Children with developmental and social-emotional delays
often show signs of delay in their
behavior and functioning—in areas such as communication, motor skills, and
social and emotional competence—even before entering school. These signs may be
overlooked by parents who are either unaware of developmentally appropriate
milestones or who believe their children will outgrow their delays prior to
school entry. Sometimes the signs of delay are so subtle that even
pediatricians miss them when relying solely on clinical judgment rather than
incorporating a screening tool.
Developmental
screenings are systematic reviews of age-appropriate developmental milestones. Children
with undiagnosed delays in reaching these milestones can miss an important
window of opportunity in which early intervention (EI) services could
have supported their healthy development and helped them reach their potential.
As a result, it is critical that routine screenings of infants and young
children (up to five years of age) are used to identify concerns related to a
child’s development and determine when further evaluation by an EI provider is
needed.
Characteristics of a Quality Screening
A screening program is effective when it involves an ongoing
process of monitoring, training, feedback, and quality improvement as needed. An effective screening has the following characteristics:
- Staff use the correct screening tool and adhere to screening
instructions.
- The screening tool accurately identifies children at risk
for delays.
- The process lead parents and professionals to take concrete
"next steps" when appropriate, such as making a referral, following up with
further evaluation, and pursuing educational/therapeutic support by an EI
provider.