Child development concerns (0–5 years)

• Early identification and action on developmental concerns and delays can improve long term outcomes
• Work with families, community programs and multi-disciplinary outreach teams to identify and respond to concerns

Ask

• Caregiver about child's development — check against normal development — see Child health check (0–5 years)
• Identify issues of concern using red flags early identification guide 

Do

• Child health check (0–5 years) if due
• Assess child’s development using validated developmental screening tool (eg ASQ TRAK), if you are trained. These screening tools are not diagnostic and further assessment will be needed
• Encourage families to attend community services (eg strong women workers, playgroups and early childhood education programs) that can be used to promote early childhood development
• Discuss concerns with caregiver. Arrange medical follow-up and refer to child health nurse, hearing health and allied health teams

Red Flags Early Identification Guide © State of Queensland (Queensland Health)

Follow-up

• Review plan for follow-up and make sure that referrals are actioned

National Disability Insurance Scheme (NDIS) 

Children under 7 years of age with identified developmental concerns in 2 or more areas may be able to access the Early Childhood Early Intervention (ECEI) pathway through the NDIS. Children are able to access this pathway until the age of 7 years without a confirmed medical diagnosis. It is important to document any developmental concerns and refer to doctor and child health nurse for full developmental screening. Any health professional can refer children to the ECEI pathway through completing an NDIS access request form. For children 7 years and older, assessment by the paediatrician and allied health team is required for NDIS access