Developmental Pediatrics

The TOTAL KIDS approach to providing developmental pediatric diagnostic and intervention services arose over time from direct work with children, comments and feedback from parents and caregivers, as well as from therapists, educators and other professionals.

TOTAL KIDS offers parents and all those who interact with children, a dynamic and integrated way of recognizing, understanding and managing children with differences and variations in development and learning.

The TOTAL KIDS approach is a holistic and eclectic one. It takes into account every child’s and family’s unique and individual areas of strengths and needs. The approach to evaluation and management addresses

  • The child’s developmental level
  • The child’s learning style and profile
  • The child’s sensory and regulatory profile
  • The child’s past experiences and medical profile
  • Parenting skills
  • Individual cultural beliefs
  • Past parental experiences and expectations
  • Environmental milieu; biological and genetic profile

The TOTAL KIDS approach with both typically developing children and those with variations in their development maintains that

  • Each child develops and learns in his/her own unique and individual manner.
  • Differences in development and learning may interfere with skill development, social adjustment, academic productivity and behavior.
  • Exclusive reliance on standardized test scores as a sole means of understanding a child’s difficulties is insufficient.
  • Every individual who is actively involved in a child’s life needs to contribute to both the evaluation and treatment processes.

The TOTAL KIDS evaluation process is not limited to an office based evaluation. It involves observation in venues where the child actually functions on a day to day basis. Placing a label on the child is not the focus. Understanding the symptoms, their behavioral manifestations and what they communicate is essential in determining the necessary interventions. Ultimately, creating a profile- a complete picture of the child, how he/she functions in multiple settings, accounting for cultural, environmental and medical factors- is much more significant than any label.

The key to a successful outcome is establishing an interdisciplinary team approach and ongoing monitoring of progress to ensure that goals are always realistic and current.

The TOTAL KIDS approach will lead to the formation of a plan of action that will offer a variety of services that can include occupational therapy, biomedical/nutritional consultation, educational approaches and guidance to a network of other related professionals and services in order to enhance a child’s progress.