Developmental Medicine

At Our Lady of the Lake Children’s Health Pediatric Development and Therapy Center, we believe all kids are amazing and work every day to ensure they live their healthiest, happiest lives. We offer an interdisciplinary approach of medicine, therapy and treatment to encourage healthy development and behavior in children.

As one of the only interdisciplinary clinics in Louisiana with developmental pediatricians, therapists and psychologists in one place, we offer individualized treatment for every child.

The goal of each clinic is to assess the child’s overall health, development and behavior, and to identify strengths and challenges in the home and school settings. This interdisciplinary approach helps provide treatment to meet every child’s individualized needs.

Our Process

Step 1: Team Evaluation

Each child will be evaluated through interviews, testing and medical screenings so we can better understand how to diagnosis and treat.

Step 2: Therapeutic Intervention

This includes recommending therapy at our center or referral to other community providers, medication management and/or ongoing monitoring of development.

Current Clinics:

  • Infants and Toddlers Clinic
  • Learning and Behavior Clinic
  • Social Engagement Clinic
  • Pediatric Feeding Clinic
  • Infants and Toddlers Clinic

Who do we serve: Children from birth to age three with delays in one or more areas of development. We see children with such conditions as:

  • prematurity
  • global developmental delay
  • speech delay
  • motor delays
  • genetic syndromes.

Our team: Our team is comprised of a developmental pediatrician, and speech and occupational therapists working together to assess the needs of your child. We then use an interdisciplinary approach to treat your child.

What to expect: Interview, team assessment and recommendations for concerns

Format: One appointment for evaluation and ongoing therapy as recommended.

Common clinic outcomes: Your child will be given a diagnosis and we will provide individualized treatment planning. The treatment will include referrals to early intervention and/or therapeutic programming, caregiver guidance and ongoing monitoring of development that helps ensure progress and time to implement changes to the treatment plan if needed.

Learning and Behavior Clinic:

Who do we serve: Children ages six to ten with such conditions as:

  • ADHD
  • learning disabilities (reading, writing and or math)
  • speech language disorders
  • difficulties with adaptive living
  • visual perceptual, fine motor and cognitive skill disorders

We treat children who struggle with disorganization, inattentiveness, hyperactivity, impulsive defiance and other behavioral difficulties. We also treat children suffering from emotional challenges (e.g., low self-esteem, anxiety, depression, social skills deficits), learning and school performance problems, such as academic underachievement and school failure.

Our team: Our team is comprised of a developmental pediatrician, neuropsychologist, speech therapist and occupational therapist who will use an interdisciplinary approach to treat your child

What to expect: A full day assessment involving and including medical screening, diagnostic interview, psychological and neuropsychological testing, and overall assessment of child’s development, speech and motor skills. A caregiver and teacher questionnaire is also required.

Format: Minimum of two appointments for evaluation and feedback, and then ongoing therapy as recommended.

Common clinic outcomes: Your child will be given a diagnosis and we will provide an individualized treatment plan that includes recommendations for therapeutic services and other treatments, guidance, school advocacy support and ongoing monitoring to allow for continued changes as needed to support the child’s long-term success.

Social Engagement Clinic:

Who do we serve: Children ages two to ten with such conditions as

  • Autism Spectrum Disorder
  • speech delay
  • mixed developmental disorder
  • social anxiety
  • intellectual disability

Our team: Our team will use an interdisciplinary approach to treat your child. The team is comprised of a developmental pediatrician, speech and occupational therapists, and behavior psychologist/behavior analyst.

What to expect: A half-day assessment involving medical screening, diagnostic interview, caregiver and teacher questionnaires, structured activities and observations with your child.

Format: Minimum of two appointments for evaluation and feedback, ongoing therapy as recommended

Common clinic outcomes: Your child will be given a diagnosis and we will provide an individualized treatment plan that includes recommendations for therapeutic services and other treatments, guidance, school advocacy support and ongoing monitoring to allow for continued changes as needed to support the child’s long-term success.

Pediatric Feeding Clinic:

Who do we serve: Children ages one to age ten with feeding difficulties including

  • food selectivity and refusal
  • difficulty chewing
  • refusal or tantrums during meals
  • dependence on supplemental (formula) or enteral feeding
  • difficulty swallowing

We also see children who have a history of food allergies, gastrointestinal concerns that impact feeding, prematurity, dysphagia and failure to thrive.

Our team: Our team will use an interdisciplinary approach to treat your child. The team is comprised of a developmental pediatrician, speech and occupational therapists and behavior psychologist/behavior analyst.

What to expect: A 90-minute assessment involving diagnostic interview, meal observation, medical, physical and oral exam.

Format: One appointment for evaluation and ongoing therapy as recommended.

Common clinic outcomes: We will discuss possible recommendations to increase success, determine if other medical assessments are needed, and create an individualized treatment plan including referral to therapeutic services or evaluations.

Special Needs Pediatric Transportation Safety Program

Sometimes, a child's special healthcare needs may require additional support or attention during transportation to keep them safe. Our program is staffed by physical and occupational therapists who have received training in transporting children with special healthcare needs and hold Child Passenger Safety Technician (CPST) certifications.

Some common medical conditions served by this program are:

  • Prematurity, low birth weight
  • Orthopedic conditions and casts
  • Cerebral palsy and other neuromuscular disorders
  • Autism and related disorders
  • Down's Syndrome

Therapists evaluate each patient and determine the appropriate seating solution that will work for the child, the caregivers and the family vehicle. Outpatient evaluations require a prescription from the doctor.

The fitting for a special needs car seat occurs over two appointments:

  • The first appointment consists of a physical therapy evaluation, assessment of current transportation and fitting in demonstration restraints. A letter of medical necessity is written based on assessment.
  • During the second appointment, the car seat will be properly adjusted to fit the child, and installed in the vehicle.

Pediatric Development and Therapy Center
8415 Goodwood Boulevard, Suite 200
Baton Rouge, LA 70806
(225) 765-6346
(225) 765-3442 (physician referral fax)

Cindy Chestaro, MD

Steven Felix, MD

Melissa Gonzalez, PhD

Traci W. Olivier, PsyD