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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
  • 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

Accredited courses

  • 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.

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