Preventive Health Services

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Screening for High Blood Pressure - U.S. Preventive Services Task Force

The Growing Mandate for Clinical Preventive Medicine - Editorials

The Importance of Having Health Insurance and a Usual Source of Care - Graham Center Policy One-Pagers

Screening for Visual Impairment in Children Younger Than Five Years: Recommendation Statement - U.S. Preventive Services Task Force

Screening for HCV Infection: Understanding the USPSTF Recommendation - Editorials

Family Medicine and Health Care Reform - Editorials

Screening for Testicular Cancer: Recommendation Statement - U.S. Preventive Services Task Force

Mammography Screening for Breast Cancer: Recommendation of the U.S. Preventive Services Task Force - Editorials

Improving the Delivery of Preventive Services to Children - Editorials

Speech and Language Delay in Children - Article

ABSTRACT: Speech and language delay in children is associated with increased difficulty with reading, writing, attention, and socialization. Although physicians should be alert to parental concerns and to whether children are meeting expected developmental milestones, there currently is insufficient evidence to recommend for or against routine use of formal screening instruments in primary care to detect speech and language delay. In children not meeting the expected milestones for speech and language, a comprehensive developmental evaluation is essential, because atypical language development can be a secondary characteristic of other physical and developmental problems that may first manifest as language problems. Types of primary speech and language delay include developmental speech and language delay, expressive language disorder, and receptive language disorder. Secondary speech and language delays are attributable to another condition such as hearing loss, intellectual disability, autism spectrum disorder, physical speech problems, or selective mutism. When speech and language delay is suspected, the primary care physician should discuss this concern with the parents and recommend referral to a speech-language pathologist and an audiologist. There is good evidence that speech-language therapy is helpful, particularly for children with expressive language disorder.

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