MAKE A DECISION: What do you think is the best course of action for Leo and his parents?

1. At this point, it is not really clear that Leo is developmentally delayed, so watchful waiting is best.
2. At this point, it is not really clear that Leo is developmentally delayed, so watchful waiting is best.
3. Leo is reaching enough milestones late to be of concern, so parenting education about developmental interventions would be most appropriate.
4. While taken in isolation, none of Leo's delays are significant, in combination they suggest something atypical is going on, so intensive intervention is appropriate.

Think about the issues that influenced your recommendation for Leo. Why did you choose the option that you did? Consider the following issues in your response:

• Based simply on milestones, is Leo delayed?
• What did Leo's evaluations show?
• How do you factor family context into the situation?
• What are the potential consequences of intervening if no intervention is really required? What are the potential consequences of doing nothing?