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D-PIP Workshop 2007 Education Session. Screening Tools: Those used and others to consider. I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in this CME activity- Paul Lipkin.

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D pip workshop 2007 education session

D-PIP Workshop 2007Education Session

Screening Tools:

Those used and others to consider

I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in this CME activity- Paul Lipkin


Aap d pip selected screening instruments
AAP D-PIP:Selected Screening Instruments


Developmental screening instruments
Developmental Screening Instruments

  • General developmental screening

  • Domain-specific developmental screening

    • Gross motor

    • Communication/Cognition

  • Disorder-specific developmental screening

    • Autism and pervasive developmental disorders (Autism Spectrum Disorders)

  • Parent Questionnaires

  • Directly administered


Developmental screening instruments general
Developmental Screening Instruments: General

  • Ages and Stages Questionnaire

  • Battelle Developmental Inventory (BDI) Screening Test

  • Bayley Infant Neurodevelopmental Screener (BINS)

  • Brigance Screens-II

  • Infant Development Inventory

  • Child Development Review

  • Child Development Inventory (CDI)

  • Denver-II Developmental Screening Test

  • Parents' Evaluation of Developmental Status (PEDS)


Ages and stages questionnaire asq 4 months to 6 years

19 color-coded questionnaire for use at 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 42, 48, 54, and 60 months

30 – 35 items per form describing skills

Completed by parent report

Taps most domains of development

Takes about 10-15 minutes, and 3 to score

ASQ-Social-Emotional works similarly and measures behavior, temperament, etc.

Can be photocopied

Ages and Stages Questionnaire (ASQ) 4 months to 6 years


YES 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 42, 48, 54, and 60 monthsSOMETIMESNOTYET

0

x

x

10

x

0

x

10

x

0

x

0

20


Jordan B. 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 42, 48, 54, and 60 months


PARENTS’ EVALUATION OF 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 42, 48, 54, and 60 months

DEVELOPMENTAL STATUS

PEDS

  • For children 0 to 8 years

  • In English, Spanish, Vietnamese, Somali, Chinese

  • Takes 2 minutes to score

  • Elicits parents’ concerns

  • Sorts children into high, moderate or low risk for developmental and behavioral problems

  • 4th – 5th grade reading level

  • Score/Interpretation form printed front and back

  • and used longitudinally


Jordan B. 1/9/2006

X

X

X

X

1

3


Jordan 1/9/2006B.

Referred to infants and toddlers


Developmental screening instruments disorder specific
Developmental Screening Instruments: Disorder-specific 1/9/2006

  • Autism & Pervasive Developmental Disorders:

    Perform at 18 (and 24*) month visit

    • Autism Behavior Checklist (ABC)

    • Checklist for Autism in Toddlers (CHAT)

    • Modified Checklist for Autism in Toddlers (M-CHAT)

    • Modified Checklist for Autism in Toddlers-23 (CHAT-23)

    • Pervasive Developmental Disorders Screening Test-II (PDDST-II) - Stage 1-Primary Care Screener

    • Pervasive Developmental Disorders Screening Test-II (PDDST-II) - Stage 2-Developmental Clinic Screener

    • Screening Tool for Autism in Two-Year-Olds (STAT)

    • Social Communication Questionnaire (SCQ) (formerly Autism Screening Questionnaire-ASQ)


The m chat modified checklist for autism in toddlers
The M-CHAT 1/9/2006(Modified Checklist for Autism in Toddlers)

  • Free download at www.firstsigns.org

  • Takes 5 minutes to complete, 5 to score

  • Autism screening recommended by Autism Expert Panel at 18 and 24 months

  • Child is “at-risk” and needs further evaluation if:

    • Fails 2 critical items, or

    • Fails any 3 items

Robins, D., Fein, D., Barton, M., & Green, J. (2001)


M chat sample items
M-CHAT Sample Items 1/9/2006

  • Does your child ever use his/her index finger to point, to ask for something?

  • Can your child play properly with small toys without just mouthing, fiddling, or dropping them?

  • Does your child take an interest in other children?


The M-CHAT 1/9/2006

Robins et al. 2001

  • 23 Questions: 6 “Critical” Items

  • Interest in Other Children: Does your child take an interest in other children?

  • Proto-declarative Pointing: Does your child ever use his/her index finger to point, to indicate interest in something?

  • Bringing object to show the parent: Does your child ever bring objects over to you (parent) to show you something?

  • Imitation: Does your child imitate you? (e.g., you make a face- will your child imitate it?)

  • Responding to name: Does your child respond to his/her name when you call?

  • Following a point: If you point at a toy across the room, does your child look at it?



Developmental screening instruments domain specific
Developmental Screening Instruments: Domain-specific 1/9/2006

  • Gross motor

    • Early Motor Pattern Profile (EMPP)

    • Motor Quotient (MQ)

  • Communication/Cognition

    • Capute Scales (aka Cognitive Adaptive Test/Clinical Linguistic Auditory Milestone Scale-CAT/CLAMS)

    • Communication and Symbolic Behavior Scales- Developmental Profile (CSBS-DP): Infant Toddler Checklist

    • Early Language Milestone Scale (ELMS -2)


Directly administered tools
Directly Administered Tools 1/9/2006

  • Capute Scales (CAT/CLAMS)

  • Brigance Screens-II

  • Bayley Infant Neurodevelopmental Screener (BINS)


Capute scales
Capute Scales 1/9/2006

Cognitive Adaptive Test/ Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS)

  • Directly administered tool

  • Blend of screening and evaluation instrument

  • Measures visual-motor/problem solving (CAT) and expressive and receptive language (CLAMS)

  • Age range 3-36 mo

  • Results in developmental quotient and age equivalent

  • 100 items

  • 15-20 minutes administration time

  • English, Spanish, and Russian versions available

  • Available from Brookes Publishing


Capute scales1
Capute Scales 1/9/2006


Capute scales2
Capute Scales 1/9/2006

CLAMS Language

*Should be performed by child

E = Expressive; R = Receptive

Seven Months: Yes No

1.Orients toward bell (1.0)R* X __

(upwardly/indirectly)

Eight Months:

1.”Dada” inappropriately (0.5)E X __

2.”Mama” inappropriately (0.5)E X __


Capute scales3
Capute Scales 1/9/2006

CAT Visual Motor Problem Solving

All of these must be performed by child

Seven Months: Yes No

1. Attempts pellet (0.3) X __

2. Pulls out peg (0.3) X

3. Inspects ring (0.3) X __

Eight Months:

1. Pulls ring by string (0.3) __ X

2. Secures pellet (0.3) __ X

3. Inspects bell (0.3) __ X


Cat clams scoring

CLAMS 1/9/2006Language

Basal Age 5.0

Ceiling Age 8.0

Points beyond Ceiling Age 0.8

Language age equivalent 8.8

CLAMS DQ

8.8 / 9.0 = 0.97 x 100 = 97

(Age equivalent / Chronological age x 100)

Full Scale DQ

(97 + 66) / 2 = 81

(CLAMS DQ + CAT DQ / 2)

CATProblem Solving

Basal Age 5.0

Ceiling Age 5.0

Points beyond ceiling age 1.0

Problem solving age

equivalent 6.0

CAT DQ

6.0 / 9.0 = 0.66 x 100 = 66

(Age equivalent / Chronological age x 100)

CAT/CLAMS Scoring


Brigance screens
Brigance Screens 1/9/2006

  • Takes 10 – 15 minutes of professional time

  • Produces a range of scores across developmental domains

  • Relies primarily on observation and elicitation of skills (0-2 year age range can be administered by parent report)

  • Detects children who are delayed as well as advanced

  • 9 separate forms across 0 – 7 years of age

  • Each produces 100 points and is compared to an overall cutoff

  • Available in multiple languages

  • Computer scoring software


Bayley infant neurodevelopmental screener bins
Bayley Infant Neurodevelopmental Screener (BINS) 1/9/2006

  • Takes 10 - 15 minutes

  • Assesses neurological processes (reflexes, and tone); neurodevelopmental skills (movement, and symmetry) and developmental accomplishments (object permanence, imitation, and language)

  • Uses 10 - 13 directly elicited items per 3 - 6 month age range

  • Categorizes performance into low, moderate or high risk via cut scores. Provides subtest cut scores for each domain

  • For use from 3 - 24 months



New developmental screening instruments 2007
New Developmental Screening Instruments 1/9/2006* 2007

  • PEDS:DM (Parents' Evaluation of Developmental Status--Developmental Milestones)

    • Expansion of PEDS

    • 16 - 18 questions to be answered per visit

    • 6-8 items per age/encounter; designed to replace informal milestones checklists

    • For children birth to 7-11 years

    • http://www.pedstest.com/dm/

  • Parents’ Observations of Infants and Toddlers – POINT

    • For children 2 through 36 months

    • Takes just 15 to 20 minutes for the parent or caregiver to complete

    • Designed for early intervention professionals’ use

    • http://www.firstpointkids.com/

*Note: Unreviewed


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