22 - Developmental Screening in Practice

Question 1

What are the two AAP strategies that are used to promote detection of developmental delays?

Answer 1

Developmental surveillance

Developmental screening

Question 2

When do you conduct developmental surveillance?

Answer 2

At every well child visit

Question 3

When do you conduct developmental screening?

Answer 3

9, 18, 30 month well child visits

Whenever concerns are raised

Question 4

What is developmental surveillance?

Answer 4

Developmental observation
Developmental history
Medical history and exam
Documentation

Question 5

What is developmental screening?

Answer 5

Standardized assessment tool

Measurement

Question 6

Is there a policy statement about the screening process for children?

Answer 6

Yes, it is titled “Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening””

The point is that it’s not too hard to select a screening tool

Question 7

Which screening tool has both high sensitivity and high specificity?

Answer 7

He recommends this one

Ages and stages questionnaire (ASQ)

Question 8

M-CHAT

Answer 8

Modified
CHecklist for
Autism in
Toddlers

Performed on child at 18-24 months

The child fails the checklist if the child fails two critical items, or three total items

Separate screening tool from developmental screen

Question 9

If child is positive for developmental screening, what do you do?

Answer 9

If someone has a diagnosis, there is something we can and should do about it:

Refer to area education agency (AEA), refer to therapists, and refer for developmental assessment (DBPeds)

Question 10

Benefits of using quality screening

Answer 10

• It saves time
• The visits are more focused
• Decreases the “oh by the way” comments