Pediatrics Book

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Developmental Evaluation

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  1. Indications (High risk for Disability)
    1. Low income family
    2. Parents with limited education
    3. Parents with mental health concerns
    4. Single parent family
    5. Numerous siblings
    6. Parental unemployment
    7. Lack of parental concerns
  2. Survey Parental Concerns
    1. Use Clinician Trigger Question (Glascoe)
      1. Ask Parent "Please tell me any concerns you have:"
        1. Learning
        2. Developing
        3. Behaving
    2. Use standardized questionnaire
      1. Children's Behavior Checklist (Achenbach)
      2. Pediatric Symptom Checklist (Jellinek)
  3. Developmental Screening Tests for parental concerns
    1. Behavior (35%)
    2. Speech and Language (30%)
    3. Gross motor (less common)
    4. Fine motor
      1. Often reflects true developmental problems
    5. Global concerns
      1. Needs screening!
  4. Tools
    1. Developmental Screening Tests ("Does a problem exist?")
      1. Ages and Stages Questionnaire
      2. Battelle Developmental Inventory
      3. Bayley Infant Neurodevelopmental Screen
      4. Brigance Screen
      5. CAT/CLAMS
      6. Denver Developmental Screening Test II
      7. Minnesota Child Developmental Inventory
      8. Parent's Evaluations of Developmental Status
    2. Developmental Assessment Tools (abnormal screening)
      1. Young children under age 3 years: Cognitive Test
        1. Bayley II Developmental Assessment
        2. McCarthy Scales of Children's Ability
      2. Children 3 years and older: Intelligence Testing
        1. Stanford-Binet Intelligence Scale
        2. Wechsler Intelligence Scale
    3. Behavioral Screening
      1. Eyberg Child Behavior Inventory
      2. Family Psychosocial Screening
      3. Pediatric Symptom Checklist
    4. Other Tests
      1. Language and communication
        1. Sequenced Inventory Communication Development
          1. Abbreviation: SICD
          2. Used in 4-48 months
      2. Adaptive and social Functioning
        1. Vineland Adaptive Behavior Scales
          1. Used in birth to 18 years
  5. Resources and References
    1. Developmental and Behavioral Screening
      1. http://www.dbpeds.org/articles/dbtesting

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