Enhanced 18-Month Well-Baby Visit
Early intervention in response to developmental concerns has a positive effect on children's development and behavioural outcomes.
Role of the health care professional during an 18-month well-baby visit
- Complete the Rourke Baby Record 2020 Ontario Version, an evidence-based guide to be used by primary health care workers in delivery of the enhanced well-baby visit
- Promote the LookSee Checklist by NDDS (previously Nipissing District Developmental Screen), a parent-completed developmental checklist designed to identify areas of concern requiring further attention
- Discuss healthy child development, and the provision of information about local parenting and community programs to promote healthy child development, with all parents
- Facilitate referrals to specialists for children with developmental concerns, and other community-based services for families with more complex needs
Additional recommended interventions:
- Promote early literacy activities (reading, speaking and singing to babies) for all families
- Support positive parenting in the early years
- Screen for parental well-being, and offer support or referrals as needed for mental health, family conflict, anger, abuse / neglect, substance misuse, physical illness, housing / food insecurity and other adverse childhood experiences
OHIP schedule of benefits for physician services
- General and Family Practitioners: A002
- Pediatrics: A268
Resources for health care professionals
- Supporting Healthy Child Development with Ontario's Enhanced 18-Month Well-Baby Visit
- Optimizing Well-Baby Care: Conducting an Enhanced 18-Month Well-Baby Visit
- Early Literacy Promotion: The A-B-Cs for busy clinicians
To learn more and register, visit professional development opportunities.
Tools for use in practice
- machealth provides a number of resources and tools to help you implement the enhanced 18-month well-baby visit in your practice
Resources for parents
For more information, visit Ontario’s Enhanced 18-Month Well-Baby Visit.