Common conditions seen by our paediatricians include: speech and language difficulties, developmental delays, autism spectrum disorder, attention deficit hyperactive disorder, hearing loss, learning difficulties, developmental coordination disorder, behavioural difficulties, sleep difficulties, toileting difficulties, and children at risk of developmental delay (e.g. those with chronic illnesses or who were born preterm).
Assessments
We provide the following assessments for preschool children:
- Attention deficit hyperactivity disorder (ADHD) assessment
- Autism spectrum disorder (ASD) assessment
- Behaviour assessment
- Educational assessment (including cognitive testing and school readiness assessment, excluding giftedness)
- Neurodevelopmental assessment (evaluation of a child's developmental strengths and weaknesses, to optimise a child's ability to learn)
- Motor Skills assessment
- School observation
- Speech and language assessment
These assessment(s) may be ordered by your child’s physician and/or therapists in discussion with you, should they be deemed clinically indicated for your child.
Therapy Services
Our range of therapy services for preschool children include:
- Learning support
- Occupational therapy
- Parent, caregiver and sibling support (e.g. Incredible Years)
- Parent training (including that for autism, e.g. Early Start Denver Model (ESDM))
- Psychology services
- Speech therapy
- Tele-mediated intervention services
- Transition to primary school programme (e.g. STARS programme)
CDU's main intervention approach for autism is via the Early Start Denver Model (ESDM) since 2022. ESDM is a naturalistic developmental behavioural intervention for autism, which has been shown to boost children's social emotional, cognitive and language abilities. ESDM uses a data-based approach to child learning and progress. Research internationally and locally have repeatedly shown its effectiveness in helping parents communicate better with their children, while helping children with autism gain developmental skills. In CDU, our ESDM-trained therapists will coach parents on delivering ESDM-based strategies. We aim to teach parents to use these sensitive, responsive strategies to create learning opportunities for their children in their daily routines. We are currently the only developmental centre/ clinic in Singapore offering this expertise.
In addition, CDU has been delivering early intervention via telerehabilitation since 2019. We are one of the first adopters of telemedicine locally and have developed expertise in delivering early intervention through video conferencing over the years. CDU’s delivery of telerehabilitation has distinct benefits and augments in-person intervention. Telerehabilitation allows the caregiver to receive remote guidance on delivering therapeutic strategies in the child’s natural home environment. In addition, this is especially helpful for children who may find a clinic environment daunting. By bridging physical distance, telerehabilitation can help families save on the time and cost of travelling.
Education
As a subspecialty with strong affiliations with colleagues in academic teaching programmes from the United States, our division is committed to the training of clinicians in the field of Developmental and Behavioural Paediatrics. Our team of doctors bring forth skills, knowledge and experience from the United States, United Kingdom, Australia and the local special needs community. We are one of the main hospital sites for the placement of interns and students in psychology and allied health services. We offer a comprehensive fellowship programme for paediatricians in Asia. As part of the education team under the Department of Paediatrics at the National University of Singapore, we are also involved in teaching undergraduate medical and nursing students as well as postgraduate paediatric, family medicine and dental trainees.
Research
As part of a tertiary academic centre, our team of doctors are actively involved in research in the field of developmental and behavioural paediatrics. We strive to conduct clinically grounded research that results in meaningful change to practice and benefits children with various developmental needs. More details on our research endeavours can be found here.
Community and Public Education
Our team of doctors and allied health professionals actively exchange ideas and educate the public through regular symposiums and talks. We are committed to primary care physician education (polyclinics and general practitioners) in developmental screening and surveillance of children.
We are committed to delivering high standards of clinical care, in active partnership with parents, the community and educational sectors and stakeholders. This includes regular educational seminars or workshops, and advocacy for the local special needs community.
In partnership with National University of Singapore’s School of Continuing and Lifelong Education, NUH Child Development Unit offers
Brazelton Touchpoints training for early childhood educators and carers, allied health and nursing professionals. Touchpoints is a practical approach for building strong family-child relationships from birth to six years. It equips early childhood providers to build collaborative partnerships with families.