The Round Up: A Rural Health Podcast

#36: Childhood Behaviour: When to Worry


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When a child acts out, it’s not just about the behaviour—it’s about the big picture. In this episode of The Round Up, A/Prof Elissa Hatherly sits down with paediatrician Dr Gopakumar Hariharan to unpack the rise in behavioural referrals for children across North Queensland. From tantrums to anxiety, ADHD to autism, Dr Hariharan walks through the crucial role GPs play in early assessment, baseline testing, and guiding families toward the right support.

He outlines practical strategies including the use of behavioural questionnaires, audiology and optometry referrals, and resources like Triple P and community health centres. The discussion also highlights the importance of parent education, collaborative care, and when to escalate to tertiary services.

Whether you're a rural GP, a registrar, or just looking to sharpen your paediatric approach, this episode offers clear, practical advice for managing behavioural concerns in kids.

Resources:

  • Dr Gopakumar Hariharan’s Blog: Ripples From Pebbles | Dr. Gopakumar Hariharan – Welcome to my child health and Coaching blog site
  • Triple P – Positive Parenting Program: https://www.triplep-parenting.net.au/qld-en/triple-p/
  • Mackay Hospital and Health Service Child, Youth and Family Health Unit (Carlyle Community Health Centre): https://www.mackay.health.qld.gov.au/services/child-youth-and-family-health/child-youth-and-family-health-carlyle-community-health
  • NICHQ Vanderbilt Assessment Scale – Parent Informant & Teacher Informant forms: https://nichq.org/wp-content/uploads/2024/09/NICHQ-Vanderbilt-Assessment-Scales.pdf
  • Connect to Wellbeing Referral Form: https://www.neaminational.org.au/wp-content/uploads/2023/10/Form_Referral_Connect_to_Wellbeing_V8.pdf
  • Early Childhood Development program: https://www.childrens.health.qld.gov.au/for-health-professionals/refer-your-patient/referral-forms#section__child-development-service
  • Together in Mind program: https://www.childrens.health.qld.gov.au/resources/health-services/mental-health/together-in-mind
  • Support for fathers: https://supportforfathers.com.au/
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The Round Up: A Rural Health PodcastBy Northern Queensland Regional Training Hubs