Initial assessment in general practice
The GP can assist in assessment by ensuring parents or carers receive assessment reports, and by discussing the findings with them. See also advice on Discussing a developmental disability diagnosis with the person or their parents.
Regular GP consultations are important while a diagnosis is being established to ensure the family is well supported and that any recommendations are implemented. See also Support for carers and family of people with developmental disability.
[NB1]
General practitioner
monitor for developmental problems in childhood
record developmental history
perform physical examination, including tests as clinically indicated or as directed by a specialist (eg vision, hearing, full blood examination)
identify health problems and consider unmet needs if the person has behavioural concerns; refer for further assessment (see Challenging behaviour)
refer for specialist assessment and diagnosis
refer for further assessments, as indicated, while awaiting specialist review (eg allied health)
review psychosocial factors (eg access to resources, family stress) and provide support to the person and their family or carers
consider other relevant family factors (eg other family members with intellectual disability)
Specialist (eg paediatrician) or multidisciplinary team
perform developmental, adaptive and cognitive assessment (see developmental and cognitive assessment)
order investigations
obtain detailed family history
request genetic testing if indicated
confirm diagnosis
complete assessment report or management plan
provide information for the person and their family or carers
provide or refer for genetic counselling
review and monitor in collaboration with general practitioner