Developmental Delays in Children

This article originally appeared in Star Chronicle, a newsletter published for the Children's Medical Center.

Parents are thrilled by every milestone reached in their child's development, like first words and first steps. But what happens if a child is not talking or otherwise developing as well as other children of the same age? 

"Every child learns at a different rate. For example, Olivia may be singing songs by age two, while Josh is working hard to put words together at age three," says Robin Adair, MD, a developmental-behavioral pediatrician at the Children's Medical Center and director of the Early Childhood Clinic. "But if parents are concerned, or a screening by their child's primary care provider indicates a possible problem, an evaluation should be done."

That is where the Early Childhood Clinic came in. Part of the UMass Memorial Children's Medical Center, the clinics specialize in diagnostic and referral services for children, up to age five, who appear to have developmental delays or an autism spectrum disorder (ASD). All patients are evaluated by a developmental-behavioral pediatrician and a developmental specialist.

If the child has or likely has an ASD, he or she can be evaluated by a speech-language pathologist who specializes in nonverbal and verbal communication, as well as speech and social skill development. A family health support worker can also serve as a link to ASD community-based resources and provide support. In addition, a psychologist working with the ASD services team is available for further evaluation.

"With developmental delays and autism spectrum disorders, early identification can mean early intervention, which is critical for the child," says Dr. Adair.