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Why?
Most children who would benefit from early intervention are not identified
until after they start school.
Even pediatricians and child health specialists fail to detect delays more than
70% of the time when they rely on clinical judgment alone.
Screening results will enable child health specialists to initiate early
intervention.
Early Intervention
Provides special services and programs for children from birth to age 3 who
have:
Developmental delays
A physical or mental condition known to cause developmental
delays.
To prepare children for the future academic tasks they will need to master as
part of the general education curriculum
Developmental delays, learning disorders, and behavioral and socialemotional problems are estimated to affect 1 in every 6 children.
Only 20% - 30% of these children are identified as needing help before school
begins.
If social-emotional problems are identified and addressed early, children are
less likely to be placed in special education problems--and later in life, they're
also less likely to experience school failure and unemployment.
Screening Tools
When a child fails a screening test, a close follow up is needed and he may
need to further assessment.
There "predictive concerns" drive the algorithm toward referral for further
evaluation.
If two or more predictive concerns are found the patient should be referred
for either speech and language assessment Audiology testing or for
intellectual and educational evaluation.
If one predictive concern is found patient should come back for either
second-stage developmental screening or for other more specific screens.
If the parent does not write down any concerns, be sure to consider
whether the parent has literacy or language barriers before assuming the
parent has no concerns.
Denver II
In 2006, the American Academy of Pediatrics Council on Children with Disabilities; Section
of Developmental Behavioral Pediatrics published a list of screening test for clinicians to
consider when selecting a test to use in their practice. This list includes DENVER II among
its choices.
Most recently, the Denver II has fallen out of favor with early childhood organizations.