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Pediatrics

Developmental Pediatrics Services and Clinics


The Child Development Clinic is made up of pediatricians, developmental pediatricians, a developmental pediatric nurse, social worker, patient navigator and consultation with child psychiatry and child psychology, as needed. The clinic serves to provide developmental assessments for preschool and school-age children and youth 12 months to 17 years of age who have been referred due to developmental delays or concerns or school issues.

Children are initially assessed in the General Pediatric Consultation Clinic at St. Michael's Hospital to facilitate medical evaluation and initial investigations and to collect relevant information for triage to the most appropriate Developmental Pediatric services team member(s).

A developmental pediatric assessment often occurs over a few clinic visits, including a thorough developmental history, which may be followed by standardized testing and/or questionnaires. Developmental assessments consider the medical, neurological, genetic and psychosocial aspects of children’s and adolescents’ development and behaviour. Following the assessment, the developmental team member(s) discusses the developmental assessment with the parent(s)/caregiver(s) and provides recommendations and resources.

The clinic works closely with parents, teachers and community agencies to ensure that each child’s strengths and needs are recognized and appropriate developmental services and supports are set in place. The developmental clinic team also provides follow-up and developmental monitoring, as needed.

The Child Development Clinics are located at St. Michael’s Hospital as well as at various inner city St. Michael’s developmental outreach program sites, including two Toronto District School Board model school clinics, an EarlyON Child and Family Centre and St. Michael’s family health teams.

Common reasons for a developmental pediatric referral include:

  • Developmental delays (i.e., speech-language delay, fine motor delay, social delay)
  • Suspected autism spectrum disorder
  • School or learning difficulties
  • Behavioural concerns
  • Attention difficulties
  • Genetic disorders

Team members

Dr. Ripudaman Minhas Dr. Elizabeth Young Lorna Bartholomew Bernadette Becker
Dr. Ripudaman Minhas Dr. Elizabeth Young Lorna Bartholomew - registered nurse Bernadette Becker - registered nurse
Dr. Karen Milligan Jasmina Pilasanovic Dorjana Vojvoda
Dr. Karen Milligan, psychologist Jasmina Pilasanovic - developmental counselor - PFBB Dorjana Vojvoda – patient navigator

Resources

While you wait for a pediatric developmental consultation:

  • If your child has speech/language delay, it is recommended that you complete a free speech-language assessment for your child through Early Abilities. You may self-refer.
  • If your child has a speech-language delay, ask your family doctor or pediatrician to refer your child for an audiology assessment while you wait for your appointment with a developmental pediatrician.
  • Early Childhood Education (daycare, preschool or EarlyON drop-in centre programs) is recommended for patients with delays in their development as a form of early intervention to foster development. CityKids can help you get started.

Resources for children with Autism Spectrum Disorder:

Resources for children with developmental delay:

Resources for children with ADHD:

Resources for children with learning disabilities:

Resources for children with hearing impairment:

Resources for children with vision impairment:

Resources for children with Down syndrome:

Funding resources for children with special needs:

Contact/referral

All consultations are by referral only. A member of our clinic team will contact the patient within two weeks of receiving a referral.