developmental delay 0-5 years - semphn.org.au · significant or global developmental delay likely...

Developmental Delay 0-5 yearsA-Z Frankston-Mornington Peninsula local pathways > Developmental Delay > Developmental Delay

Published: 17-Aug-2016 Valid until: 31-Jul-2018 Printed on: 20-Dec-2017 © Map of Medicine Ltd This care map was published by Frankston MorningtonPsula. A printed version of this document is not controlled so may not be up-to-datewith the latest clinical information.

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Care map information Aboriginal andTorres Strait Islanderresources

Parenting programs

Social, family, andpsychological supports

Community, socialsupport, respite andplaygroups

History andexamination 0-5 years

Parental relationshipbreakdown - parentalsupport programs

Information resourcesfor families and carers

RED FLAGS!Regression/Loss ofSkillsChild abuseFamily violenceSevere medical illness

REFERRALPsychological servicesfor parents

REFERRALPrivate specialists andallied health

REFERRALPsychological servicesand counselling forchildren/families

Advice and strategiesfor families whilewaiting for services

Feeding, Sleeping &Settling,Toileting advice

REFERRALPeninsula Health- Children's Services- Paediatric OutpatientClinic

Funding options

Preparing for PrimarySchool

GP review

REFERRALPaediatrician - Publicand Private

REFERRALAllied Health - Private

REFERRALEarly Childhoodintervention Services(ECIS)

REFERRAL to morethan one service orprovider at the sametime is recommended

Significant or globaldevelopmental delaylikely to need longterm support -clinicalpresentation

Significantbehavioural,developmental delay

Delay in one or moredomains - likely toneed short termsupport (up to 2 years)

Mild / moderatedevelopmental delay

REFERRAL to morethan one service orhealth professional atthe same time may beappropriate

DSM5 disorders likelyeg ASD, ADHD, ODD,Anxiety,CD

Go to BehaviouralIssues Child 0-5 years

Funding options- Mental Health



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1 Care map information

Quick info:ScopePrimary care assessment and management of developmental delay in children age 0- 5 years

2 Information resources for families and carers

Quick info:Information for families and carers:Raising Children NetworkInformation on raising children from newborns to teenagers.Better Health Channel - Parenting pagesRCH Grow and Thrive Parent_fact_sheetsInformation on a broad range of health and development issues. Some fact sheets have also been translated into differentlanguages.Developmental Delay - a parent's guide produced by Royal Children's HospitalStep by Step booklet - Developmental guide for parentsDHHS Health & Development Chart Your Child's Health & Development: Birth to 6 yearsNutrition

• NHMRC guidelines for balanced healthy diet

• Raising Children Network nutrition articles

Unsettled babyhttp://www.rch.org.au/kidsinfo/fact_sheets/Colic_crying_babies_unsettled_babies_Parent_handout/ Sleep and Settling ProgramMornington Peninsula Shire Maternal Child Health Ph: 5950 1635Frankston City Council Maternal Child Health Ph: 1300 322 322Refer to sleep and settling options in Perinatal Mental Health Assessment & Care Options AmazeExtensive information about Autism, will coordinate funding and services and family support, playgroups, education, assign casemanagers. Bullying Speech fact sheets from Better Health ChannelExpressive language Receptive language SpeechDyspraxia of speech StutteringLiteracy Child FIRST - Family SolutionsService Description: Assist families who have multiple issues and can provide:

• Referral, Assessment, and Service Coordination

• In home parenting support

• Social support groups

• Whizz Kids program - supported playgroup

http://raisingchildren.net.au/

http://www.betterhealth.vic.gov.au/

http://www.rch.org.au/ccch/growthrive/

http://peninsulamodel.org.au/sites/default/files/media/StepbyStepGuide.pdf

http://raisingchildren.net.au/nutrition__fitness/preschoolers_nutrition.html

http://www.rch.org.au/kidsinfo/fact_sheets/Colic_crying_babies_unsettled_babies_Parent_handout/

http://www.mornpen.vic.gov.au/Services_For_You/Children_Families/Maternal_Child_Health

http://www.frankston.vic.gov.au/Our_Community/Family_Services/Maternal_and_Child_Health

http://www.peninsulahealth.org.au/health-professionals/gp-liaison/mental-health-services/perinatal-mental-health/

http://www.amaze.org.au/discover/about-autism-spectrum-disorder/

http://www.bullyingnoway.gov.au/

http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Expressive_language_disorder

http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Receptive_language_disorder?open

http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Childhood_apraxia_of_speech?open

http://raisingchildren.net.au/articles/activities_to_promote_literacy.html/context/289

http://www.dhs.vic.gov.au/about-the-department/documents-and-resources/reports-publications/child-first-information



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• Parent Education groups

Eligibility: Child aged pre-birth to 17 years living in the Frankston or Mornington areaReferral Phone: 1300 721 383Cost: None Syndrome Without A Name - SWANOffers support and information to parents, carers and friends of people whose child/children have an undiagnosed genetic disorder/syndrome. Aim to assist parents/carers on their unknown genetic journey and advocate on their behalf.Phone: 0404 280 441

3 Funding options

Quick info:The Better Start for Children with Disability initiative 0-7 yrs provides funding for early intervention services.Self referral: Ph 1800 242 636Children registered with Better Start can access up to $12,000 (max $6,000 annually) to pay for early intervention services. Servicesinclude:

• audiology, occupational therapy, orthoptics, physiotherapy, psychology and speech pathology

A child must be under the age of 6 years and diagnosed with one of the following disabilities to be eligible for Better Startfunding. A child will have until they turn 7 to access funding.Eligibility thresholds for specific conditions

• Cerebral palsy - All children with a confirmed diagnosis of cerebral palsy will be eligible for Better Start.

• Deaf/blindness - All children with a diagnosis made by a specialist multidisciplinary team which includes an ophthalmologicaland audiological evaluation (therefore application of a threshold is not necessary) will be eligible.

• Down syndrome - All children with a confirmed diagnosis of Down syndrome, including those with mosaic Down syndrome, willbe eligible.

• Fragile X syndrome - All children will be eligible if they have a confirmed diagnosis of Fragile X syndrome with full mutation.

• Hearing impairment - Children will be eligible if they have a hearing loss in both ears that meets either of the following twocriteria:

• A permanent conductive or sensorineural hearing loss that has a four frequency average hearing loss* of 40dBHL or greaterin the better-hearing ear

• Auditory Neuropathy Spectrum Disorder diagnosed in both ears.

• The four frequency average hearing loss represents the average of hearing thresholds at 500 Hz, 1000 Hz, 2000 Hz and4000 Hz.

• Sight impairment - Children will be eligible if they have vision of less than or equal to 6/18 or equivalent field loss, in the bettereye with correction.

• Microcephaly - All children will be eligible if they have a confirmed diagnosis of Microcephaly based on a head circumferenceless than the third percentile and a functional level at or below two standard deviations below the mean for age on the GriffithsMental Development Scales or the Bayley Scales of Infant Development.

• Prader-Willi, Williams, Angelman, Kabuki, Smith-Magenis, CHARGE, Cornelia de Lange, Rett’s disorder

• Children will be eligible if they have a confirmed diagnosis of these conditions

Autism Spectrum Disorder Package 0-7yrsMust apply for by the age of 6.Children diagnosed with Autism Spectrum Disorder may be eligible for up to $12,000 for early intervention therapy and services. If a child has already accessed the Helping Children with Autism package, they won't be able to register for Better Start. Chronic disease management plansConsider Chronic disease management MBS items 721 and 723A chronic medical condition is one that has been (or is likely to be) present for six months or longer eg: asthma, cancer, diabetes andstroke. There is no list of eligible conditions. However, CDM items are designed for patients who require a structured approach and

http://www.swanaus.com.au/

http://betterstart.net.au/what-is-better-start/

http://betterstart.net.au/can-i-get-better-start/

http://www.amaze.org.au/discover/how-we-can-help-you/hcwa/

http://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=A36&qt=noteID&criteria=chronic%20disease



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to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinaryteam. Anglicare Victoria - Disability Services

• Flexible Support Packages (up to max $3000)

• Short term assistance package (for children on the waiting list for Flexible Support package)

• Individual Support Package (ISP)

Eligibility: For children with an identified an diagnosed disabilityPhone: Frankston 9781 6700

4 Funding options - Mental Health

Quick info:Better Access to mental health careMedicare rebates are available for up to ten individual and ten group allied mental health services per calendar year to patients withan assessed mental disorder who are referred by:

• A GP managing the patient under a GP Mental Health Treatment Plan or

• Under a referred psychiatrist assessment and management plan or

• A psychiatrist or paediatrician.

Allied mental health services under this initiative include:

• psychological assessment and therapy services provided by clinical psychologists

• focussed psychological strategies services provided by appropriately qualified GPs and eligible psychologists, social workersand occupational therapists.

ATAPSChild Mental Health Access to Allied Psychological Services (ATAPS) program for children 0-12 yrs.Service description: Psychological support for children up to 12 yrs of age who are experiencing social, emotional and behaviouraldisturbances and are at risk of developing a mental health disorder.Up to 12 individual sessions with allied mental health practitioner.Children exhibiting behavioural and mental health issues may be referred by a GP, Paediatrician or Psychiatrist. The referrer mustcomplete a Child mental health treatment plan and referral form found here under TemplatesEligibility: Children under 12 who are financially disadvantaged and can't access Better Access.Phone Referral: Call Intake and Allocation on 1300 292 971. Please refer to PDF for new referral processCosts: Free GP mental health treatment items are:

• Item 2700: Preparation of a MHTP by a GP who has not taken undertaken mental health skills training (MHST) – consultationbetween 20-39 minutes

• Item 2701: Preparation of a MHTP by a GP who has not taken undertaken MHST – consultation over 40 minutes

• Item 2715: Preparation of a MHTP by a GP who has taken undertaken MHST – consultation between 20–39 minutes

• Item 2717: Preparation of a MHTP by a GP who has taken undertaken MHST – consultation over 40 minutes.

5 Aboriginal and Torres Strait Islander resources

Quick info:Resources for Aboriginal and Torres Strait IslandersHealth Assessment for an Aboriginal and Torres Strait Islander child (less than 15 years of age)GP assessment. Item 715 Peninsula Health - The Koori Maternity Service gives specialised social support in the perinatal period for women who will or havebirthed Aboriginal and Torres Strait Islander babies. Women will usually be referred by midwives at booking in clinic.

https://www.anglicarevic.org.au/what-we-do/strengthening-communities/disability-support/

http://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=A46&qt=noteID&criteria=better%20access

http://www.semphn.org.au/ataps

http://www.semphn.org.au/ataps-1

http://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=A45&qt=noteID&criteria=mental%20health

http://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=A33&qt=noteID



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Contact ACCESS: Phone 1300 665 781 Peninsula Health, Aboriginal Hospital Liaison Officer identifies Aboriginal and Torres Strait Islander patients providing supportand linkages to Peninsula Health Koorie Services and the Aboriginal Community Controlled Heath OrganisationsContact ACCESS: Phone 1300 665 781 Mornington Peninsula Shire Aboriginal Support Programs & Services Phone: 5950 1738 Gathering Place 'Willum Warrain' in Hastings is the local Aboriginal Community Meeting Place providing programs and services tosup ort the health & social support of the local aboriginal community. Faces in Our Mob - opportunity to tell their stories at WillumWarrain.Access via Home & Community Care (HACC) - providing meals, personal care, home care, home maintenance, transport toappointments,respite care, adult day activities.Koories in the Kitchen & Art Group - each group meet on alternate FridaysSocial Support Activities - Art & Craft. Outings, Elders Camps & Luncheons Aboriginal Community & Family ActivitiesAnnual Dinner Dance & BBQsForums & WorkshopsEmployment opportunities Koori Kids Supported Playgroup Southern VACCA Wednesday at Montague Park Playgroup Hall, Bentley Place, FrankstonFor Aboriginal and Torres Strait Islander children and their families onlyPh: 9701 4200 Victorian Aboriginal Child Care Agency(VACCA) provides programs and services to reinforce Aboriginal culture and encourage bestparenting practices, and advising government of abuse and neglect in the Aboriginal community.Southern area, Ph 9701 4200 Victorian Aboriginal Health Service Family Counselling Service- specialised indigenous family, mental health & drug and alcohol support for the child and their family;intake process over the phone; limited outreach service, free services provided in Melbourne. Ph: 9403 3300, Fax: 9403 3333 Dandenong & District Aborigines Co operativeAssisting with advice and support on financial and family welfare issues. Bunurong Health Service3 Carroll Ave, DandenongContact: 9794 5933.

6 History and examination 0-5 years

Quick info:History & examination should include:1. Developmental history2. Medical history, physical examination and investigations 1. Developmental HistoryAssess gross motor fine motor, language and personal-social skills according to age

• RCH Developmental Milestones 1 mth - 5 yrs

Peninsula Health developmental checklists

• PH Developmental Checklist 6 mths

http://www.vacca.org/services/vacca-koorie-kids-playgroup/

http://www.vacca.org/

http://www.vahs.org.au/

http://ddacl.org.au/



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• PH Developmental Checklist 2yrs

• PH Development Checklist 2yrs 6mths

• PH Developmental Checklist 3 yrs



Speech and language

• receptive (understanding)

• expressive

• frustration around communication

Flexibility of thought

• obsessions/ fixed ideas?

• fears/worries?

• limited play options/imagination?

• rituals/routines?

• can they handle change?

• fascinations/compulsions/repetitive movements

Social communication/play

• eye contact/shared attention

• can they approach other kids for play?

• do they understand body language and respond appropriately

• sharing/turn taking/waiting

• do they have friends?

Sensory processing

• over or under sensitivity to:

• touch

• smell

• sounds

• textures

• pain and temp

• proprioception

• ability to handle multiple sensations

• need for movement/pressure

• sleep habits:

• routines

• sleep/wake pattern

Motor skills

• fine motor:

• eating

• dressing

• toileting

• writing/drawing

• gross motor:

• use and coordination of arms/legs

• motor planning

Cognitive skills



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• colours, numbers, letters, etc

• non verbal and verbal understanding /problem solving

Attentional skills

• concentration span (for something interesting)

• fidgeting

• impulsivity

• distractability

• task completion

Self-care skills

• toileting

• feeding

• dressing

2. Medical History, Physical Examination and InvestigationsStandard history including:

• birth history

• medical history eg asthma, constipation

• family history

• detailed social history

• poor nutrition

• poor sleep:

• consider obstructive sleep apnoea

• vision problem

• hearing problem

What services are the family already connected to? eg Maternal Child HealthTargeted examination to focus on:

• growth

• check height

• weight

• head circumference

• general appearance

• dysmorphisms

• airway

• ears

• bowels

• tone

Essential Investigations:

• hearing assessment by audiologist

• vision assessment by optometrist

• blood tests if clinically appropriate

• FBE and Film

• Ferritin

• B12

• Urea & Electrolytes

• Liver Function Test

• Creatinine Kinase (motor delay)

• Lead



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• Thyroid function tests

• Urine metabolic screen and genetic testing usually ordered by specialists

7 Advice and strategies for families while waiting for services

Quick info:Key pointsParents are the most effective agents of change in child development. Simple daily actions of love and attention support childdevelopment. Encourage parents to talk, touch and play with their children.Children benefit from lots of practice at specific skills in their everyday routines and daily life. Consider increasing family participationin community level activities for the domain of concern.Social isolation is an underlying causal factor in many social and emotional presentations. Please consider how you mightstrengthen the family's networks and active links to the community.Gross motor concerns Promote movement activities, consider regular play in parks or on beaches, Gymbaroo, swimmingopportunities, music and movement groupsSpeech and language concerns Promote communication activities like Library story times, regular book sharing, the use of theSwap-a-Book-Share-a-Book Stands which provide free take home books located in many public facilities, singing and storytelling.Fine motor concerns Playdough, drawing games like treasure maps, scribble and guess; tearing up paper for collage or papiermache and core body strengthening to stabilise arms such as dance, children's martial arts. ReferralMaternal Child Health Services may be appropriateContacts:

• Mornington Peninsula Shire - Phone 5950 1635

• Frankston City Council - Phone 9784 1888

• Maternal and Child Health 24 hour hotline - Phone 132 229.

8 RED FLAGS! Regression/Loss of Skills Child abuse Family violence Severe medical illness

Quick info:1) Regression or Loss of SkillsPaediatric Development and Behavioural Issues Outpatients - Peninsula Health Loss of previously acquired skills, ex premature born infant <28 weeks with developmental concerns, early morning vomiting.Consider regression with a metabolic/neurodegenerative condition.Request an urgent Paediatric outpatient appointment noting why urgent appointment necessary. Referral: Fax 9784 2666Enquiries: Ph 9784 2600 2) Child abuse or neglectDHHS Child Protection Mandatory reporting. Contact for any suspected or reported physical, sexual or emotional abuse of a child or concerns reaccumulative affect of harmBH: 1300 655 795AH: 13 12 78 A new offence for failure to disclose child sexual abuse came into effect on 27 October 2014. The offence requires that any adultwho holds a reasonable belief that a sexual offence has been committed in Victoria by an adult against a child (aged under 16)disclose that information to police. The offence applies to all adults in Victoria, not just professionals who work with children, unlessthey have a reasonable excuse. Welfare concernsChild FIRST - Family SolutionsContact for concerns about a child’s safety, stability and/or development

http://www.peninsulahealth.org.au/health-professionals/gp-liaison/outpatient-services/

http://www.dhs.vic.gov.au/for-service-providers/children,-youth-and-families/child-protection




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Presence of complex issue/s within the family impacting on parents capacity to provide the above., eg: history of trauma, familyviolence, mental health, disability, family breakdown, substance misuse, homelessness, social isolation, limited parenting skillsPh: 1300 721 383Child FIRST Family solutions - local services to support children at risk 3) Family ViolenceFamily Violence Services - Good Shepherd 1 Church St, Hastings Ph 5971 9444, fax 5971 9494Office 3, 342 Main St, Mornington. Ph 5970 5700, fax 5970 5777 Frankston Domestic Violence Support for Women (WAYSS)Service description: Family Violence Crisis and Outreach Service for women (over 25yrs) and their children who are experiencingor escaping family violence.Contact: BH 9791 6111AH 9792 1205 Sexual Assault and Family Violence Ph:1800 357 397 or 9791 6111 orAfter Hours: 0400 503 338Offices:Pensac, 1 Hartnett Dve, SeafordCommunity Information and Support Service, 878 Point Nepean Rd, Rosebud 4) Medical emergencyPeninsula Health, Monash or Royal Children's Hospital Emergency Departments

9 Feeding, Sleeping & Settling, Toileting advice

Quick info:Public1.Feeding issuesBreastfeeding Support Service - Peninsula Health Enquiries: Ph 9784 2600Description: Lactation Consultants provide individual expert help to both antenatal [pregnant] and postnatal women.Priority is given to women who have birthed at Peninsula Health or who live within the service boundaries of Peninsula Health. Theservice operates 3 days per week, two at the Frankston campus and one of those days (Thurs) at the community health centre inHastings.Location: 2 Hastings Rd, Frankston or185 High Street, Hastings. Paediatric Feeding Outpatient Service - Peninsula Health For children presenting with feeding difficulties.The following services are offered:

• Assessment

• Management

• Joint Nutrition & Feeding Clinic

Eligibility:

• Children aged 0-16 years who reside in City of Frankston or Mornington Peninsula Shire. Consideration will be given to familieswho live outside service area given have been a recent inpatient at, or receive their medical management primarily throughFrankston Hospital.

• Are not currently attending a Special Development School

• Are not currently attending an Early Childhood Intervention Service

http://www.goodshep.org.au/find-a-service/family-violence/

http://www.frankston.net/familyviolence.htm

http://www.secasa.com.au/

http://www.peninsulahealth.org.au/services/services-n-z/womens-childrens-and-adolescent-health/peninsula-health-maternity-services/



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• Children on feeding tubes need to be under Peninsula Health's Home Enteral Nutrition Program

Referral: Written referral letter from medical or health professional to be emailed / faxed / posted to department. Referrals will bescreened for eligibility and triaged for priority,Enquiries direct to Speech Pathology Department:Level 2, Frankston Integrated Health CentreHastings Rd, FrankstonPO Box 52, Frankston 3199Phone: 03 9784 7670Fax: 03 9784 7139Email: [email protected] Fussy eating advice from Raising Children NetworkReferral to Peninsula Health Children's Team DieticianContact ACCESS: Phone 1300 655 781 2. Sleeping & SettlingUnsettled Baby - Sleep and Settling ProgramMornington Peninsula Shire Maternal Child Health Referral Ph 5950 1635Frankston City Council Maternal Child Health Referral: Ph 1300 322 322Sleep and Settling Centres eg:

• Kooweerup Early Parenting Unit

• Queen Elizabeth Centre

• Other sleep and settling referral options on page 2 of Peninsula Health Perinatal Mental Health Assessment & Care Options

Sleeping fact sheets from RCHPreschool bedtime problems Night time wakings/night terrors 3. ToiletingPeninsula Health Paediatric Continence ClinicReferral via ACCESS phone: 1300 665 781, fax 9784 2309Eligibility: Children 3+ with bowel problems, Children 5 years + with bladder and/or bowel problemsAddress: The Mornington Centre, Cnr Tyalla Gve and Separation St, Mornington Disability Continence Support Scheme Anglicare VicService description: for people up to 15 years of age with a disability to effectively manage their incontinenceContact: Frankston 9781 6700 Rosebud 5986 9900 RCH fact sheetBed Wetting PrivateOccupational Therapists work with babies and children to improve independence in everyday self care skills such as feeding, eating,dressing, sleeping and toileting.

• Occupational therapy (Frankston, Mornington, Rosebud)

Speech Pathologist -Feeding / Oral Motor Skills

• Speech Pathologist (Frankston, Mornington, Hastings, Rosebud)

http://raisingchildren.net.au/articles/fussy_eating.html/context/728




http://www.rch.org.au/kidsinfo/fact_sheets/Bedtime_problems_Preschool/

http://www.rch.org.au/kidsinfo/fact_sheets/Night_Terrors_nighttime_wakings/


http://www.anglicarevic.org.au/help/disability-support

http://www.rch.org.au/kidsinfo/fact_sheets/Bedwetting/

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=occupational%20therapy&location=Frankston%203199%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=occupational%20therapy&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=occupational%20therapy&location=Rosebud%203939%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=speech%20pathology%2Ftherapy&location=Frankston%203199%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=speech%20pathology/therapy&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=speech%20pathology%2Ftherapy&location=Hastings%203915%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=speech%20pathology%2Ftherapy&location=Rosebud%203939%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i



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SleepingSleep and Settling Centres eg:

• Masada Private Hospital

• Mitcham Private Hospital - Mother and Baby Unit

• Other sleep and settling referral options on page 2 of Peninsula Health Perinatal Mental Health Assessment & Care Options

10 DSM5 disorders likely eg ASD, ADHD, ODD, Anxiety,CD

Quick info:Autism spectrum disorder DSM-V definitionPresentation/ Early indicators for ASD:

• poor eye contact combined with no communicative gestures - such as pointing

• poor eye contact combined with no imaginative play

• repetitive behaviour combined with no giving (offering food, toys, etc)

Autism characteristics from Raising ChildrenCommunication & Symbolic Behaviour Scales Infant -Toddler Checklist for children 6 months to one year RCH Checklist for Autism for Toddlers(CHAT)Modified Checklist for Autism in Toddlers M-CHAT Other checklists Childhood Autism Rating Scale (CARS)Autism Behavior Checklist (ABC)Gilliam Autism Rating ScaleAutism Diagnostic Interview-Revised (ADI-R)Modified Checklist for Autism in Toddlers Autism Diagnostic Observation Schedule(ADOS) PresentationAttention Deficit Hyperactivity Disorder (ADHD) DSM-V definition ADHD is usually diagnosed in children over the age of 5 butthe symptons are:

• Medical condition where children have trouble focusing / can’t sit still

• This behaviour must have a big impact on daily life

• This behaviour must exist in two settings. E.g. at school and at home

• If this is the child’s usual behaviour severe then a referral to a school counsellor / psychologist / paediatrician/ psychiatrist maybe needed

Oppositional defiant disorder:

• Behavioural problem where the child regularly doesn’t want do what people ask and becomes aggressive and upsets otherpeople

• All children can be disobedient and moody at times

• If this is the child’s usual behaviour and this behaviour is so severe that it is affecting daily functioning then a referral to a schoolcounsellor / psychologist / paediatrician / psychiatrist may be needed

Conduct Disorder:

• A serious behavioural and emotional problem in children / adolescents

• They have a great difficulty following rules or behaving in a socially acceptable way; often violating the rights of other

• Many factors contribute social isolation, neglect, abuse, learning difficulties, other

• The child / adolescent will likely need a referral to a school counsellor / psychologist / paediatrician / psychiatrist

Anxiety:


http://www.autismtraining.com.au/orionfiles/upload/public/files/Fact%20Sheet%2010_DSM-5_Nov13(1).pdf

http://raisingchildren.net.au/articles/autistic_disorder_signs_and_symptoms.html

http://firstwords.fsu.edu/pdf/checklist.pdf

http://www.rch.org.au/genmed/clinical_resources/CHecklist_for_Autism_in_Toddlers_CHAT/

http://www.autismspeaks.org/sites/default/files/docs/sciencedocs/m-chat/m-chat-r_f.pdf?v=1

http://bestpracticeautism.blogspot.com/2011/03/best-practice-review-gilliam-autism.html

http://infantlab.fiu.edu/articles/Lord,Rutter,LeCouteur_1994%20JADD.pdf

http://www.autismspeaks.org/what-autism/diagnosis/screen-your-child

http://infantlab.fiu.edu/articles/lord,%20risi%20et%20al%202000%20JADD.pdf

http://www.dsm5.org/Documents/ADHD%20Fact%20Sheet.pdf



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• Is a normal part of development

• Some children experience worries and fears more intensely than others

• Different types of anxiety include separation / social / generalised

• If it is affecting daily functioning or the child is extremely distressed then a referral to school counsellor / psychologist /paediatrician / psychiatrist may be needed

11 Social, family, and psychological supports

Quick info:A child's presentation may be influenced by factors external to the child. A number of factors may influence the child's presentation. Social isolation is an underlying causal factor in many social and emotional presentations. Consider how you might strengthen thefamily's networks and active links to the community.Referral to Maternal Child Health Services may be appropriate.Contacts:




12 Mild / moderate developmental delay

Quick info:

13 Significant behavioural, developmental delay

Quick info:

14 Parenting programs

Quick info:Unsettled Baby Sleep and Settling Programs available at Maternal Child Health ServicesDescription: Information and flexible strategies on sleeping patterns, sleep associations and age appropriate routines offered. Thegroups are offered in specific development groups. Bookings required.Cost: NoneReferralsMornington Peninsula Shire Maternal Child Health Ph: 5950 1635Frankston City Council Maternal Child Health Ph: 1300 322 322Refer to sleep and settling referral options on page 2 of Peninsula Health Perinatal Mental Health Assessment & Care OptionsSleep Centres (more info on page 2)

• Kooweerup Early Parenting Unit

• Queen Elizabeth Centre

Young Parents Programs Mornington Peninsula Shire Maternal Child Health Young Parents Program Referral phone: 5950 1635Frankston City Council Maternal Child Health Young Parents Program Referral Phone: 1300 322 322








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Mindful Parenting Group - headspace Referal phone: 9769 6419Description: A supportive three week program for young parents and expectant parents focusing on strengthening the parentingrole.Cost: None & free child care is available Other ProgramsParentzone (Anglicare) offers a variety of parenting programs usually run for 2 hours each week, for 4-8 weeks.Eligibility: parents, grandparents & carers of children 0-18yearsReferral: self, GP, communityCost: free Contact: 9781 6700Parentzone Newsletter Child FIRST - Family SolutionsService Description: Assistance for families who have multiple support needs offering:


• In home parenting support and coaching

• Counselling




Eligibility: Child aged pre-birth to 17 years living in the Frankston or Mornington areaReferral Phone: 1300 721 383Cost: None Anglicare Victoria Disability Service Service: Support for parents of children with a disability to access resources, services and supports which enhance the careoutcome for their child.Eligibility: children have recognised/diagnosed sensory, neurological or physical impairement.Referral phone: Frankston 9781 6700Mornington Peninsula 5986 9900Cost: None Parenting program for Dads (Roadworthy for Dads) - LifeworksReferral Phone 1300 543 396 or 9783 7611Description: Free program to support dads with parent relationship strategies on how to be a better dad. This program has beenfunded by Communities for Children, Frankston and YOU MUST BE a resident of Frankstom, Frankston North or South, Seaford,Carrum, Carrum Downs, or Langwarrin to attend.Cost: FreeLocation: 345 Nepean Highway, Frankston Triple P Parenting for children with special needs or disabilities Referral/ Contact Phone: 1800 789 123Service Description: Linkage to services and support groups; Parent Line provides professional counselling and support for parents,Eligibility criteria: Parents with children with special needs or disabilities aged 3-8yrsHours: 9am to 9pm Monday to Friday Cost: None

15 Parental relationship breakdown - parental support programs

Quick info:

http://headspace.org.au/headspace-centres/frankston/

http://www.anglicarevic.org.au/about-us/newsletters/southern/



http://www.lifeworks.com.au/shop/category/programs-by-branch-frankston

http://www.triplep-steppingstones.net/au-en/home/



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Parenting after separation - Family Relationship Centre Referral Phone: 9770 0341Service description: Aims to strengthen family relationship. Provide family dispute resolution with the aim to develop a workableparenting plan. Provides counselling for individuals, families, couples and children, men's programs and relationship educationgroups. Costs: $30 Concession and $60 Full fee. Parenting After Separation - LifeworksReferral Phone: 1300 543 396 or 9783 7611Cost: $40 for intake interview PLUS cost of program. Program cost varies - refer to drop down box for exact cost.Service Description: Program on how to adapt to separated parenting and manage challanges. Location: 345 Nepean Highway,Frankston Parenting program for Dads (Roadworthy for Dads) - LifeworksReferral Phone: 1300 543 396 or 9783 7611Description: Free program to support dads with parent relationship strategies on how to be a better dad. This program has beenfunded by Communities for Children, Frankston and YOU MUST BE a resident of Frankstom, Frankston North or South, Seaford,Carrum, Carrum Downs, or Langwarrin to attend.Cost: FreeLocation: 345 Nepean Highway, Frankston Counselling groups - Family Relationship Centre Referrral Phone: 9770 0341 Cost: Assessed on person's income. Up to counsellor to determine if appropriate to waive fees - if client is experiencing financialhardship. Call to confirm cost.Service Description: One on one counselling, couples counselling, family counselling. Men's behaviour change program - Peninsula HealthFor men wanting to change abusive, voilent, controlling or disrespectful behaviours impacting their family.Referrral: Entry via assessment interview.Phone: 1300 665 781Cost: None Service Description: Group work for men who have used violent, abusive and or controlling behavious in the family who want tochange. Men's Behaviour Change Program - LifeworksReferral Phone: 1300 543 396 or 9783 7611Cost: $40 fee for intake interview PLUS program cost. Program cost is $360 for concession or if paid in full up-front. Otherwise $390full fee. 13 week program.Service Description: Program to support dads who are committed to change their abusive behaviour. Location: 345 Nepean Highway, Frankston Anger Management for Women - LifeworksReferral Phone: 1300 543 396 or 9783 7611Cost: $40 fee for intake interview PLUS program cost. Program cost is $150 for concession or $200 full fee. 6 week program.Service Description: Program for women who want to feel more in control of their anger and to find healthier ways to communicate.Location: 345 Nepean Highway, Frankston Parenting Orders Program - Family Relationship CentreService description Provide post separation counselling, support and group work for children and parents, assisting parents to worktowards self-management of their spend-time arrangements safely and without conflictReferral Phone: Contact is Rebecca Thompson (Team Leader) 9770 0341Cost: No fees

http://familylife.com.au/community-services-overview/family-matters-post-separation-services/




http://www.frankston.net/angermen.htm

http://www.lifeworks.com.au/shop/item/mens-behaviour-change-program/programs-by-branch-frankston

http://www.lifeworks.com.au/shop/item/sea-change---anger-management-for-women/programs-by-branch-frankston




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Children’s Contact Services - Family Relationship CentreService description Provides supervised time and/or supervised changeover between children and their spend-time with parent orsignificant other in a safe and child focused environment Referral Phone: 9770 0341Cost: Fees are payable on sliding scale, subject to income. Call to confirm cost.

16 Delay in one or more domains - likely to need short term support (up to 2 years)

Quick info:Mild/moderate developmental delayPresentationFunctional limitations in one or more of the following key developmental areas:

• gross motor skill

• fine motor skill

• cognitive development

• social and emotional

• speech and language

17 Significant or global developmental delay likely to need long term support -clinical presentation

Quick info:Significant development delay or disabilityPresentationSubstantial functional limitations in one or more of the following key developmental areas:

• gross motor skill

• fine motor skill


• social and emotional

• speech and language - delays in both receptive (understanding) and expressive language

• or regression or loss of skills (request urgent referral)

18 REFERRAL Psychological services and counselling for children/families

Quick info:Counselling, Community Health - Peninsula HealthReferral Via ACCESS, Ph 1300 665 781Fax 9784 2309Description: Generalist and family-based counseling for mild to moderate mental health issues.Exclusions: People entitled to use other services (DVA Gold card holders, Workcover, TAC)Address: Community Health at Frankston, Mornington, Hastings and RosebudEstimated wait: Community Health Waiting List ATAPSChild Mental Health Access to Allied Psychological Services (ATAPS) program for children 0-12 yrs.Service description: Psychological support for children up to 12 yrs of age who are experiencing social, emotional and behaviouraldisturbances and are at risk of developing a mental health disorder.Up to 12 individual sessions with allied mental health practitioner.Children exhibiting behavioural and mental health issues may be referred by a GP, Paediatrician or Psychiatrist. The referrer mustcomplete a Child mental health treatment plan and referral form found here under Templates.Eligibility: Children under 12 who are financially disadvantaged and can't access Better Access.

https://familylife.com.au/community-services-overview/family-matters-post-separation-services/frankston-childrens-contact-service-ccs/

http://www.peninsulahealth.org.au/services/peninsula-health-community-health/counselling/

http://www.semphn.org.au/sites/default/files/userfiles/CommunityHealthWaitingTimes.pdf





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Phone Referral: Call Intake and Allocation on 1300 292 971. Please refer to PDF for new referral processCosts: Free Private PsychologistsPsychologist listings on National Health Services Directory (Frankston, Mornington, Rosebud, Hastings) Better Access/mental health treatment plan Fact sheet for patients Private psychiatristsNational Health Sevices Directory listings (Frankston, Mornington, Hastings, Rosebud) Family TherapistsFamily Therapists specialising in disability Counselling Family Mental Health Support ServicesReferral: Phone 9556 5333Service Description: Intensive long-term early intervention, short term immediate assistance, community outreach, mental healtheducation and community developmentEligibility: Children and young people up to the age of 18 who are showing early signs of, or are at risk of developing, mentalillness, and their families and carers.Location: Frankston areaCost: Assessed on income - call to confirm cost. Sexual Assault and Family Violence Counselling for Children Ph:1800 357 397 or 97916111AH: 0400 503 338 Children's psychological services and tertiary level mental health servicesMonash Health - Early in Life Mental Health Service (ELMHS)Referral Psychiatric triage Ph 1300 369 012Eligibility Children under 16 years in the Frankston and Mornington Peninsula area in addition to Cardinia, Casey, GreaterDandenong, Kingston and Monash.Description Multidisciplinary mental health team to support children with mental health concerns The Alfred Child and Youth Mental Health Services (CYMHS )If the patient lives between Carrum & Mordialloc (BH) 8552 0553, (AH) 1300 363 746

20 REFERRAL to more than one service or provider at the same time is recommended

Quick info:Significant Development Delay or DisabilityDiagnostic AssessmentIt is recommended that referrals to Paediatricians, Allied Health and ECIS and are made at the same time to reduce wait periods.No diagnosis Is required to refer to ECIS. Behavioural management, support and services can start prior to paediatric or psychiaryappointmentRefer to 1,2 & 31a ) Public Paediatric Clinics-Paediatric Development and Behavioural Issues Outpatients - Peninsula HealthReferral: Fax 9784 2666Enquiries: Ph 9784 2600For Eligibility and Referral information refer to PDFService description: Paediatric clinic for vulnerable children with behavioural & developmental issues

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychology&location=Frankston%203199%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychology&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychology&location=Rosebud%203939%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychology&location=Hastings%203915%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://www.health.gov.au/internet/main/publishing.nsf/content/0F792912834609B4CA257BF0001B74FA/$File/patients2.pdf

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychiatry%20(requires%20referral)&location=Frankston%203199%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychiatry%20(requires%20referral)&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychiatry%20(requires%20referral)&location=Hastings%203915%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychiatry%20(requires%20referral)&location=Rosebud%203939%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://www.aaft.asn.au/find-a-therapist?aaftact=therapistfind&lat=-38.1413993&lon=145.12246389999996&kw=Frankston+VIC%2C+Australia&mname=&specialisation=12

http://www.dss.gov.au/our-responsibilities/mental-health/programmes-services/family-mental-health-support-service-fmhss


http://www.monashchildrenshospital.org/page/Kids_and_Teens/Specialist_Services/Child_and_adolescent_psychiatry/

http://www.alfredhealth.org.au/CYMHS/




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Location: Hastings Community Centre, 185 High St, HastingsDevelopmental Disabilities Clinic –Monash Medical Centre, Clayton Referrals faxed to Developmental Paediatrics Clinic: 9594 3698Provides assessment of behavioural disturbance including Global Developmetnal Delay. Referrals are preferably frompaediatricians. Other referrers are considered. OR b)Private paediatricianPaediatrician listings on National Health Services Directory 2)Private allied health teamBehaviour, Cognition

• Psychologist (Frankston, Mornington, Rosebud, Hastings)


Social Skills

• Speech Therapy (Frankston, Mornington, Hastings, Rosebud)



Gross motor delay

• Physiotherapy (Frankston, Mornington, Rosebud, Hastings)


Fine motor adaptive delay


Language


Sensory processing eg: unusually high or low activity level; over or under sensitive to sensory input.



Family Therapists 3)Early Childhood Intervention ServicesReferral: central Intake, ph 1300 720 151, fax 8765 5784.Application/Referral Form - Parent and Practitioner need to sign.Can be done by parents separate from GP.Description: Services provided to children and families include information and support, planning and service coordination andindividual and group therapy and education. Eligibility: Children with significant behavioural, developmental delay or disability resulting in substantial functional limitations in oneor more of the following areas of major life activity:

• self-care

• receptive and expressive language


• motor development; and

• reflects the child's need for a combination and sequence of special interdisciplinary, or generic care, treatment or other serviceswhich are of extended duration and are individually planned and coordinated

Providers

• Speech Pathologists

http://www.monashchildrenshospital.org/page/About_Us/Monash_Childrens_Services/Developmental_disabilities/

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/results?servicetype=paediatric%20medicine&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i



















http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=physiotherapy&location=Frankston%203199%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=physiotherapy&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=physiotherapy&location=Rosebud%203939%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=physiotherapy&location=Hastings%203915%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i



















http://www.education.vic.gov.au/childhood/providers/needs/Pages/southeastecis.aspx#link55

http://www.education.vic.gov.au/Documents/childhood/parents/needs/ecisformupdatedfeb2015pdfversion.pdf



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• Psychologists

• Physiotherapists

• Occupational Therapists

• Early childhood & early intervention teachers

• Music therapists

• Counsellors/Social Workers

Waiting time is generally between 3 to 12 months.

21 REFERRAL Psychological services for parents

Quick info:Peninsula Health Mental Health Triage Service Referral: for all enquiries or referrals 1300 792 977 Perinatal depressionGP Perinatal Mental Health Guide to local servicesPerinatal Mental Health Assessment and Care Options for Frankston and Mornington Peninsula ATAPSMental Health Access to Allied Psychological Services (ATAPS) programService description: Psychological support for individual patients who are experiencing depression, anxiety, for women (and theirpartners) who may be experiencing perinatal depression, during pregnancy or within the first year following the child's birth. Up to 12 individual sessions with allied mental health practitioner.Combined GP mental health treatment plan and referral form can be found here under Templates.Eligibility: Individual patients who are financially disadvantaged and can't access Better Access.Phone Referral: Call Intake and Allocation on 1300 292 971. Please refer to PDF for new referral processCosts: Free Other ATAPS servicesCounselling, Community Health - Peninsula HealthReferral Via ACCESS, Ph 1300 665 781Fax 9784 2309Description: Generalist and family-based counselling for mild to moderate mental health issues.Exclusions: People entitled to use other services (DVA Gold card holders, Workcover, TAC)Address: Community Health at Frankston, Mornington, Hastings and Rosebud Estimated wait: Community Health Waiting List Private PsychologistsPsychologist listings on National Health Services Directory (Frankston, Mornington, Rosebud, Hastings) Better Access/mental health treatment plan Fact sheet for patients Family TherapistsFamily Therapists specialising in disability Private psychiatristsNational Health Sevices Directory listings (Frankston, Mornington, Hastings, Rosebud) Counselling Family Mental Health Support Services

http://www.peninsulahealth.org.au/health-professionals/gp-liaison/mental-health-services/

http://www.peninsulahealth.org.au/wp-content/uploads/GP-Perinatal-Mental-Health-Guide-.pdf




http://www.peninsulahealth.org.au/services/peninsula-health-community-health/counselling/

http://www.semphn.org.au/sites/default/files/userfiles/CommunityHealthWaitingTimes.pdf





http://www.health.gov.au/internet/main/publishing.nsf/content/0F792912834609B4CA257BF0001B74FA/$File/patients2.pdf


http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychiatry%20(requires%20referral)&location=Frankston%203199%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychiatry%20(requires%20referral)&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychiatry%20(requires%20referral)&location=Hastings%203915%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=psychiatry%20(requires%20referral)&location=Rosebud%203939%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i

http://www.dss.gov.au/our-responsibilities/mental-health/programmes-services/family-mental-health-support-service-fmhss



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Referral: Phone 9556 5333Service Description: Intensive long-term early intervention, short term immediate assistance, community outreach, mental healtheducation and community developmentEligibility: Children and young people up to the age of 18 who are showing early signs of, or are at risk of developing, mentalillness, and their families and carers.Location: Frankston areaCost: Assessed on income - call to confirm cost. Family Relationship Services, counselling, women's groups, men's groups Ph: 9700 0341 Men's Behaviour Change Program - Lifeworks (fee paying)Phone: 1300 543 396 or 9783 7611 Men's Behaviour Change Program - Peninsula Health Phone ACCESS: 1300 665 781 Anger Management for WomenPhone: 1300 543 396Fees apply Sexual Assault and Family Violence Ph: 1800 357 397 or 97916111AH: 0400 503 338 Peninsula Health Alcohol & Other Drugs support for the familyReferral Via ACCESS, Ph 1300 665 781Fax 9787 2309 Family Violence ServicesMornington Ph: 5970 5700 Victims assistance programIntake Worker Ph: 9705 3200 Foundation HousePsychological support for refugees who have been victims of torture or traumatic events prior to coming to Australia Children of Parents with a Mental IllnessInformation resources to support children of parents with a mental illness Carers Vic - supporting family carers Beyond Blue Clinical Practice Guidelines - Depression and related disorders in the perinatal period

22 Community, social support, respite and playgroups

Quick info:Social isolation is an underlying causal factor in many social and emotional presentations. Consider how you might strengthen thefamily's networks and active links to the community Maternal Child Health Services Maternal and child health centres - search for local centre

http://familylife.com.au/

http://www.lifeworks.com.au/shop/item/mens-behaviour-change-program/programs-by-branch-frankston

http://www.frankston.net/angermen.htm

http://www.lifeworks.com.au/shop/item/sea-change---anger-management-for-women/programs-by-branch-frankston


http://www.peninsulahealth.org.au/services/services-a-e/alcohol-drug-services/famdas/

http://www.goodshep.org.au/find-a-service/family-violence/

http://www.windermere.org.au/how-we-help/our-services/victims-assistance-and-counselling-program/

http://www.foundationhouse.org.au/making-a-referral/

http://www.copmi.net.au/

http://www.carersvictoria.org.au/

http://resources.beyondblue.org.au/prism/file?token=BL/0891

http://www.education.vic.gov.au/findaservice/Home.aspx



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Contacts:




Child FIRST - Family SolutionsService Description: Assist families who have multiple issues and can provide:


• In home parenting support




Eligibility: Child aged pre-birth to 17 years living in the Frankston or Mornington areaReferral Phone: 1300 721 383Cost: None Time for a Break - Moira Service: A guide to respite care and recreation services for people with disabilities and their families.Covers the local government areas of Bayside Peninsula - Port Phillip, Bayside, Glen Eira, Stonnington, Kingston, Frankston andMornington Peninsula and Southern Melbourne - Dandenong, Casey and Cardinia.Eligibilty: All people caring for a person with a disability can use respite care. Refer to specific service for eligibility.Phone number: 8552 2222 Carer South - Alfred Health Carer ServicesService: Through the Disability Program, short term support and assistance for carers is provided. Services offered:

• Carer Support Workers Disability

• Respite

• Weekly Newsletter

• Carer Workshops

Eligibility: A carer who provides unpaid care and support to a person with a disability in Melbourne's South or South East. Call toconfirm.Phone: 1800 052 222 Anglicare Victoria Disability Service Service: Support for parents of children with a disability to access resources, services and supports which enhance the careoutcome for their child.Eligibility: children have recognised/diagnosed sensory, neurological or physical impairement.Referral phone: Frankston 9781 6700Mornington Peninsula 5986 9900Cost: None Frankston area childcare and playgroupsTotally Awesome Parents (TAPS) Playgroup for parents with an intellectual disability and their children - Frankston City Council Ph: 9293 7116 - Healthcare card requiredsmalltalk Supported Playgroup - Frankston City Council. No charge to attendPh: 9293 7116smalltalk Supported Playgroup Programsmalltalk Guide for Parentssmalltalk Referral FormFrankston City Council child care


http://www.moira.org.au/resources/time-for-a-break-2016

http://www.carersouth.org.au/


http://www.frankston.vic.gov.au/Our_Community/Family_Services/Child_Care



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Life's Little Treasures - Premmies Support Group Frankston, Ph: 1300 697 736 Mornington Peninsula area childcare and playgroupsMornington Peninsula Shire Kindergartens Care Mornington Peninsula Shire policy is for vulnerable families to have priority access to 3-4 year old kindergarten.Mornington Peninsula Shire playgroups are provided at low or no cost to families. Phone: 5950 1635Premmies on the Peninsula Biala Peninsula phone: 5975 1820My Time Playgroup Support Group for children with a Disability/Developmental Concerns Biala Peninsula phone: 5975 1820 Migrant and Refugee assistanceNew Hope FrankstonAssists migrants and refugees to access appropriate services - not an emergency service Other supportsMirabel Foundation For addressing the needs of children who have been orphaned or abandoned due to parental drug use Phone: 9527 9422

23 REFERRAL Private specialists and allied health

Quick info:Private PaediatriciansPaediatrician listings on National Health Services Directory Funding for private allied health services: Consider Chronic Disease Management and Mental Health Treatment Plan item numbers if appropriate.Private Allied Health (links are to National Health Services Directory listings)Behaviour, Cognition



Social Skills




Gross motor delay





Language




http://www.lifeslittletreasures.org.au/prematurity-resources/support-for-families/support-groups/

http://www.education.vic.gov.au/findaservice/Home.aspx

http://www.mornpen.vic.gov.au/Services_For_You/Children_Families/Playgroups_Toy_Libraries

http://www.bialapeninsula.org.au/premmies-on-the-peninsula.html

http://www.bialapeninsula.org.au/my-time-playgroup.html

http://www.newhope.asn.au/

http://www.mirabelfoundation.org.au/

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=paediatric%20medicine&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i







































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• Occupational therapy (Frankston, Mornington, Rosebud) Item numbers for GPs (consider that there is a gap fee)Consider Chronic disease management MBS items 721 and 723 A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer,cardiovascular disease, diabetes, musculoskeletal conditions and stroke.There is no list of eligible conditions. However, the CDM items are designed for patients who require a structured approach and toenable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team.Mental Health Treatment PlanCan be used for psychologist, social worker, approved mental health occupational therapistMBS Item numbers: 2700, 2701, 2715, 2717

24 REFERRAL Peninsula Health - Children's Services - Paediatric Outpatient Clinic

Quick info:Public referral optionsPeninsula Health Children's ServicesReferral: Ph ACCESS 1300 665 781, fax 9784 2309Eligibility:

• birth to school entry

• those with specific mild to moderate developmental delay in one or more area

Description

• Assessment, feedback and recommendations provided

• Therapy sessions, short term intervention plans

• Coordinated care for children with mild to moderate delays in one or more domains

• Parent skill development-

• Group programs -generally 4-8 weeks and may include speech and language, fine/gross motor, attention and concentration andsocial goals. Parent participation is required.

Service providers


• Psychologists

• Podiatrist



• Dietician

• Audiologist

Mild and Isolated Speech DelayFrankston Hospital Speech Pathology DepartmentReferral: Ph ACCESS 1300 665 781Service Description: Paediatric Speech Pathologists work with children with difficulties in areas of articulation, language, stuterring,voice and social skills.Location: Level 2, Frankston Integrated Health Centre, Hastings Rd, Frankston Paediatric Development and Behavioural Issues Outpatients - Peninsula HealthReferral: Fax 9784 2666Enquiries: Ph 9784 2600Service description: Paediatric clinic for vulnerable children with behavioural & developmental issuesFor Eligibility and Referral information refer to PDF.Location: Refer to PDF





http://www.peninsulahealth.org.au/services/services-a-e/allied-health/speech-pathology-2/paediatric-services/




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Peninsula Health Paediatric Continence ClinicReferral via ACCESS phone: 1300 665 781, fax 9787 9954Eligibility: Children 3+ with bowel problems, Children 5 years + with bladder and/or bowel problemsAddress: The Mornington Centre, Cnr Tyalla Gve and Separation St, Mornington

25 REFERRAL Early Childhood intervention Services (ECIS)

Quick info:Early Childhood Intervention ServicesReferral: central Intake, ph 1300 720 151, fax 8765 5784. Application/Referral Form - Parent and Practitioner need tosign. Can be done by parents separate from GP.Description: Services provided to children and families include information and support, planning and service coordination andindividual and group therapy and education. Eligibility: Children with significant behavioural, developmental delay or disability resulting in substantial functional limitations in oneor more of the following areas of major life activity:

• self-care

• receptive and expressive language


• motor development; and

• reflects the child's need for a combination and sequence of special interdisciplinary, or generic care, treatment or other serviceswhich are of extended duration and are individually planned and coordinated

Providers


• Psychologists



• Early childhood & early intervention teachers

• Music therapists

• Counsellors/Social Workers

Waiting time is generally between 3 to 12 months.

26 REFERRAL Paediatrician - Public and Private

Quick info:Paediatric Development and Behavioural Issues Outpatients - Peninsula HealthReferral: Fax 9784 2666Enquiries: Ph 9784 2600Service description: Paediatric clinic for vulnerable children with behavioural & developmental issuesFor Eligibility and Referral information refer to PDFLocation: refer to PDF Developmental Disabilities Clinic –Monash Medical Centre, Clayton Referrals faxed to Developmental Paediatrics Clinic: 9594 3698Provides assessment of behavioural disturbance including Global Developmetnal Delay. Referrals are preferably frompaediatricians. Other referrers are considered. Private PaediatriciansPaediatrician listings on National Health Services Directory

27 REFERRAL Allied Health - Private

Quick info:


http://www.education.vic.gov.au/childhood/providers/needs/Pages/southeastecis.aspx#link55




http://www.monashchildrenshospital.org/page/About_Us/Monash_Childrens_Services/Developmental_disabilities/

http://widgets.nhsd.com.au/nhsd/widget/modular/web//#/externalsearch?servicetype=paediatric%20medicine&location=Mornington%203931%20VIC&apiKey=nhccn-5yKytvhPY1U5sWSwnvrbNd1i



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Funding for private allied health services: Consider Chronic Disease Management and Mental Health Treatment Plan item numbers if appropriate. Private Allied Health (links are to National Health Services Directory listings)Behaviour, Cognition



Social Skills




Gross motor delay





Language





Item numbers for GPs (consider that there is a gap fee)Consider Chronic disease management MBS items 721 and 723 A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer,cardiovascular disease, diabetes, musculoskeletal conditions and stroke.There is no list of eligible conditions. However, the CDM items are designed for patients who require a structured approach and toenable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team.Mental Health Treatment PlanCan be used for psychologist, social worker, approved mental health occupational therapistMBS Item numbers: 2700, 2701, 2715, 2717

28 Preparing for Primary School

Quick info:Transition ResourcesTransiton to School Fact SheetTransition PlansDescription Child with Transition Plan with development delay - the school will organise a meeting between Kindergarten, PrimarySchool and parent to develop a plan for studentAutism Spectrum Disorder Transition plan - involving kindergarten and primary school and parent to develop a plan specific to meetthe needs for the child.Similar meetings are held for other diagnoses.This is applicable for all levels of primary school.









































http://www.earlychildhoodaustralia.org.au/parent-resources/transition-school/



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Transiton to School Resource provides a community-wide approach to the Transtion to School with practical infromation, support,resources and strategies for:

• Families

• Early childhood Intervention Services

• Early childhood education and care professionals

• Teachers in school

• Community organisations

Transitioning a Student with a Disability Resource Home Interaction for Parents and Youngsters (HIPPY Frankston North)Description: 2 year program that supports the parent/s or carer to prepare their child for school.It provides a trained home tutor to visit the family at home fortnightly and also organises a parent group on a fortnightly basis. Thehome tutor will support parents to become more involved with thier child to start school confidently.Contact: 9786 0724 or 0429 861 118 Eligibility: pre-school-aged child who turns 4 by 30th April who may benefit from home based program. for those who live inFrankston North, Frankston Central, Karingal or Seaford East (Belvedere).Cost: Free Monash University Clinic for Children and Youth (MUCKY)Service description: School Readiness service is designed for children presenting with mild to moderate developmental delaywho have been unable to access other funded services. It is being offered by Registered Occupational Therapists and OccupationalTherapy students.Contact: 9904 4023Cost: Refer to fee schedule At SchoolStudent Support Services Officer (SSSO)Service description: Student Support Services Officers assist children and young people faced with learning barriers to achieve theireducational and developmental potential.This may include - assessment, development of appropriate learning plans, referral to external agencies or allied health providers,information about funding support and an ongoing role supporting the wellbeing of the student. Eligibility: Child not previously assessed, no preschool attendance, behavioural issues and does not have a transition planContact: SSSO Co-ordinator via Primary School Wellbeing Officer or Assistant Principal Cool Kids are School Kids - AnglicareVicService description: for those who are at risk of disengaging from primary school due to:

• being bullied at school

• cognitive disabilities - ASD, ADHD, ID. OCD

• parents with mental health issues

• children with mental health issues

• family dysfunction

Group work with both parents and children in partnership with the school developing social and emotional skills; children & familiesengaged all year in the program.Contact: 9781 6700 Koorie Engagement Support Officers (KESO) in schools for Frankston and Mornington PeninsulaContacts: Linda Mullett: 0475 819 630Eric Clarke: 0475 808 109Shilo Van Sanden - 0476 836 530 Deaf children at Primary School - Aussie Deaf Kids Description: a guide to supporting your child through primary school

http://www.transitiontoschoolresource.org.au

http://www.education.vic.gov.au/school/parents/needs/Pages/careersupport.aspx

http://www.hippyaustralia.org.au

http://www.med.monash.edu.au/ot/services/muccy/

http://www.education.vic.gov.au/school/principals/health/Pages/ssso.aspx?Redirect=1

http://www.education.vic.gov.au/about/programs/aboriginal/pages/aboriginalsupport.aspx

http://www.aussiedeafkids.org.au/education.html



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29 GP review

Quick info:GP review is an opportunity to:

• re-assess behaviour

• support parents/carer

• review response to intervention/s

Improvement

• behaviour improves

• measures introduced to manage problems, eg parent education program, are continuing to be effective

• monitor

Developmental Delay Child Development/ Developmental Delay

Provenance certificate

Contents

Overview

Editorial methodology

Contributors

Disclaimers

Overview

This document describes the provenance of the Developmental Delay in Children pathway.

This pathway was created in March-July 2016.

The Peninsula Pathways Program aims to improve the continuity of patient care between primary,

community and hospital care settings in the Frankston-Mornington Peninsula region. Work groups

comprising of experienced health professionals (GPs, specialists, nurses, allied health professionals)

were established to review and localise pathways.

This comprehensive pathway has been developed to improve access to appropriate and timely

services for children who present with developmental delay. It provides clinicians with a

comprehensive list of assessment tools, management strategies and linkages to services (clinical

and community based) to support the holistic care for the child and their families.

Published: July 2016

Valid until: July 2018

To cite this pathway, use the following format:

Map of Medicine (MoM). Developmental Delay. Frankston-Mornington Peninsula Medicare Local

View. Melbourne: Map of Medicine; 2016.

Editorial methodology

This care map has been based on a Map of Medicine care map developed according to the Map of

Medicine editorial methodology. The content of this Map of Medicine care map is based on the

Behavioural Issues – Child and Youth care pathway and high quality practice-based knowledge

provided by contributors with front-line clinical experience (see contributors section of this

document).

Editor

Alon Diner, Provider Support Officer, SEMPHN

Contributors

The following were members of the Behavioural Issues in Children 0-5years Workgroup:

Dr Monica Cooper, Paediatrician, Peninsula Health

Dr Ehab Mostokly, General Practitioner, Ballarto Medical Centre

Dr Joanne Newton, General Practitioner, GP Liaison, Peninsula Health

Developmental Delay Child Development/ Developmental Delay

Karen Anderson, Program Manager, Prevention and Child Health, Peninsula Health

Community Health

Margo O’Callaghan, Speech Pathologist, Peninsula Speech Pathology Services

Jacqui Zuidema, Early Childhood Intervention Teacher, Biala Peninsula

Sarah Munn, Occupational Therapist, Barefoot OT

Steve Watkinson, Manager Family Solutions, Frankston and Mornington Peninsula Anglicare

Victoria

Liz Palk, Team Leader, Child & Family Health Services, Mornington Peninsula Shire

Conflicts of interest: none declared

Contributors as part of the Developmental Delay pathway wider consultation:

Irene Fisher, Indigenous Health Project Officer, SEMPHN

Lauren Davidson, Family Solutions Case Manager, Good Shepherd Australia New Zealand

Michelle Wright, Family Solutions Social Work Student, Good Shepherd Australia New

Zealand

The pathway was reviewed by the following:

Dr John Giannakakis, General Practitioner, The Hastings Clinic

Dr Emma Donovan, General Practitioner, Langpark Medical Centre

Conflicts of interest: none declared

Disclaimers

It is not the function of the Pathways Program, Frankston-Mornington Peninsula Medicare Local to

substitute for the role of the clinician, but to support the clinician in enabling access to know-how

and knowledge. Users of the Map of Medicine are therefore urged to use their own professional

judgement to ensure that the patient receives the best possible care. Whilst reasonable efforts

have been made to ensure the accuracy of the information on this online clinical knowledge

resource, we cannot guarantee its correctness and completeness. The information on the Map of

Medicine is subject to change and we cannot guarantee that it is up-to-date