The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

SMJ // Article

Perspectives

The Five Essential Concepts of Developmental Medicine: A Medical Paradigm for People with Developmental Disabilities

Authors: Ryan Daniel, MD, Bronwyn Bennett, MS, Linda Edwards, MD, Philip May, MD, Rafik Jacob, MD

Abstract

Developmental disabilities and neurodevelopmental disorders (NDDs) are lifelong conditions that present complex medical challenges, particularly as individuals transition from pediatric to adult health care. Although these disorders typically manifest in cognitive impairment, motor dysfunction, seizures, and behavioral dysregulation, the degree of these symptoms can vary widely. This article introduces a structured clinical model known as the "Five Essential Concepts of Developmental Medicine," designed to guide the care of adults with NDDs. These concepts focus on understanding childhood-onset brain dysfunction, identifying the specific neurodevelopmental diagnosis, recognizing complications, assessing secondary consequences, and addressing syndrome-specific conditions. The model emphasizes the need for individualized care to prevent diagnostic overshadowing and ensure comprehensive health management. The authors advocate for integrated, multidisciplinary care systems, highlighting the critical importance of tailored screenings, early diagnosis, and proactive management to improve the quality of life for individuals with NDDs and developmental disabilities. This approach aims to bridge the gap in health care for this underserved population, addressing their unique medical needs and ensuring equitable access to care throughout the lifespan.
Posted in: Neurology19

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