Neuropsychology's Role in Multidisciplinary Follow-Up Care of Neurologically Complex Infants and Toddlers

IF 2.1 3区医学 Q2 CLINICAL NEUROLOGY Pediatric neurology Pub Date : 2025-03-01 Epub Date: 2025-01-16 DOI:10.1016/j.pediatrneurol.2025.01.008

Lauren E. Miller PhD , Danielle M. Glad PhD , Jessica C. Luepke MS , Jennifer I. Koop PhD , Samuel J. Adams MD , Katherine A. Carlton MD , Susan S. Cohen MD , Amy K. Heffelfinger PhD

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Abstract

Background

Adverse effects on brain development prenatally and during early childhood can disrupt cognitive development, with earlier neural insults often proving to be particularly detrimental. As such, infants and toddlers with neurological conditions are at increased risk for medical and neurodevelopmental complications. Pediatric neuropsychologists are well suited to evaluate brain-behavior relationships and identify emergent delays in these patients. The roles of pediatric neuropsychology in the care of neurologically complex young children are reviewed and discussed by highlighting a novel neonatal intensive care unit (NICU) follow-up clinic model.

Methods

The Developmentally Ready: Engagement for Achievement of Milestones (DREAM) Clinic is a multidisciplinary NICU follow-up clinic designed for the care of neurologically complex young children. The DREAM Clinic is led by neonatal neurology and supported by pediatric neuropsychology, neonatology, physical medicine and rehabilitation, and pediatric psychology.

Results

The review of pediatric neuropsychologists’ contributions to the DREAM Clinic elucidated that pediatric neuropsychologists are valuable care partners to both medical providers and families in this multidisciplinary setting.

Conclusions

The DREAM Clinic provides a model for the structure, feasibility, and importance of involving pediatric neuropsychologists in the multidisciplinary developmental follow-up care of neurologically complex young children.

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神经心理学在神经性复杂婴幼儿多学科随访护理中的作用。

背景：产前和儿童早期对大脑发育的不利影响会破坏认知发育，早期的神经损伤通常被证明是特别有害的。因此，患有神经系统疾病的婴幼儿患医学和神经发育并发症的风险增加。儿童神经心理学家非常适合评估大脑-行为关系，并确定这些患者的紧急延迟。小儿神经心理学在神经系统复杂的幼儿护理中的作用通过强调一种新的新生儿重症监护病房（NICU）随访临床模型进行了回顾和讨论。方法：发展准备：参与实现里程碑（DREAM）诊所是一个多学科的新生儿重症监护室随访诊所，旨在照顾神经系统复杂的幼儿。DREAM诊所以新生儿神经病学为主导，儿科神经心理学、新生儿科、物理医学与康复学、儿科心理学为辅助。结果：对儿童神经心理学家对DREAM诊所的贡献的回顾阐明了儿童神经心理学家是医疗提供者和家庭在这个多学科环境中有价值的护理伙伴。结论：DREAM诊所为儿童神经心理学家参与神经系统复杂幼儿多学科发展随访护理的结构、可行性和重要性提供了一种模式。

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来源期刊

Pediatric neurology 医学-临床神经学

CiteScore

4.80

自引率

2.60%

发文量

176

审稿时长

78 days

期刊介绍： Pediatric Neurology publishes timely peer-reviewed clinical and research articles covering all aspects of the developing nervous system. Pediatric Neurology features up-to-the-minute publication of the latest advances in the diagnosis, management, and treatment of pediatric neurologic disorders. The journal''s editor, E. Steve Roach, in conjunction with the team of Associate Editors, heads an internationally recognized editorial board, ensuring the most authoritative and extensive coverage of the field. Among the topics covered are: epilepsy, mitochondrial diseases, congenital malformations, chromosomopathies, peripheral neuropathies, perinatal and childhood stroke, cerebral palsy, as well as other diseases affecting the developing nervous system.