Abstract
Childhood developmental-behavioural issues and disabilities have been identified as the major challenges in child health and to the national healthcare system in Singapore. Dealing with these morbidities requires new and innovative approaches that go far beyond hospital-based care into the community, with structured integration of medical services with education, and social and community support, including a strong collaborative partnership with parents and caregivers. A unique child development programme has evolved in Singapore over the last 30 years. Its main objectives are early identification and treatment of children with developmental and behavioural problems so as to correct developmental dysfunctions, minimise the impact of a child’s disability or prevailing risk factors, strengthen families and establish the foundations for subsequent development. This paper aimed to provide an update of the current ecosystem, along with a review of the fast-changing landscape in recent years.