CHILDRENS DEVELOPMENT

Denver II Developmental Screening Test

Developmental MilestonesBirth to Five Years
Selected Screening and Assessment Tools
Suggested Readings on Childrens Developmental Norms

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APPENDIX C

DENVER II DEVELOPMENTAL SCREENING TEST

(Reprinted with permission of DDM)

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APPENDIX C

DIRECTIONS FOR ADMINISTRATION

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DEVELOPMENTAL MILESTONES
Skills

Birth to 12 Months

One Year to Two Years

Cognitive Skills

Follows moving object with eyes. Looks

directly at faces and responds to
gestures.
Places toy in and takes toy out of
containers.
Beginning of memoryobject
permanence.
Looks for hidden objects.
Listens to and follows simple directions.

Imitates adults through actions and

words.
Names simple objects.
Listens to and follows commands and
requests.
Explores the environment.
Acts like little scientist.
Matches simple objects.

Language Skills

Cries, babbles, and coos.

Looks at speaker when spoken to and
responds using variety of sounds.
Capable of vowel and consonant sounds,
often using repetition.
Begins to imitate sounds.
Begins to use intonation for meaning.

Speaks first words.

Able to speak 50 meaningful words to
communicate.
Identifies and names simple objects.
Uses gestures to enhance communication.
Indicates possession by using words
mine, me.
Uses the word no frequently to voice
autonomy.

Fine Motor Skills

Reaches for objects; grasps and plays

with them.
Puts objects in mouth.
Uses pincer grasp.
Shifts objects between hands.
Drops objects; picks them up.

Stacks three objects, such as blocks,

in a tower.
Turns pages (two or three at a time).
Turns doorknobs.
Throws small ball.
Scribbles, paints with large movements,
holds brush with whole hand.
Drinks from a cup without help.
Begins using a spoon.
Places round objects into holes.

Gross Motor Skills

Lifts head.
Turns from side to side; rolls over.
Sits with back straight and head steady.
Able to crouch.
Crawls.
Pulls self up into a standing position, then
walks along furniture, using both hands.
Stands without support.

Takes first steps.

Walks alone without help.
Stands without support.
Walks backwards.
Walks upstairs using one hand.
Jumps using both feet.
Pulls and pushes toys.
Throws a ball with overhand motion
without falling.

Social Skills

Smiles spontaneously.
Discriminates between familiar people
and strangers.
Responds to own name.
Understands words no-no.
Imitates simple actions of others.

Shows emotions such as affection, joy,

fear, anger, and jealousy.
Recognizes self in mirror.
Refers to self by name.
Hugs and kisses.
Throws temper tantrums.
Loves to help put things away.
Imitates adult activities.
Initiates play.

Self-Mastery Skills

Holds bottle.
Feeds self finger foods.
Holds cup with two hands; needs
assistance to drink from it.
Cooperates with being dressed.

Takes off shoes and other clothing;

can unzip.
Verbalizes needs such as food, drink, and
toileting.
Eats and drinks well without assistance.

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BIRTH TO FIVE YEARS

Two to Three Years

Three to Four Years

Four to Five Years

Can name and recognize one color.

Matches shapes and objects by function.
Stacks objects,such as blocks,five high.
Responds to simple direction.
Has limited attention span.
Identifies objects in picture books.
Can describe own activity.
Begins to understand function of objects
in familiar environments.

Can name and recognize six colors.

Begins to understand concept of time,
including past and present.
Understands concept of pretending.
Knows own full name and age.
Attention span is somewhat longer, but
easily distracted.
Can match by family group or function.

Matches pictures of familiar objects.

Draws people figures with recognizable
parts.
Counts to five.
Knows street and town where he lives.
Points to and names six colors.
Matches commonly related objects.
Has extended attention span.
Has increased understanding of time,
function, and whole and part.

Talks constantly.
Refers to self by proper pronouns.
Uses plurals.
Uses complete sentences consisting of
three to four words.
Asks questions: why, where, how?

Talks in sentences.
Can relate present or past experiences.
Uses past tense for verbs.
Has extensive vocabulary.
Can repeat a song or nursery rhyme.
Can understand and use size
comparisons.
Asks questions for information.

Has basic grammatical structure in use.

Uses increasingly complex language.
Has large vocabulary base.
Understands more complex directions.
Uses directions in play.
Able to listen to long stories.

Can turn pages of book one at a time.

Paints using wrist action.
Holds crayon with fingers, not whole
hand.
Moves fingers independently of others.
Strings beads.
Cuts using scissors,but hasnt mastered it.
Shows hand preference.
Manipulates clay by rolling and pounding.

Drives pegs into holes, nails into wood.

Can copy circle or cross.
Manipulates clay and play dough into
recognizable objects.
Able to stack objects nine high.
Cuts using scissors.

Cuts on a straight line.

Copies simple figures.
Prints a few capital letters.

Runs well.
Kicks ball without losing balance.
Stands on one foot.
Jumps short distances with both feet.
Rides a tricycle, but has not necessarily
mastered both steering and peddling.
Walks upstairs alternating feet.
Walks on tiptoe.

Runs around obstacles.

Throws ball overhand, with direction.
Hops on one foot.
Climbs up slide and slides down
unassisted.
Walks a line.
Can catch ball bounced to her.
Masters riding a tricycle.

Turns somersault.
Walks up and down stairs unassisted,
alternating feet.
Jumps forward as many as ten times
without falling.
Walks backward in a line, heel to toe.
Can swing at a stationary ball with a bat.

Better control of temper tantrums.

Begins to share toys.
Plays near other children (parallel play).
Begins real dramatic play.
Participates in group activities like circle
time.

Plays with others (associative play).

Able to share and take turns.
Acts out whole scenes in dramatic play.

Plays with other children (cooperative

play).
Dramatic play resembles reality, including
dressing up.
Pretending is acknowledged.
Acknowledges sex differences.

Understands gender identity.

Feeds self.
Drinks from drinking fountain.
Takes off jacket or coat.
Toilets with help.
Opens doors.

Knows own gender identity.

Buttons and unbuttons clothing.
Washes hands without help.
Pours well from small pitcher.
Spreads with knife.
Toilets without help.

Laces shoes.
Follows instructions given in a group.
Uses knife to cut food.
Can help set table.
Can help in simple food preparation.
Knows name of city she lives in.

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APPENDIX C

SELECTED SCREENING AND ASSESSMENT TOOLS

Bayley Scales of Infant Development

Two to Thirty Months
Developed in 1969, this tool measures mental, motor, and behavioral development. It
helps to identify developmental difficulties in
very young children.
Gessell Assessment Tool
Birth to Six Years
This tool was first developed in 1940 and
then revised in 1980. Measures motor, adaptive, language, and personal and social
behavior.
Denver Developmental Screening Test
Birth to Six Years
This tool was developed in 1967 and
measures fine motor, gross motor, language,
adaptive, and personal and social skills. It is
best used as an indicator for further assessment needs. It is limited due to its broad
spectrum.
Early Learning Accomplishment Profile
Birth to Three Years
This profile offers programming guidance
for infants and young children with special
needs.
Learning Accomplishment Profile
Diagnostic Test
Thirty Months to Five Years
This tool measures fine motor and gross
motor skills, cognition, and language development. It can also provide appropriate
learning objectives and assist in measuring
progress. It is intended primarily for children
with special needs.

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Learning Accomplishment Profile

Diagnostic Screening
Birth to Five Years
This short test (15 minutes) shows cut-off
points in norms that may indicate the need
for early intervention. It assesses fine and
gross motor skills, language, cognition,
social, and self-help skills.
Uniform Performance Assessment System
Birth to Six Years
This assessment tool is based on criteria that
directly refers to the areas of communication,
social and self-help skills, cognition, and general motor skills.
Portage Guide to Early Education
Birth to Six Years
A checklist is the main instrument used to
assess developmental skill performance. This
tool also includes lesson plans and other aids
to develop optimum skill building for young
children.
Hawaii Early Learning Profile
Birth to Three Years
This tool, developed in 1979, measures cognition, language, social, and self-help skills as
well as fine and gross motor skills.
Early Childhood Environment Rating Scale
Birth to Five Years
The primary purpose of this tool is to rate the
quality of the child care or preschool setting,
the materials and activities provided, childrens development, and scheduling. The
resulting assessment can point out areas that
need improvement to enhance the child care
or preschool experience.

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SUGGESTED READINGS ON
CHILDRENS DEVELOPMENTAL NORMS
Ainsworth, M., Blehar, M., Waters, E., &
Wall, S. (1979) Patterns of attachment:
Observation in the strange situation and at home.
Hillsdale, NJ: Erlbaum.

Shearer, D., Billingsley, J., Froman, A.,

Hilliard, J., Johnson, F., & Shearer, M. (1976).
Portage guide to early education (Rev. ed.).
Portage, WI: Portage Project.

Bayley, N. (1969). The Bayley scales of infant

development. New York: The Psychological
Corporation.

Smith P., & Pederson, D. (1988). Maternal

sensitivity and patterns of infant and mother
attachment. Child Development, (59),
10971101.

ERIC. (1989). Early intervention for infants and

toddlers: A team effort (#461). Urbana, IL: The
University of Illinois.
Frankenburg, W. K., Dodds, J. B., & Fandal,
A. (1975). Denver developmental screening test.
Denver, CO: Ladoca Publishing.
Furuno, S., OReilly, D., Hosaka, C., Inatuska,
T., Aleman, T., & Zeisloft, B. (1979). Hawaii
early learning profile. Palo Alto, CA: Vort
Corporation.
Harel, I., & Anastasian, N. (1985). The at-risk
infant. Baltimore: Brookes Publishing.
Harms, T., & Clifford, R. (1980). Early
education environmental rating scale. New
York: Teachers College Press.

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Terr, L., & Tyler, R. (1992, May). Prenatal

drug exposure: An overview of associated
problems and intervention strategies. Phi
Delta Kappan, 705707.
Ungerer, J., & Signman, M. (1983).
Developmental lags in preterm infants from
one to three years. Child Development, (54),
12171228.
Weiss, R. (1981). INREAL intervention for
language handicapped and bilingual
children. Journal of the Division of Early
Childhood, (4), 2427.
White, O., Edgar, E., Haring, N., Afflectk, J.,
Hayden, A., & Benderesky, M. (1981).
Uniform performance assessment system (UPAS).
Columbus, OH: Charles E. Merrill.