D pip workshop 2007 education session
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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

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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


D pip workshop 2007 education session

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D pip workshop 2007 education session

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D pip workshop 2007 education session

PARENTS’ EVALUATION OF

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


D pip workshop 2007 education session

Jordan B. 1/9/2006

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D pip workshop 2007 education session

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Referred to infants and toddlers


Developmental screening instruments disorder specific

Developmental Screening Instruments: Disorder-specific

  • 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(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

  • 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?


D pip workshop 2007 education session

The M-CHAT

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?


M chat 18 30 months

M-CHAT (18-30 months)


Developmental screening instruments domain specific

Developmental Screening Instruments: Domain-specific

  • 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

  • Capute Scales (CAT/CLAMS)

  • Brigance Screens-II

  • Bayley Infant Neurodevelopmental Screener (BINS)


Capute scales

Capute Scales

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


Capute scales2

Capute Scales

CLAMS Language

*Should be performed by child

E = Expressive; R = Receptive

Seven Months: YesNo

1.Orients toward bell (1.0)R* X__

(upwardly/indirectly)

Eight Months:

1.”Dada” inappropriately (0.5)EX__

2.”Mama” inappropriately (0.5)EX__


Capute scales3

Capute Scales

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 Language

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 Age5.0

Points beyond ceiling age 1.0

Problem solving age

equivalent6.0

CAT DQ

6.0 / 9.0 = 0.66 x 100 = 66

(Age equivalent / Chronological age x 100)

CAT/CLAMS Scoring


Brigance screens

Brigance Screens

  • 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)

  • 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


Bins risk scores

BINS Risk Scores


New developmental screening instruments 2007

New Developmental Screening Instruments* 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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