- Healthcare Systems and Technology
- Family and Disability Support Research
- Child and Adolescent Health
- Child and Adolescent Psychosocial and Emotional Development
- Autism Spectrum Disorder Research
- Child Welfare and Adoption
- Child Nutrition and Feeding Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Adolescent and Pediatric Healthcare
- Infant Development and Preterm Care
- Advances in Oncology and Radiotherapy
- Prenatal Substance Exposure Effects
- Child Abuse and Trauma
- Infant Health and Development
- Diversity and Career in Medicine
- Ethics and Legal Issues in Pediatric Healthcare
- Primary Care and Health Outcomes
- Childhood Cancer Survivors' Quality of Life
- Family Support in Illness
- Early Childhood Education and Development
- Healthcare Policy and Management
- Homelessness and Social Issues
- Retinopathy of Prematurity Studies
- Pediatric Pain Management Techniques
- Reproductive Health and Technologies
Boston Children's Hospital
2021-2025
Boston Children's Museum
2025
Harvard University
2023
Yale University
2010-2021
University of Utah
2009-2010
University of Miami
2009-2010
University of California, San Diego
2009-2010
Brooklyn College
1933
Early identification and intervention for developmental disorders are critical to the well-being of children responsibility pediatric professionals as an integral function medical home. This report models a universal system surveillance screening early conditions that affect children's long-term development achievement, followed by ongoing care. These include autism, deafness/hard-of-hearing, intellectual motor disabilities, behavioral conditions, those seen in other conditions....
By current estimates, at any given time, approximately 11% to 20% of children in the United States have a behavioral or emotional disorder, as defined Diagnostic and Statistical Manual Mental Disorders, Fifth Edition. Between 37% 39% will disorder diagnosed by 16 years age, regardless geographic location States. Behavioral problems concerns adolescents are not being reliably identified treated US health system. This clinical report focuses on need increase screening offers potential changes...
Children and adolescents affected by prenatal exposure to alcohol who have brain damage that is manifested in functional impairments of neurocognition, self-regulation, adaptive functioning may most appropriately be diagnosed with neurobehavioral disorder associated exposure. This Special Article outlines clinical implications guidelines for pediatric medical home clinicians identify, diagnose, refer children regarding Emphasis given reported or observable behaviors can identified as part...
The American Academy of Pediatrics (AAP) recommends screening children for developmental delay and autism. Studies current practice to date have been limited in scope primarily focused on small, local samples. This study is designed determine compliance with AAP recommendations: (1) at 9, 18, 24 or 30 months; (2) when concerns are raised a surveillance visit; (3) autism 18 months examine pediatrician characteristics associated compliance. Pediatricians from 6 states completed 38-item...
Autism spectrum disorder (ASD) is a common neurodevelopmental with reported prevalence in the United States of 1 59 children (approximately 1.7%). ASD significantly influences lives affected and families because they may need extensive behavioral, educational, health, other services. Primary care providers play critical role identifying, diagnosing, managing providing support for their families. This document provides summary clinical report "Identification, Evaluation, Management Children...
Overweight and obesity are common in pediatric populations. Children with autism spectrum disorder disruptive behavior may be at higher risk. This study examined whether children more likely to overweight or obese than matched controls. Baseline data from medication-free who participated trials conducted by the Research Units on Pediatric Psychopharmacology Autism Network (N = 276) were compared 544 control National Health Nutrition Examination Survey database age, sex, race, parent...
<h3>Importance</h3> Early identification of autism spectrum disorder (ASD) is associated with improved cognitive and behavioral outcomes. Targeted strategies are needed to support equitable access diagnostic services ensure that children from low-income racial/ethnic minority families receive the benefits early ASD treatment. <h3>Objective</h3> To test efficacy family navigation (FN), an individually tailored, culturally informed care management strategy, increase likelihood achieving...
Individuals with a neurodevelopmental disability (NDD) face significant health care barriers, disparities in outcomes, and high rates of foregone adverse experiences. The Supporting Access for Everyone (SAFE) Initiative was developed to establish principles improve equity youth NDDs through an evidence-informed consensus-derived process. With the Developmental Behavioral Pediatric Research Network, SAFE cochairs convened consensus panel composed diverse professionals, caregivers, adults who...
Objective. Reach Out and Read (ROR), a clinic-based literacy program, has been shown to improve outcomes in impoverished children. No study used direct observation assess child’s home environment or control for important confounders, such as the quality of environment. The objective this was determine relationship between frequency ROR encounters that family receives during well-child visits profile, while accounting Methods. A cross-sectional conducted 137 children (aged 18-30 months) who...
Abstract This study focuses on the association between language skills and core cognitive processes relative to duration of institutionalization in children adopted from orphanages abroad. Participants adoptive group ( n = 46) had arrived United States ages 2 84 months (mean 24 months), been living for 1–9 years. Drawing both experimental standardized assessments, international adoptees differed as a function length time spent an institution those nonadopted controls. Top-down assessments...
To determine prevalence and correlates of need unmet for care coordination in a national sample children with mental health conditions.Using data from the 2007 National Survey Children's Health, we identified aged 2 to 17 years ≥1 condition (attention-deficit/hyperactivity disorder, anxiety conduct or depression) who had received ≥2 types preventive subspecialty services past year. We defined outcome measures interest: (1) coordination; (2) those need. Logistic regression models were used...
Oral health is an essential component of overall for all individuals. The oral children and youth with developmental disabilities (CYDD) involves unique characteristics needs which pediatricians pediatric clinicians can be aware. Risk disease in CYDD multifactorial includes underlying medical conditions, medications, ability to participate preventive care treatment, lack access providers common this population despite being eligible Medicaid. Pediatric are uniquely positioned support the...
There is growing interest in Family Navigation as an approach to improving access care for children with autism spectrum disorder, yet little data exist on the implementation of Navigation. The aim this study was identify potential failures implementing using a failure modes and effects analysis. This mixed-methods set within randomized controlled trial testing effectiveness reducing time from screening diagnosis treatment disorder across three states. Using standard analysis methodology,...
Limited information is available about the rates and risk correlates of socioemotional/behavioral problems in young children pediatric primary care settings serving low-income families. Our objective was to determine clinically significant socioemotional/behavior 12- 48-month-olds from families identify associations between individual cumulative demographic psychosocial risks. In this study, 378 Spanish- English-speaking mothers attending a practice were surveyed before well-child visits...