Neurodevelopmental Evaluations
A neurodevelopmental evaluation provides information about a child’s ability to learn, grow, and develop over time. The evaluation may include but is not limited to cognitive testing, evaluation of language, social skills, a full neurologic history, and examination. Additionally, after your initial visit you will be asked to obtain blood work which may include routine labs, nutritional analysis, exposure to heavy metals, a metabolic analysis, genetic testing (microarray, fragile x, WES), testing for malabsorption, etc. Also, as part of the initial work up, imaging and EEG may be recommended. All of these results will help your doctor understand your child’s developmental profile and make personalized and specific recommendations for treatment, therapy and education.
Steps of the
Neurodevelopmental Evaluation
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It is important that ICAN is the right practice for your family and your child. When you contact ICAN you will speak with our Intake Coordinator, who will go over the typical evaluation and answer your questions. She will ask about your concerns and what you would like to achieve. This will help us schedule the correct type of appointment for you. We will ask for any previous evaluations you may have had including CST evaluations, IFSP or prior physician evaluations.
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You will meet with our pediatric neurologist Dr. Fields. She will review your child’s health and developmental history and perform a play based developmental-behavioral assessment. She will also conduct a comprehensive neurological evaluation of your child, including a thorough neurological examination. A key goal is to identify any potentially diagnosable or treatable causes that may be contributing to your child’s neurodevelopmental differences and provide appropriate treatment and intervention. The results of these assessments will help Dr. Fields understand what additional medical tests or evaluations are needed to make an informed diagnosis. At the end of this initial evaluation we will briefly discuss a behavioral diagnosis if applicable.
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About 3-6 weeks after the first visit, you will return to discuss results of the diagnostic testing that may have been recommended. The time between the two visits largely depends on the extent of diagnostic testing recommended and the availability of the test results. In addition to reviewing the results of the diagnostic testing, Dr. Fields will discuss your child’s diagnosis at length, make recommendations for any additional tests or evaluations, if necessary, and outline a comprehensive treatment and intervention plan.
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Following your child's evaluation, you can continue to use our secure patient portal to communicate with our team to ask any questions that might have arisen and to troubleshoot any concerns regarding the recommended resources you received. Additionally, through the patient portal you will have access to your child’s full report and all testing results. Your child will also be scheduled for a follow-up visit with Dr. Fields to monitor developmental progress and fine tune the treatment plan.
Who needs a neurodevelopmental evaluation?
We evaluate infants, toddlers, school-aged children, and adolescents when there are concerns regarding development, learning or behavior. It is best to have a comprehensive neurodevelopmental evaluation if a child does not carry a specific diagnosis. Some of the most common concerns are, but not limited to:
Behavioral problems
Child has been diagnosed with neurodevelopmental disorder, but family is seeking a 2nd opinion
Pediatrician or other specialist has recommended a developmental evaluation
School recommended a developmental evaluation
Child was tested at school and family is seeking further clarification on a specific diagnosis
Developmental delay (speech, motor, global)
Developmental regression
Autism spectrum disorder
Intellectual disability or cognitive delay
Attention-Deficit/Hyperactivity Disorder (ADHD)
Learning difficulties/school failure