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Assessment of Developmental Disorders (0- 6 yrs) By: Mary Kate Bueltmann Shelbi Burnett.

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Presentation on theme: "Assessment of Developmental Disorders (0- 6 yrs) By: Mary Kate Bueltmann Shelbi Burnett."— Presentation transcript:

1 Assessment of Developmental Disorders (0- 6 yrs) By: Mary Kate Bueltmann Shelbi Burnett

2 What is a Developmental Disorder? As defined by IDEA: Delays having to do with As defined by IDEA: Delays having to do with 1. Cognitive development 2. Physical development 3. Communication development 4. Social Emotional development 5. Adaptive development to the point where the child needs special education and related services A developmental disability can be any number of conditions as long as it is the result of a genetic disorder, disease, impaired growth pattern, or unknown. A developmental disability can be any number of conditions as long as it is the result of a genetic disorder, disease, impaired growth pattern, or unknown. Happens anytime before the age of 21 and last your whole life Happens anytime before the age of 21 and last your whole life Specific diagnosis required, could require extended or skilled care Specific diagnosis required, could require extended or skilled care

3 Developmental Disorders Autism Autism Cerebral Palsy Cerebral Palsy Diabetes Diabetes Downs Syndrome Downs Syndrome Epilepsy Epilepsy Fetal Alcohol Syndrome Fetal Alcohol Syndrome Fragile X Syndrome Fragile X Syndrome Mental Retardation Mental Retardation Hearing loss Hearing loss Verbal difficulties Verbal difficulties Dysphagia Dysphagia Spina bifida Spina bifida Spinal muscular atrophy Spinal muscular atrophy Hypotonia Hypotonia Visual impairment Visual impairment

4 Global Developmental Delays (GDD) Subset of developmental delay defined as significant delay in two or more developmental domains (reserved for children less than 5 years old) Subset of developmental delay defined as significant delay in two or more developmental domains (reserved for children less than 5 years old)

5 Facts about Developmental Disorders 12-16% of children have a developmental and/or behavioral disorder 12-16% of children have a developmental and/or behavioral disorder Only 30% are identified before school entrance Only 30% are identified before school entrance Communication between pediatricians and parents at a young age are critical Communication between pediatricians and parents at a young age are critical

6 Activity Think-Pair-Share: What would a child in your scenario behave like?

7 Developmental Monitoring

8 Developmental Screening What happens when a child misses these milestones? CLIP CLIP CLIP Ages & Stages Questionnaire (ASQ) Ages & Stages Questionnaire (ASQ) diagram diagram diagram Child Development Inventories (CDI) Child Development Inventories (CDI) Kent Inventory of Developmental Skills (KIDS) Kent Inventory of Developmental Skills (KIDS) Bayley Infant Neurodevelopmental Screener Test Bayley Infant Neurodevelopmental Screener Test Denver Developmental Screening Test II (DDST-II) Denver Developmental Screening Test II (DDST-II) Parents Evaluation of Developmental Status (PEDS) Parents Evaluation of Developmental Status (PEDS) Batelle Developmental Inventory Screening Tests (BDIST) Batelle Developmental Inventory Screening Tests (BDIST) Questionnaire Questionnaire Questionnaire Multidomain and specific tests Failure of tests result in more diagnostic evaluation and possibly early intervention services

9 Individualized Family Service Plan (IFSP) PLOPS PLOPS Family information Family information Results expected Results expected Early intervention services needed Early intervention services needed When/where/how often services are provided When/where/how often services are provided Who pays for services Who pays for services Service Coordinator Service Coordinator Transition Transition IFSP must include the following: Sample IFSP

10 IFSP vs IEP IFSP Includes all developmental domains Includes all developmental domains Family and child strengths/concerns, measureable outcomes, and services Family and child strengths/concerns, measureable outcomes, and services Services are given in natural environment (home and places natural for the child’s age group) Services are given in natural environment (home and places natural for the child’s age group) Payment involved Payment involved Receive a service coordinator Receive a service coordinator Reviewed every 6 weeks Reviewed every 6 weeks Cannot be held without family present Cannot be held without family present Year round services Year round servicesIEP Only includes academic domain Only includes academic domain Child strengths/concerns, measurable outcomes, and services needed Child strengths/concerns, measurable outcomes, and services needed Focused on least restrictive environment in classroom Focused on least restrictive environment in classroom No payment, covered by public school and IDEA No payment, covered by public school and IDEA Service coordinator can be requested to transition child into IEP Service coordinator can be requested to transition child into IEP Reviewed annually Reviewed annually If family is not present, school must find another way to have family participation If family is not present, school must find another way to have family participation Only provides services during school year Only provides services during school year

11 Early Intervention Services CLIP CLIP CLIP Team of specialists including: Speech/Language Therapist Speech/Language Therapist Occupational Therapist Occupational Therapist Physical Therapist Physical Therapist Developmental Specialist Developmental Specialist Pediatric Nurse Pediatric Nurse Social Worker Social Worker Psychologist Psychologist

12 Early Intervention Services Screening Screening Developmental Assessment Developmental Assessment Home Visits Home Visits Community Enrichment Groups Community Enrichment Groups Parent Groups Parent Groups Resource and Referral Information Resource and Referral Information Consultation to Community Early Childhood Programs Consultation to Community Early Childhood Programs Opportunities for Parent Involvement Opportunities for Parent Involvement Professional Development Opportunities Professional Development Opportunities Services are covered under IDEA Services are covered under IDEA There is an annual fee based on annual income/family size There is an annual fee based on annual income/family size

13 Activity – Mirror, Mirror One person at your table will be the leader and act out one of the following actions One person at your table will be the leader and act out one of the following actions Washing dishes Washing dishes Feeding the cat Feeding the cat Sweeping the floor Sweeping the floor Dusting Dusting Paying the bills Paying the bills Cooking dinner Cooking dinner Setting the table Setting the table Everyone else identifies activity and imitates it Everyone else identifies activity and imitates it

14 Conclusion How would this activity help young children with developmental delays? How would this activity help young children with developmental delays?

15 Sources American Academy of Pediatrics, Committee on Children with Disabilities: Developmental Surveillance and Screening of Infants and Young Children. Pediatrics 2001; Vol 108: No.1: pp192-195 Feldman H., Developmental-Behavioral Pediatrics. Ed. Zitelli B., Atlas of Pediatric Physical Diagnosis. 2002: pp58-86. LaRosa A., Glascoe F., Developmental surveillance and screening in primary care www.uptoddate.com. www.uptoddate.com LaRosa A., Glascoe F., Developmental and behavioral screening tests in primary care www.uptoddate.com. www.uptoddate.com.www.uptoddate.com. Shevell M, Ashwal S, Donley D, et al. Practice parameter: Evaluation of the child with global developmental delay—report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology. 2003;60 :367 –380.


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