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    Developmental Assessment

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    sarguss14
    This document discusses early identification of developmental disorders in children and outlines milestones in various domains of development. It recommends developmental screening using tools like the Denver Developmental Screening Test to identify delays and the need for further evaluation. Screening should occur regularly from infancy through school age to detect concerns in areas like language, motor skills, social skills, and academics. Referral to a specialist is indicated for children who fail screening tests or are untestable on multiple attempts.

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    Developmental Assessment

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    sarguss14
    2K views3 pages
    This document discusses early identification of developmental disorders in children and outlines milestones in various domains of development. It recommends developmental screening using tools like the Denver Developmental Screening Test to identify delays and the need for further evaluation. Screening should occur regularly from infancy through school age to detect concerns in areas like language, motor skills, social skills, and academics. Referral to a specialist is indicated for children who fail screening tests or are untestable on multiple attempts.

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    This document discusses early identification of developmental disorders in children and outlines milestones in various domains of development. It recommends developmental screening using tools like the Denver Developmental Screening Test to identify delays and the need for further evaluation. Screening should occur regularly from infancy through school age to detect concerns in areas like language, motor skills, social skills, and academics. Referral to a specialist is indicated for children who fail screening tests or are untestable on multiple attempts.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views3 pages

    Developmental Assessment

    Uploaded by

    sarguss14
    This document discusses early identification of developmental disorders in children and outlines milestones in various domains of development. It recommends developmental screening using tools like the Denver Developmental Screening Test to identify delays and the need for further evaluation. Screening should occur regularly from infancy through school age to detect concerns in areas like language, motor skills, social skills, and academics. Referral to a specialist is indicated for children who fail screening tests or are untestable on multiple attempts.

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    of 3

    Developmental Assessment Psychiatry

    Third Shifting
    Dr. Vivian Yu

    Why is there a need for early identification of • Every well child must be an opportunity for the
    developmental disorders? health care professional to evaluate the overall
    • critical to the well-being of the child development of the child
    o delay may be due to a medical condition • Further developmental evaluation is required
    o delay may indicate an increased risk of whenever the child fails to meet any of the
    behaviour/ psychiatric disorders or other following milestones
    developmental disorders o Language delay
    o early detection may prevent further  Turn to sound by 6 months
    deterioration and improve future  Babbling and gesturing (pointing,
    outcomes of those identified waving bye-bye by 12 months)
    • responsibility of every primary care physician  Single words by 16 months
     2-word spontaneous (not just
    Common Presentation of Developmental echolalic) phrases by 24 months
    Delay  loss of any language or social skills at
    • Newborn any age (American Academy of
    o Dysmorphism Neurology and Child Neurology
    o Major organ system dysfunction Society 2000)
    (feeding/ breathing) o Motor delay
    • Early Infancy (2-4 mo)  Poor head control by 3 months
    o Failure to interact with the  Hands still fisted by 4 months
    environment  Unable to hold objects by 7 months
    o Vision and hearing impairment  Does not sit independently by 10
    • 6-18 months months
    o gross motor delay o Psychosocial delay
    • Toddler  No social smile by 3 months
    o Language delay  Not laughing in playful situation by 6
    • Preschool months
    o Language difficulties or delays  Hard to console, stiffens when
    o Behaviour difficulties approached by 1 year
    o Delays in fine motor skills  In constant motion, resists discipline
    • School Age  Does not play with other children by
    o Academic underachievement 3 years
    o Behaviour difficulties o Cognitive delay
     2 months: not alert to mother
    History  6 months: not searching for dropped
    • History of illness/ Past medical history objects
    • Maternal history  12 months: no object permanence
    • Family history  3 years: does not know full name
    o Relatives with same illness  4 ½ years: cannot count sequentially
    o Consanguinity of parents  5 years: does not know letters or
    o Functioning and intellectual capacity colors
    of parents  5 ½ years: does not know own
    • Emotional tone at home birthday or address

    Developmental History Developmental History- SCHOOL AGE


    • The Philippine Society for Developmental and CHILDREN
    Behavioral Pediatrics states that developmental • Reading skills
    surveillance is a flexible, continuous and o slow in learning connection between letters
    cumulative process and sounds
    o confuses basic words

    Kibbutz  1 of 3
    PSYCHIATRY
    DEVELOPMENTAL ASSESSMENT

    o makes consistent reading errors • Re-evaluation needed in 3 months if


    o letter reversal (b-d) (p-q) o 1 delay AND/OR
    o letter inversion ( m-w) o 2 or more cautions
    o transpositions (felt-left) • Untestable- there is significant number of
    o word reversal (was-saw) refusals or no opportunity test items
    o number reversal (14-41)
    • Refer to specialist if
    o repeats, omits, or adds words
    o Failed test
    o does not like reading at all
    o Classified as untestable on 2
    o avoids reading aloud
    consecutive screening
    o uses fingers to follow a line of print when
    reading Screening Tools
    o slow to remember facts • Assessment tool that gives quantitative DQ for
    o slow to learn new skills, relies heavily on visual-motor/ problem-solving and language
    memorization abilities
    o poor coordination, unaware of physical
    • CAT (Clinical Adaptive Test)
    surroundings and prone to accidents
    o Problem-solving items for ages from birth to
    o awkward and clumsy, has trouble with fine
    36 months
    motor skills
    • CLAMS (Clinical Linguistic and Auditory
    Milestone Scale)
    Physical Exam
    o Language milestone from birth to 36
    • anthropometric measurements
    months
    • “Syndromic” appearance
    • dull facial expression: unreliable Other test for Visual-motor and Problem-
    • neuro exam: sensory impairments solving Skills
    • psychometric testing • Goodenough-Harris Draw-a-Person test
    • Gessell figures
    Screening Test • Gessell block skills
    Denver Developmental Screening Test- II
    (Denver II) Screening for Language Skills
    o For children ages 0-6 years
    • ELMS (Early Language Milestone Scale)
    o 4 domains: gross motor, fine motor, o For 0-3 years
    language and social o 5-10 minutes to complete
    o Materials: bell, set of 10 blocks, glass
    o high sensitivity
    bottle, rattle, tennis ball, pencil, yarn,
    • PEDS (Parent’s Evaluation of
    raisins, zippered bag, cup, doll, baby bottle
    o Scoring: P= Pass N= No Opportunity Developmental Status) questionnaire
    o For ages 0-8 years
    F= Fail R= Refused
    o Interpretation: o Structured set of 10 questions about
    parental concerns in various areas of
     Advance- if child passes item the falls development
    completely to the right of age line
    • ASQ (Ages and Stages Questionnaires)
     Normal- if child passes, fails, or refuses o for ages 4-48 months
    items where age line falls between the o series of 11 questionnaires to be
    25th and 75th percentiles
    completed at home by parents
     Caution- if child fails or refuses item o multi-domain screen with good
    where the age line falls between the sensitivity and specificity
    75th and 90th percentile
     Delayed- if child fails or refuses item For Autism
    which falls completely to the left of age • CHAT ( CHeckilist for Autism in Toddlers)
    line o from 18 months and older, and M-
    CHAT
    Assessment • PDDST (Pervasive Developmental
    • Gross Motor, Language, Fine Motor, Social Disorders Screening Test) I and II
    o Either advance, normal, caution, delayed • STAT (Screening Tool for Autism in Two-
    • Pass- if there is no delay OR only 1 caution year olds)
    • Fail- if there are 2 or more delays noted
    Kibbutz  2 of 5
    PSYCHIATRY
    DEVELOPMENTAL ASSESSMENT

    • SCQ (Social Communication


    Questionnaire)
    o Formerly known as Autism
    Screening Questionnaire (ASQ)
    For ADHD
    • Teacher’s ___________

    Diagnosis: Labs
    • Newborn screening
    • EEG
    • CT scan
    • Hearing test

    Referrals
    • Pediatrician
    o Developmental
    o Genetics
    • Psychiatrist
    • Occupational Therapist
    • Speech Therapist
    • Special Education Program

    Kibbutz  3 of 5

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