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Irritable infant < 1 year


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Maternal depression
    • Significant vomiting
    • Poor weight gain/ weight loss
    • High level of maternal or infant distress.
    • Infant < 6 months
    • A child currently in out of home care (OOHC) or at risk of entering or leaving OOHC, where they have previously been on a waiting list for this problem and were removed without receiving a service
  • Category 2
    (appointment within 90 calendar days)
    • Thriving child > 6 months
  • Category 3
    (appointment within 365 calendar days)
    • No category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Age of onset of irritability
  • Report presence or absence of concerning features
    • Frequent daily vomiting
    • Blood in stools
    • Irritability has no day/night variation with persistent screaming overnight and in the mornings as well as afternoon/evenings
    • Weight loss or failure to gain weight
    • Diagnosed or suspected maternal depression
    • Inappropriate interaction or attribution to the baby by the mother – anger or resentment towards the infant.
    • Developmental delay
  • Confirmation of OOHC (where appropriate)

3. Additional referral information Useful for processing the referral

Highly desirable information – may change triage category

  • Description of pattern of irritability including relation to feeding. Does the infant sleep at night?
  • Is there difficulty feeding? Breast or bottle feeding or both.
  • Height/weight/head circumference and growth charts with prior measurements if available. Comment on whether the child is gaining weight appropriately or not.
  • Has the mother been to see a child health nurse or had other parenting assistance?
    Pregnancy and birth history, including if premature birth.
  • Medical history.
  • Developmental history
  • Family history (especially infantile irritability, previous children with food intolerance)
  • Significant psychosocial risk factors (especially parents mental health, family violence, housing and financial stress, Department of Children, Youth Justice and Multicultural Affairs involvement)

Desirable Information- will assist at consultation

  • Other past medical history
  • Immunisation history
  • Medication history
  • Other physical examination findings inclusive of CNS, birth marks or dysmorphology.
  • Any relevant laboratory results or medical imaging reports

4. Request

Last updated: 13 June 2023