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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

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
slide6
YESSOMETIMESNOTYET

0

x

x

10

x

0

x

10

x

0

x

0

20

slide8
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
slide10
Jordan B. 1/9/2006

X

X

X

X

1

3

slide11
JordanB.

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?
slide15
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?
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 scales2
Capute Scales

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

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 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
  • 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
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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