phb-bricker-all.indb

Developmental Screening in Your Community

An Integrated Approach for Connecting Children with Services

by

Diane Bricker, Ph.D.

College of Education University of Oregon Eugene, Oregon

Marisa Macy, Ph.D.

Lycoming College Williamsport, Pennsylvania

Jane Squires, Ph.D.

College of Education University of Oregon Eugene, Oregon

and

Kevin Marks, M.D., FAAP

PeaceHealth Medical Group Eugene, Oregon Oregon Health & Science University School of Medicine Division of General Pediatrics Portland, Oregon

Contents

About the Authors . . . . . . . . . . . . . . . . . vii
Acknowledgments . . . . . . . . . . . . . . . . . . . ix
I The Need and Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1 Volume Overview and Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2 Early Detection of Developmental Problems in Young Children . . . . . . . . . . 11
3 Current Status: Early Detection/Child Find Activities . . . . . . . . . . . . . . . . . . 29
4 Developmental-Behavioral Screening Measures . . . . . . . . . . . . . . . . . . 43 II The Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
5 A Framework for Early Detection/Child Find: A Systems Approach . . . . . . 83
6 Early Detection Systems: Medical Home Settings . . . . . . . . . . . . . . . . . . . . 107
7 Early Detection/Child Find in Education Settings . . . . . . . . . . . . . . . . . . . . . 141
8 Early Detection/Child Find: Social Services Settings . . . . . . . . . . . . . . . . . . 161
9 Statewide Early Detection/Child Find Systems . . . . . . . . . . . . . . . . . . . . . . . 179
10 Technology-Based Early Detection/Child Find Systems . . . . . . . . . . . . . . . . 199
11 Universal Early Detection: Reaching the Goal . . . . . . . . . . . . . . . . . . . . . 211
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247

About the Authors

Diane Bricker, Ph.D., is Professor Emerita and former director of the College of Education’s Early Intervention Program at the University of Oregon. ...

Marisa Macy, Ph.D., is Assistant Professor of Education at Lycoming College in Williamsport, Pennsylvania. ...

Jane Squires, Ph.D., is Professor of Special Education/Early Intervention and Director of the Center for Excellence in Developmental Disabilities and Center on Human Development at the University of Oregon. ...

Kevin Marks, M.D., FAAP, is a full-time general pediatrician and part-time pediatric hospitalist at PeaceHealth Medical Group in Eugene, Oregon. ...

A Framework for Early Detection/Child Find

A Systems Approach

As noted in Chapter 1, this volume has two important goals. The first is to emphasize the importance of early detection as the most effective way to minimize the effects of physical or developmental problems on young children and to discuss the array of available data and information associated with early detection/Child Find activities in the United States. The second is to present a framework for early detection/Child Find based on a systems approach that offers a flexible structure that can be adapted to accommodate variations in community settings, personnel, populations, and resources.
The ensuing chapters provide examples of how this approach to early detection/Child Find can be employed under a range of conditions and in medical, educational, and social services settings.
...

SYSTEMS APPROACH PROCESSES

The two essential processes of the proposed systems approach for early detection/Child Find are the coordinating and checking/verifying processes.
...

SYSTEMS APPROACH CONTENT COMPONENTS

As shown in Figure 5.1, the proposed systems approach is composed of six distinct but linked content components: 1) Program Goals, 2) Community Awareness, 3) Contact and Referral, 4) Developmental-Behavioral Screening, 5) Follow-up, and 6) Overall Evaluation. ...

Component 1: Program Goals

The purpose of this component is to provide the necessary guidance for the selection and implementation of activities associated with the other five components of the approach.

Outcome The outcome for component 1 is a written document that contains clearly stated goals...

Component 2: Community Awareness

The purpose of this component is to disseminate essential information about early detection/Child Find to the community at large in a way that produces the desired outcome (i.e., young children being referred for developmental-behavioral screening in a timely manner).

Component 3: Contact and Referral

The purpose of the Contact and Referral component is to accept all calls and contacts asking for information on developmental-behavioral screening and/or how to access the available screening program or programs.

Component 4: Developmental-Behavioral Screening

The purpose of this component is to offer a brief, first-level determination of children’s developmental/behavioral status using a formal procedure.
...

Component 5: Follow-up

The purpose of the present component is captured in the three distinct actions associated with follow-up. ...

Component 6: Overall Evaluation

The Overall Evaluation component is composed of a range of actions whose purpose is to collect and analyze the necessary data and information to ensure the system is meeting its stated goals in an acceptable and timely manner.

SUMMARY

The authors of this volume are committed to the development of a universal early detection/Child Find system for all children birth through age 5 who reside in the United States—of course, we strongly support all international efforts to undertake universal Child Find as well. ...