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Screening Toddlers for Developmental Delays: Autism Diagnosis Is Unique

New Developmental Screening Program for Children in Victoria

The Victorian government has announced a new initiative to offer free developmental screening for all children in the state. This plan, part of the Thriving Kids program, aims to identify and support children who may be experiencing developmental delays before they start kindergarten and prep. While some media reports have suggested that this program is focused on autism, it actually takes a broader approach, concentrating on overall development rather than specific diagnoses such as autism or attention-deficit hyperactivity disorder (ADHD).

This initiative builds upon existing practices in maternal and child health services, which already play a vital role in monitoring children’s development from an early age. Nurses use various screening tools, such as brief checklists, to assess whether children are meeting key developmental milestones in areas like social skills, communication, and motor development.

What the New Screenings Can Achieve

The new screenings aim to detect children who appear to be developing typically in their early years but may later fall behind. Early intervention can make a significant difference in helping these children catch up before starting school. In 2024, only 52.9% of children started school developmentally on track, highlighting the need for more proactive support.

For example, a four-year-old who has been moved between childcare centers due to behavioral issues might be identified as having a language delay through a developmental screen. Understanding the root cause of the behavior allows for targeted support, improving the child’s transition to school.

Key Steps for Success

To ensure the success of this program, several factors must be addressed:

  1. Ensure Access

    Parents often face challenges accessing early childhood education and health services due to language barriers, transportation issues, or balancing work and family responsibilities. The Victorian plan includes community hubs, which bring together services for children and families in one location. These hubs have shown effectiveness in connecting parents, especially those from marginalized communities.

  2. Focus on Developmental Delay, Not Diagnosis

    The screening should prioritize identifying children showing signs of delay and connecting them with appropriate support. The focus should be on whether the child has the necessary social, communication, emotional, and motor skills to start school, rather than on specific diagnoses.

  3. Know What Happens Next

    A successful screening program requires clear pathways to support. However, there are significant gaps in allied health services. A 2025 survey revealed long-term shortages of professionals such as occupational therapists, speech pathologists, and psychologists, with some families waiting up to two years for appointments.

Imagine a parent of a three-year-old being told their child has a moderate motor delay, but no local physiotherapist is available or the waiting list is too long. Without accessible support, families may feel overwhelmed and uncertain about how to proceed.

Challenges and Opportunities

The Thriving Kids program represents a positive step forward, offering hope for children and families who previously relied on the National Disability Insurance Scheme (NDIS). However, its success will depend on the availability of support services and clear pathways from screening to intervention.

David Trembath, a researcher involved in the development of the National Framework for assessing children’s functional strengths and support needs, emphasizes the importance of this initiative. His work highlights the need for a comprehensive approach to supporting children with developmental delays.






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