All health professionals who see infants and children for well-child
visits should watch for early signs of developmental disorders.
Developmental screening tools can help assess
behaviour.
A child should immediately be evaluated if a health professional
discovers obvious signs of developmental delays, such as:1
- No babbling, pointing, or other gestures by 12
months.
- Saying no single words by 16 months.
- Saying no
two-word spontaneous phrases by 24 months, with the exception of repeating
repeated phrases (echolalia).
- Any loss of
any language or social skills at any age.
If there are no obvious signs of developmental delays or any unusual
indications from the screening tests, most infants or children do not need
further evaluation until the next well-child visit.
However, a child who has a sibling with
autism should continue to be closely monitored. In
addition to the evaluations at well-child visits, these children should undergo
testing for language delays, learning problems, poor socialization skills, and
any symptoms that might suggest they have
anxiety or
depression.1
When socialization, learning, or behaviour problems develop in a
person at any time or at any age, he or she should be evaluated.