Topic: Children’s health

It can be difficult to know when a child’s behaviour is a typical developmental stage or whether further intervention is needed.

Examples of challenging behaviour include:

• defiance/refusing age-appropriate requests
• overly fussy such as difficulty settling
• hurting self/others
• excessively angry when refused their wishes
• ongoing or frequent emotional outbursts

When to refer?

Challenging behaviour is part of typical development.

However, families need support if their child’s behaviour is impacting on family functioning, the child’s engagement in daily tasks and learning environments, or if there are safety concerns.

Some behaviours may be due to an undiagnosed developmental delay (e.g., social, emotional, communication), disability or trauma.

Where to refer?

• psychologist or family therapist
• parent-child interaction therapist
• parenting education program such as Circle of Security or Tuning in to Kids

 Find out more

• where and how to refer
• parent child interaction therapist
• EACH referral
• parent handouts (English, Vietnamese, Arabic) 

 

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These articles are written by members of the ‘Stronger Seeds, Taller Trees’ project which includes professionals from a number of government and non-government organisations in South Western Sydney. The group aims to support GPs working with families to navigate and access timely services when they have a concern about a child’s development.

One in four children in South Western Sydney are at risk of delayed fine motor skills.

The importance of fine motor skills

Fine motor skills allow children to participate in play, self-care and school-based tasks. Early intervention services can maximise outcomes for children who may be having difficulty learning these skills.

Fine motor skills include:

• hand and finger strength
• hand preference
• using two hands together
• hand-eye coordination
• object and pencil grasp
• cutting skills
• drawing and handwriting skills

 Screen and refer

Every appointment is an opportunity to screen a child’s fine motor skills. It is more important than ever to refer to occupational therapy early as waiting times in both public and private services are increasing.

How to identify a fine motor delay

Quick checklist by age

Occupational therapy: Where and how to refer

 

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A Neighbourhood Centre is a good first point of contact for families and individuals, and is a place for local people to access a range of community services which can include:

• activities for children and young people and information for parents
• educational and self-help courses, activities and groups for parents
• referrals to other services
• a welcoming place where people can discuss a problem and gain help
• other support such as emergency relief and no interest loans

Neighbourhood Centres have existed in NSW since at about 1961. They’re independent community based not-for-profit organisations funded by the NSW Government.

Download a list of Neighbourhood Centres in South Western Sydney.

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These articles are written by members of the ‘Stronger Seeds, Taller Trees’ project which includes professionals from a number of government and non-government organisations in South Western Sydney. The group aims to support GPs working with families to navigate and access timely services when they have a concern about a child’s development.

One in five children in South Western Sydney are at risk of poor language outcomes.

The importance of language skills

Language skills are needed to understand and communicate across different environments. A child’s early language skills are predictive of long-term outcomes.

The harm of ‘watching and waiting’

Watching and waiting will not rectify a language delay. Instead, it will prevent children from accessing critical early intervention.

 It’s more important than ever to refer early, as waiting times in both public and private services are growing.

Instead: screen and act

Every consultation is an opportunity to screen a child’s communication. In addition to the Blue Book, you can use this screening checklist to identify when needs a referral to a speech pathologist. 

These articles are written by members of the ‘Stronger Seeds, Taller Trees’ project which includes professionals from a number of government and non-government organisations in South Western Sydney. The group aims to support GPs working with families to navigate and access timely services when they have a concern about a child’s development. 

It’s time to start thinking about whether children are ready for school when they are four.

Transition to school has an impact on a child’s educational trajectory.

A successful transition to school requires more than academic skills.

It requires social, emotional, communication, and motor skills.

GPs have a role in partnering with schools and supporting families to:

• Find early learning opportunities like playgroup and preschool (Starting Blocks)
• Access supports if there are concerns about their child’s development (Where and how to refer)
• Delay school start if a child is not ready (children in NSW should start school by the year they turn six)
• Enrol and attend kindergarten orientation (NSW Department of Education Parents and Carers Hub)
• Communicate with their school if additional supports are required (Enrolling and starting primary school: children with disability)
• Ensure their child is ready (Starting School: preparing children)

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Further links:

Children with disability have the right to go to school alongside their peers: Reimagine Australia Ready, Set, School! resource

Starting School (NSW Department of Education)

Playgroup NSW

Find your local school

Transition to School Resource

Crunch&Sip

Conversations for Collaboration

Early intervention: where and how to refer

These articles are written by members of the ‘Stronger Seeds, Taller Trees’ project which includes professionals from a number of government and non-government organisations in South Western Sydney. The group aims to support GPs working with families to navigate and access timely services when they have a concern about a child’s development. 

When parents and carers have concerns about their child’s development, their GP may connect them to a range of mainstream services and refer them to an Early Childhood Partner.

The Early Childhood Approach (formerly the Early Childhood Early Intervention – ECEI) service helps families with children up to eight years with assistance, advice and access to support in the local community.

If a child has a disability or if there are concerns with their development, families may be eligible to receive support from the NDIS through the Early Childhood Approach. Children up to six years with developmental delays or concerns do not need a diagnosis to be referred.

EACH is the Early Childhood Partner in South Western Sydney.

Find your local Early Childhood Partner

Information for GPs

Early Childhood Approach Guidelines

EACH phone referrals: 1300 003 224

EACH referral form

Send referral form to: PITC.EACH.ENQUIRIES@ndis.gov.au

These articles are written by members of the ‘Stronger Seeds, Taller Trees’ project which includes professionals from a number of government and non-government organisations in South Western Sydney. The group aims to support GPs working with families to navigate and access timely services when they have a concern about a child’s development.