Test 2

Question 1

What is surveillance

Answer 1

the process of recognizing children who may be at risk of developmental delays

Question 2

what is screening

Answer 2

the use of standardized tools to identify and refine that recognized risk

Question 3

THS required ages for standardized screening tools

Answer 3

9 months
18 months
24 months (2 years)
3 years
4 years

Question 4

Screening for ASD

Answer 4

M-CHAT or M-CHAT R/F

required at 18 months and 24 months

if parents express concern or not previously done, then 30 months

Question 5

M-CHAT R/F

Answer 5

modified checklist for autism in toddlers, revised, with follow-up

more accurate at identifying children who could benefit from further evaluation

The M-CHAT-R/F is validated for use with children 16 through 30 months and, with elimination of the “critical items,” has streamlined the scoring process.

Question 6

M-CHAT scores

Answer 6

0-2 - low risk, screen again after 2 years if less than at time of screen

3-7 - medium risk, do Follow Up Screen. 2 or higher is positive screen and refer to diagnostic evaluation and eligibility for ECI.

-If Follow-Up 0-1 then negative screen

8-20 - high risk - immediately refer for diagnostic evaluation and ECI services if less than 35 months

Question 7

Hearing Screen

Answer 7

TEHDI

screen at birth with OAE or ABR
subjective hearing test at every checkup til 3yrs
audiometric screening at 4 and 5 years

Question 8

ECI

Answer 8

early childhood intervention

must refer child < 35 months in suspected developmental delay or auditory or visual impairment

Question 9

ASQ

Answer 9

Ages and Stages Questionaire

ASQ screens for communication, gross motor, fine motor, problem-solving and personal-social skills.

Question 10

ASQ:SE

Answer 10

ASQ:SE is modeled after the ASQ and tailored to identify and exclusively screen social and emotional behaviors.

It screens for self-regulation, compliance, communication, adaptive behaviors, autonomy, affect and interaction with people.

Question 11

When to screen ASQ

Answer 11

9 months, 18 months, 24 months, 3 years, 4 years

Question 12

Scoring ASQ

Answer 12

Step 1 + 2 = parents fills out questionnaire and provider scores it

scores above the cut off point = no further evaluation
scores around the cut off = call for discussion and monitoring
scores below the cut off point = need for further assessment and referral

Question 13

PEDS tool

Answer 13

Parents Evaluation of Developmental Status

The PEDS is an evidence-based screening tool designed for children birth through 8 years of age. The PEDS contains 10 short questions for parents in each developmental domain. It also includes questions about health issues, such as sleeping, eating, vision and hearing.

Question 14

Results of PEDS tool

Answer 14

1. Refer
2. Screen further
3. Watch carefully
4. Counsel parent or caregiver
5. Reassure the family