1. Referral criteria.

This concept includes all children over 6 years of age referred directly by the school or who come at the initiative of their parents after being informed by the school of a problem that occurs in this environment.

  • Preferential Referral:
    • Developmental regression or loss of previously acquired cognitive skills.
  • Ordinary Referral:
    • Poor academic performance: includes suspicion of specific learning disorders (dyslexia or dyscalculia, etc.), attention problems (ADHD), borderline intellectual capacity or intellectual disability.
    • Those behavioral problems in the school environment related to excessive impulsivity (ADHD), if you meet the following requirements (all):
      • They are observable in multiple contexts (family and school).
      • The family desires pharmacological intervention.
      • They do not present additional psychiatric comorbidity that makes their evaluation in USMIA advisable for comprehensive care (neuropediatrics does not have psychology or social work resources).
  • NOT indicated referral:
    • Behavioral problems secondary to coexistence conflicts, bullying, emotional or family problems, behavioral problems derived from abusive behavior (both new technologies and substances).
    • Patients under active follow-up by another service for the same reason for consultation (USMIA), in whom there is NO additional neurological comorbidity (epilepsy, etc.) that justifies the need for specific care in pediatric neurology.

2. Minimum data of the interconsultation:

  • Socio-psychological-pedagogical report issued by the school counselor, which includes quantitative information regarding the reason for referral (standardized ADHD questionnaires, individualized intelligence assessment, etc.). It must be attached to Abucasis in "external documents", for review before the appointment. Families systematically forget to bring the report to the consultation, because they assume that the computer system allows it to be consulted on site by digital means, and they have usually already provided it in the primary care consultation.
  • Family history of neurodevelopmental disorders, consanguinity.
  • Family structure, socioeconomic situation and coexistence dynamics.
  • Family language, if it is different from the vehicular language of the school.
  • Development history.
  • School history (current school support, repetition, changes of center and reasons why it has been necessary).
  • Ophthalmological evaluation.
  • Analysis with iron metabolism (not necessary if you have one in the last year).