1. Referral criteria.

This concept includes all children under 6 years of age who are delayed in the appearance of milestones expected for their age or who present symptoms that suggest a significant qualitative deviation from normal development.

  • “High Resolution” Submission:
    • Developmental regression or loss of previously acquired cognitive or motor skills.
  • Preferential Referral:
    • Children under 12 months with delayed gross motor development and/or hypotonia.
  • Ordinary Referral:
    • Over 12 months with developmental delay in any of the areas of development (motor, language, socialization, adaptive) or more than 1 area (global developmental delay). Includes suspected language delay, language disorder, psychomotor delay, or autism spectrum disorder.
  • NOT indicated referral:
    • Over 36 months in 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:

  • Family history of neurodevelopmental disorders, consanguinity.
  • Family structure, socioeconomic situation and coexistence dynamics.
  • Family language if it is different from the community language (Valencian or Spanish).
  • Perinatal history.
  • Development history. It should include a Haizea-Llevant screening if developmental delay is suspected, and an M-CHAT if autism spectrum disorder is suspected.
  • History of early schooling (kindergarten).
  • Neurological examination.
  • Analysis with iron metabolism and CK (in case of delayed gross motor development).
  • Referral to early care (indicated in children under 36 months with developmental disorders, or risk of having them).