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Health Check Screening and
Surveillance
Effective October 1, 2006, the Georgia Department of
Community Health (DCH) will require the use of standardized
developmental screening tools at the 9 month, 18 month, 2 year and 3
year Health Check visits. Surveillance at each Health Check visit will
continue to be required with supporting documentation through either the
use of a physician developed template, Bright Futures templates or other
templates approved by the Georgia DCH.
The Chapter has compiled the information listed below
as a resource to assist you in implementing this new change. Providing this
information should not be constructed as an endorsement by the GA/AAP,
either explicit or implied. The GA/AAP does not endorse or recommend any
tool, methodology or service.
If you have any questions about the material listed
below, please contact Fozia Khan Eskew at the Chapter office at 404-881-5074
or via email at
feskew@gaaap.org.
Practice Resources for Using Standardized
Developmental Screening Tools
AAP Web Resource on Screening & Surveillance
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The Academy's affiliated website,
National Center for Medical Home Initiatives for Children
with Special Needs has created a web page to provide
information on implementing developmental surveillance and
screening. The page includes an interactive developmental
surveillance and screening algorithm, and information on
mentorship opportunities, community resources, how to create
an office system, forming partnerships, training and
education and additional resources for clinicians and
parents. To visit the site click here
http://www.medicalhomeinfo.org/screening/DPIP%20follow%20Up.html
Screening & Surveillance Checklist
Presentation on implementing screening &
surveillance in the pediatric office
Blastfax on Health Check Screening & Surveillance
The Chapter has released two blastfaxes on
this issue for members. To view each, please click on the dates below:
Overview of
Standardized Developmental Screening Tools
Special Edition of The Georgia
Pediatrician on Developmental Screening
Children 1st Screening & Referral form
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Children 1st Screening & Referral form-When
referring children to Babies Can't Wait, (use link below to
highlight so that folks can go to this site at this time) Georgia's
early intervention system for children birth to three, use the
attached Children 1st Screening & Referral form and submit it to
your local health department. Note in Section G of the form the
status of the child's hearing and vision screens as well as other
social, medical and biological factors existing for the child. Also
include the signature of the referring pediatrician.
Online Resources
for Standardized Developmental Screening Tools
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Ages and Stages Questionnaires (ASQ)-The
Ages & Stages Questionnaires®
(ASQ) system screens infants and young children for
developmental delays during the first 5 years of life.
Parents complete an illustrated 30-item
questionnaire at designated intervals, assessing
children in their natural environments to ensure valid results. Each
questionnaire can be completed in just 10-15 minutes and covers five key
developmental areas: communication, gross motor, fine motor, problem
solving, and personal-social.
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Child Development Review
System-The Child Development Review approach obtains information from parents and
helps professionals record their direct observations. This information sets
the stage for meeting with parents and discussing the child's development
and needs. It can be used for brief screenings to track "normal" development
or for assessment when more detailed information is wanted or needed.
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Brigance Inventories-The Brigance Inventories offer on-going
assessment, record-keeping and instructional planning system for skills from
birth through adult.
Autism Spectrum Disorders (ASD)
Click on the following to view additional information on Autism
Spectrum Disorders
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Modified Checklist for Infants &
Toddlers (MCHAT)-The Modified Checklist for Infants and Toddlers (MCHAT) is a screening tool
to detect the possibility of autism or autism spectrum disorders. This test
is for children age 18 or 30 months. This free on line screening tool
consists of 23 yes/no items that can be scored in 5 minutes by a
professional or paraprofessional. Yes/no answers convert to pass/fail
responses. The child fails the checklist when two or more critical items are
failed OR when any three items are failed. Although the M-CHAT is not
designed to detect all possible developmental disorders nor will all
children who fail the checklist meet criteria for a diagnosis on the autism
spectrum, it can identify children who should be evaluated by the
pediatrician or referred for a developmental evaluation with a specialist.
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New Website on MCHAT - Click
here for the the new Modified Checklist for Autism in Toddlers
(M-CHAT) website. This site includes downloads, instructions,
translations, and articles related to the M-CHAT.
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Resource Guide for Individuals with Autism and Their Families
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This guide was created by the Georgia
Department of Human Resources and offers parents information on ASD,
discusses how screening is done, and provides an overview of
management techniques for autism spectrum disorders.
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Order the AAP Autism Tool Kit - Clinical Resource toolkit and
two screening tools to assist in the recognition, evaluation, and
ongoing management of autism spectrum disorders.
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Identification and Evaluation of Children With Autism Spectrum
Disorders - This AAP
clinical report offers the pediatrician information on how to
recognize the signs and symptoms, create assessment strategies, and
encourages awareness of local resources for making definitive
diagnosis and management of ASD. Published: PEDIATRICS, November 2007 (Clinical Report)
Authors: Chris Plauché Johnson, MD, MEd, Scott M. Myers, MD and the
Council on Children With Disabilities
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Management of Children With Autism Spectrum Disorders -
This AAP clinical report offers the
pediatrician educational strategies
and associated therapies that are the primary treatments for
children with ASD. Published:
PEDIATRICS, November 2007 (Clinical Report) Authors: Scott M. Myers,
MD, Chris Plauché Johnson, MD, MEd and the Council on Children With
Disabilities
Resources for Documented Surveillance
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Health
Supervision III-This product is the American Academy of Pediatrics'
recommendations for each well-child visit from birth to age 21. Interacting
with patients and parents is key to developing an effective practice. This
widely accepted, comprehensive resource is useful for physician education,
training, and reference. Published by the American Academy of Pediatrics,
this unique guide offers a complete manual, pocket-sized cue cards
(organized by age visit), plus supplements on developmental and psychosocial
issues.
Other Resources
Links
AAP Policy Statement:
Identifying Infants and Young Children With Developmental Disorders in the
Medical Home: An Algorithm for Developmental Surveillance and Screening
Developmental Behavioral Pediatrics
Georgia Medicaid Health Check Manual
Babies Can't Wait Georgia Early
Intervention
Nation Center
of Medical Home Initiatives for Children with Special Health Care Needs
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