. Diagnosis improves access to services, prevents complications, and may avoid stigma and trauma.
Your developmental-behavioral pediatrician may advise you about future risks in subsequent pregnancies and genetic diagnosis during early pregnancy.
Developmental-behavioral pediatricians can arrange social services needed by you and your child. They can communicate with your child's school about accommodations needed.
Many of the conditions they treat are rooted in genetics, past illnesses or experiences, or of uncertain origin. Their treatment is only rarely based on medicines. Instead, they work by training, education, and behavior modification. You will need patience and determination to see results.
If your child's condition is chronic, your developmental-behavioral pediatrician will help guide your child to their best possible life.
A child with delayed development or learning disorders needs more help and time to learn skills. Your patience and the expertise of your doctor can help your child achieve their potential. Remember to expect progress in small steps.
If your child has difficulties with learning or you're concerned about their behavior, talk to your pediatrician. They may refer you to a developmental-behavioral pediatrician for expert assessment and treatment. Untreated children with development and learning disorders often have anxiety, poor self-esteem, and other psychiatric symptoms.
Consulting a developmental-behavioral pediatrician and following their guidance can help your child enormously.
National Developmental Disabilities Awareness Month 2023
In 1987 President Ronald Reagan dedicated March as National Developmental Disabilities Month to increase awareness for Americans with developmental disabilities and to provide "both encouragement and the opportunities they need to lead productive lives and achieve their full potential." This designation was part of a small but important shift in public perception and sparked grassroots movements which eventually led to landmark legislation such as the Americans with Disabilities Act of 1990 and later the Individuals with Disabilities Education Act.
UAB has been committed to improving resources and advocating for the developmental disability community of our state. UAB Civitan Sparks Clinics are an integral part of the Alabama University Center for Excellence in Developmental Disabilities Research, Education, and Service (UCEDD) and home to the Maternal and Child Health Bureau's Leadership Education in Neurodevelopmental and Related Disabilities training program (LEND).
According to the Centers for Disease Control, developmental disabilities include a broad range of conditions which cause an impairment of physical, language, behavioral, and learning development. These conditions typically begin early in life and can be lifelong. Today in the US, one in six children have developmental disabilities such as Cerebral Palsy, Autism, learning disorders, intellectual disabilities, Attention Deficit Hyperactivity Disorder, and other conditions. With improvements in health care, education, and technology, individuals with developmental disabilities are receiving supports to improve health and happiness, but there remains a need to improve independence and life satisfaction for individuals with developmental disabilities across the life span.
As we recognize and celebrate Developmental Disabilities Month, let us focus on how each of us in the UAB Pediatrics community can improve awareness and accessibility to all individuals by truly having diversity, equity, and inclusion in our work. This can include sharing your story, having individuals with disabilities in your research studies, engaging people with lived experience in various aspects of your work (e.G. Study design, clinical improvements), having individuals with disabilities represented in your department or division, implementing inclusive hiring practices, and working toward an environment of universal design improving access for all stakeholders, including trainees, faculty, and staff and community members.
Dr. Snehal Khatri, associate professor in the Division of Developmental-Behavioral Pediatrics
Resources
Here are ways you can take action during Disability Awareness Month:
Read a book
Demystifying Disability by Emily Ladau
Don't know where to start but want to help? This is a great book to get you started.
A Quick and Easy Guide to Sex and Disability by A. Andrews
A comic book and a quick fun read that explores sexuality
Charlie Mae series by Hannah Wilson
Books for kids whose primary character is a wheelchair user
Sam's Super Seats by Keah Brown
About a girl with cerebral palsy and how she explores her environment with friends
Being Heumann by Judith Heumann
A memoir from Judith Heumann who is a disability rights activist
Thinking in Pictures by Temple Grandin
Temple Grandin discusses her life as both a scientist and person with autism
The Reason I Jump by Naoki Higashida
Memoir written by a person in Japan with autism who is nonverbal
The Spirit Catches You and You Fall Down by Anne Fadiman
Explores the story of a girl with severe epilepsy and how her condition was treated and perceived by two different medical cultures (Hmong and American).
Watch a movie/show
Murderball
A documentary that follows players who participate in wheelchair rugby
Music Within
A biographical drama that portrays Richard Pimentel who was an activist for the Americans with Disabilities Act.
Crip Camp
A documentary that focuses on campers from Camp Jened who became activists for the disability rights movement
Big Sky Kitchen
A cooking show whose chef has a limb difference
My Left Foot
Biographical drama-comedy that focuses on a man who lives in Ireland with cerebral palsy
Educating Peter
Short documentary that follows a student with Trisomy 21
Intelligent Lives
A documentary that follows 3 people with disabilities
Hearts of Glass
A documentary following Vertical Harvest, a company with a greenhouse that provides jobs for people with disabilities
Know your implicit bias
Take the quiz on https://implicit.Harvard.Edu/implicit/takeatest.Html
Support your community
Have some ice cream at Unless U Scoops, a non-profit organization that fosters education and job training for adults with developmental disabilities.
Grab a cup of coffee at Bitty and Beau's Coffee who focuses on the employment of individuals with disabilities (opening soon in Homewood!)
East some goods at the Ability Baking Company food truck (follow their Facebook page for locations). Arcability, with grant funding from Alagasco/Spire and The Daniel Foundation, provides baking classes and training individuals with disabilities for employment in the food service industry.
Advocacy
Alabama Disabilities Advocacy Program (ADAP): Federally funded protection and advocacy program for people with disabilities to protect, promote, and expand their rights. We often refer to their services if a school does not comply with 504 or individualized education plans (IEPs).
Children's Rehabilitation Services: A state-funded government program that has an incredible network of resources and clinics for children with disabilities.
Lakeshore Foundation: Lakeshore Foundation is a not-for-profit organization that promotes independence for persons with physically disabling conditions. The Foundation offers a wide range of fitness, recreation, athletic and education programs to members and participates in research and local, national and global advocacy.
Dr. Kelli Chaviano, assistant professor in the Division of Pediatric Rehabilitation Medicine
Top Pediatricians And Children's Doctors In New York
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When it comes to the health and well-being of your child, finding the right pediatrician or children's doctor is one of the most important decisions you'll make as a parent. In a fast-paced and diverse city like New York, where access to healthcare can vary widely, parents need to find doctors who are not only highly skilled but also compassionate and attentive to the unique needs of their children. Whether you're a first-time parent or looking for a new pediatrician, New York offers a wealth of talented professionals committed to providing the best care for your little one.
The Importance of Choosing the Right Pediatrician
A pediatrician plays a crucial role in a child's health and development. From monitoring growth and administering vaccinations to managing chronic conditions and diagnosing illnesses, pediatricians are at the heart of pediatric healthcare. They are specially trained to understand the physical, emotional, and developmental needs of children, and their role goes beyond treating illnesses—they also serve as trusted advisors for parents navigating the complexities of raising children.
In New York, a city with a vast and diverse population, pediatricians often treat children from various backgrounds, which means they must be adept at understanding and addressing a wide range of healthcare concerns. With so many options available, choosing a pediatrician who aligns with your family's needs and values is essential.
What to Look for in a Pediatrician in New York
When searching for the best pediatrician, there are several factors to consider. In New York, where healthcare is highly competitive, parents can benefit from a range of options, but it's important to know what to look for to ensure the best care for your child.
Experience and Credentials: Ensure that the pediatrician you are considering is board-certified and has experience in pediatric medicine. Board certification ensures that the doctor has passed rigorous exams and is committed to staying updated on the latest medical advancements.
Patient-Centered Care: The best pediatricians take a holistic, patient-centered approach to care. They understand that each child is unique and tailor their approach to meet the individual needs of your child. Look for doctors who make you and your child feel comfortable and respected.
Availability and Accessibility: Pediatricians in New York can have busy schedules, so it's important to consider the doctor's availability for appointments, including same-day visits or after-hours care. Convenience matters, especially in a city where travel time can be long and unpredictable.
Communication Style: A great pediatrician listens attentively to both parents and children. They should be open to discussing concerns and explaining treatment options in an easy-to-understand manner. Good communication is key to building a trusting relationship between the doctor and the family.
Location and Office Environment: In a large city like New York, proximity to your pediatrician's office is an important consideration. Choose a pediatrician whose office is accessible, preferably with parking or easy access to public transportation. A welcoming office environment with child-friendly staff and amenities can also make a big difference in a child's experience.
Top Pediatric Practices in New York
New York is home to some of the top pediatricians in the country, offering specialized care across a range of medical fields. These pediatricians bring extensive training, experience, and a dedication to making your child's healthcare journey a smooth one.
Peninsula Pediatrics: Located in the heart of New York, Peninsula Pediatrics is known for its commitment to providing compassionate care to children of all ages. The practice offers a full spectrum of pediatric services, from routine check-ups and vaccinations to specialized care for chronic conditions. Peninsula Pediatrics is highly regarded for its comprehensive approach and attention to individual needs, making it a top choice for many families.
NYU Langone Pediatrics: As part of one of the most prestigious healthcare systems in New York, NYU Langone Pediatrics is renowned for its world-class medical expertise. The pediatricians here specialize in everything from neonatology to adolescent medicine, ensuring that children receive expert care at every stage of their development. The practice is also known for integrating cutting-edge technology into patient care and offering easy access to a range of specialists.
Children's Hospital at Montefiore: For families in the Bronx and surrounding areas, Children's Hospital at Montefiore provides exceptional pediatric care. The hospital offers specialized services for complex conditions, including a comprehensive network of pediatric specialists. With a reputation for being a leader in pediatric healthcare, Montefiore is a trusted name for families seeking both routine and advanced care for their children.
Weill Cornell Medicine Pediatrics: Part of the renowned Weill Cornell Medical College, Weill Cornell Medicine Pediatrics offers top-tier care for children from infancy through adolescence. The pediatricians at Weill Cornell are known for their expertise in pediatric cardiology, endocrinology, and neurology, among other specialties. Families choose Weill Cornell for its academic rigor and cutting-edge research, ensuring their children receive the best care based on the latest medical advancements.
The Role of Pediatricians in New York's Diverse Communities
New York is a melting pot of cultures, with families from all over the world calling the city home. This diversity can present unique challenges in healthcare, especially for children with different cultural or language needs. Fortunately, many pediatricians in New York are not only skilled doctors but also culturally competent professionals who understand the nuances of providing care to children from diverse backgrounds.
In New York, a number of pediatric practices employ bilingual staff and offer services in multiple languages, ensuring that children and their families can receive care in the language they are most comfortable with. This is particularly important in communities with large immigrant populations, where language barriers can often hinder access to quality healthcare.
Moreover, pediatricians in New York are often trained to address specific health concerns that may be more prevalent in certain communities, such as asthma, lead poisoning, or obesity. By understanding the unique needs of these communities, pediatricians can provide targeted care and education to help parents manage their child's health more effectively.
Pediatric Care for Special Needs
For children with special healthcare needs, finding a pediatrician with the right expertise is essential. New York is home to several pediatricians who specialize in caring for children with developmental disabilities, chronic conditions, or genetic disorders. These pediatricians work closely with a network of specialists to create comprehensive treatment plans that address the medical, emotional, and social aspects of care.
Families seeking specialized pediatric care for children with conditions like autism, cerebral palsy, or ADHD will find a wealth of resources in New York. Many pediatricians collaborate with therapists, psychologists, and other healthcare providers to ensure that children receive comprehensive, multidisciplinary care that addresses all aspects of their development.
Ensuring Access to Quality Pediatric Care
While New York offers a wealth of pediatric care options, access to healthcare can sometimes be a challenge, particularly for families with limited resources or those without insurance. Fortunately, the city offers several public health programs, community clinics, and nonprofit organizations that work to ensure that all children have access to the care they need.
Programs like the NYC Health + Hospitals' Pediatric Services network provide affordable healthcare for low-income families, while organizations like the Children's Health Fund work to provide medical care to underserved communities throughout the city.
Conclusion: A City of Care for Your Little Ones
Choosing the right pediatrician in New York can seem like a daunting task given the vast number of options available, but with careful consideration, you can find a doctor who meets your child's needs and helps guide them through the important milestones of childhood. Whether you are looking for routine checkups, specialized care, or someone who understands the cultural dynamics of New York's diverse population, you'll find a pediatrician who offers the expertise, compassion, and dedication needed to ensure your child's health and well-being.
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