MUSC Developmental-Behavioral Pediatrics has established a number of specialty clinics to address the needs of special populations:
ADHD Evaluation Clinic provides evidenced-based evaluation and treatment for children and adolescents with suspected Attention-Deficit/Hyperactivity Disorder (ADHD). In addition, medical consultations for children with diagnosed ADHD who have failed previous management strategies are provided. A detailed history and assessment are completed to address co-morbid disorders, such as depression, anxiety, oppositional defiant disorder, conduct disorder, and tic disorders.
Autism Spectrum Disorder Evaluation Clinic utilizes clinical interview, state-of-the art tests, and consultation with teachers and other professionals for the evaluation of autism spectrum disorder and/or differential diagnoses. The refined diagnostic process guides effective, evidenced-based treatment planning, often including referral to allied health professionals. CHAT Clinic (named for an autism screening tool) provides evaluation of young children who present with primary concerns for autism spectrum disorder. Interactive structured play sessions, autism-directed history, and neurodevelopmental testing are conducted to determine diagnosis or need for more in-depth diagnostic testing. Autism Care Navigation is provided to our patients with Autism Spectrum Disorder to ensure continuity of care, access to a comprehensive range of evidence-based interventions, and autism support services.
Cardiac Neurodevelopmental Follow-Up Clinic addresses the care of infants and children with complex congenital heart lesions by following the state-of-the art guidelines of the American Heart Association. The team of providers – including cardiology, developmental-behavioral pediatrics, nutrition, occupational therapy, and psychology – conduct medical, developmental, and behavioral assessments at every visit. These children are followed regularly through school age to ensure early identification and intervention of potential developmental, behavioral, and school related difficulties.
Down Syndrome Clinic focuses on the special needs of children with Down syndrome through an interdisciplinary team of providers, representing developmental-behavioral pediatrics, genetics, otolaryngology, speech language therapy, occupational and physical therapy, and social work. In depth evaluations are completed, often in an arena setting.
Developmental-Behavioral Evaluation Clinic (DBEC) is a multidisciplinary clinic designed to evaluate children with developmental disabilities and significant behavioral or psychiatric problems. Children seen in this clinic are quite complex, and the referring provider is seeking an additional, expert opinion regarding differential diagnosis. The DBEC team of providers includes developmental-behavioral pediatrics, child psychiatry, school psychology, and social work.
High Risk NICU Follow-Up Clinic addresses the routine follow-up of high-risk infants discharged from the NICU. The team of providers – including neonatology, developmental-behavioral pediatrics, and psychology – conduct medical, developmental, and behavioral assessments at every visit. These children are followed regularly until school age (6 years of age) to ensure early identification and intervention. Common outcomes include cerebral palsy, failure to thrive, hydrocephalus, hypoxic-ischemic encephalopathy, periventricular leukomalacia, global developmental delays, vision and hearing impairments, learning disabilities, language disorders, sleep disorders, behavioral disorders, and ADHD.
Infant and Toddler Evaluation Clinic evaluates children ages 0-3 years with concerns for delayed development in one or more developmental domains, including gross motor, fine motor, language, problem-solving, and/or social-emotional. Children sometimes present with primary behavior concerns. Diagnostic evaluation includes history, physical, and neurodevelopmental screening.
International Adoption Clinic offers a multidisciplinary team evaluation with a developmental-behavioral pediatrician, a pediatrician with expertise in tropical and international medicine, and an occupational therapist. Previously institutionalized internationally adopted children are at risk for developmental delays, psychosocial growth failure, fetal alcohol spectrum disorders, attachment disorders, and other behavioral disorders as a result of possible abuse or neglect.
Neuropsychology Clinic evaluates children and adolescents with complex medical and developmental histories, for whom thorough assessment of the range of thinking skills and behavior may assist with differential diagnosis and effective treatment planning. Children with a history of epilepsy, traumatic brain injury, sickle cell disease, cancer and brain tumor treatment, genetic syndromes, and other neurologic conditions benefit from this type of evaluation that can help explain brain-behavior relationships. In addition, children with learning disabilities, ADHD, and autism spectrum disorder, for whom previous evaluations and/or interventions proved ineffective, may benefit from a neuropsychological evaluation.
Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for young children with emotional and behavioral disorders that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. Developmental-Behavioral Pediatrics offers PCIT services to children (ages 2-7) who are followed in the division and have oppositional, defiant, and aggressive behavior. An initial visit is aimed at gathering information about presenting concerns and history. Subsequent, weekly visits typically involve observation and guided behavioral intervention in the context of parent-child play.
Preschool Clinic evaluates children ages 4-6 years who present with a range of concerns, including developmental delays, behavior problems, language disorder, fine motor dyspraxia, intellectual disability, autism spectrum disorder, ADHD, oppositional defiant disorder, and anxiety disorders. Developmental-behavioral pediatricians and/or psychologists evaluate this broad range of referring concerns to inform effective, evidenced-based treatment, including referral to allied health professionals.
School-Age Clinic evaluates children and adolescents who are 6 years of age and older with concerns for academic difficulty and/or behavior problems, such as ADHD, autism spectrum disorder, learning disability, and intellectual disability. Developmental-behavioral pediatricians and/or psychologists evaluate this broad range of referring concerns to inform effective, evidenced-based treatment, including referral to allied health professionals.
Spina Bifida Clinic is an interdisciplinary clinic representing developmental-behavioral pediatrics, pediatric orthopedics, pediatric neurosurgery, pediatric urology, physical therapy, and nursing. All patients followed in this clinic receive annual developmental-behavioral screening and general pediatric care addressing the special needs associated with spina bifida.