2.51 A NEW MODEL: DEVELOPING A SCREENING PROGRAM FOR EARLY DIAGNOSES OF NEURODEVELOPMENTAL DISORDERS

Objectives: The neurodevelopmental disorders (NDDs) are a heterogeneous group of disorders and usually symptomatic in early childhood, leading to impairments in functioning. Early diagnosis is one of the most important aspects for the treatment of children with NDDs. Our aim is to develop a new model for a web-based screening program for early detection and intervention for the common NDDs, such as ADHD, ASD, speech and language disorders (SLD), and intellectual disabilities (ID). Methods: The study procedure includes four steps as follows: 1) the researchers developed a new web-based screening tool, which consists of 270 questions (ADHD = 72, ID = 56, ASD = 101, SLD = 41); 2) the families could easily complete the Neurodevelopmental Disorders Screening Inventory (NDSI) for children through www.erkenrisk.org; 3) high risk children are invited to outpatient clinic for complete assessment in Istanbul School of Medicine Child Psychiatry Department; and 4) medical treatment and other therapeutic programs have been suggested for children with NDDs. Assessments included clinical interview and psychiatric examination (based on DSM-5 criteria) for clinical diagnosis (CD). Other well-known screening tools, such as the Ankara Developmental Screening Inventory (ADSI) and Modified Checklist for Autism in Toddlers (M-CHAT) have been applied. Results: Parents (N = 3,173) have completed the NSDI test; 2,167 of them have been found to be at risk for any NDDs, and our team was called to assess this high risk group and give them some information on NDDs; 27 of them came to hospital and completed the process. The mean age of subjects was 30.84 months (N = 27; males = 22, females = 5; min: 10; max: 48). Subjects' diagnoses were as follows: ADHD (CD: 23, NSDI: 24); ASD (CD: 12, NSDI: 15); SLD (CD: 14, NSDI: 13); and ID (CD: 1, NSDI: 8). The results indicate that there is significant positive correlation in ADHD (between CD and NDSI, P < 0.05). Other significant correlation was between CD and NSDI for SLD (P < 0.05). Conclusions: We aim to develop a screening tool, which is easy to access, apply, and free of cost. Our main goal is increasing the awareness about NDDs for society. As a result, NDSI may be involved as a new model for early diagnosis of NDDs, which will provide an early intervention as a part of protective child mental health care.