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DEVELOPMENTASSESSMENT SCALES

CHAIR PERSON : DR.AMI PATEL

SPEAKER :DR.YOGESH


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INTRODUCTION

DEVELOPMENT

It is acquisition of qualitative and quantitativeskills in a social environment

FOUR AREAS

Gross motor development

Fine motor development Personal /social development

Language development


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SIGNIFICANT DELAY

Discrepancy 25% or more OR 1.5 to 2 SD from

normal

GLOBAL DEVELOPMENT DELAY

Delay in 2 or more domains of development

DEVELOPMENT DEVIANCE

When child develop milestone or skill outside

typical acquisition of sequence


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DEVELOPMENT DISSOCIATION

When child has widely differing rates of

development in different domains of

development

DEVELOPMENT REGRESSION

When child loses previously acquired skills or

milestone


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SURVEILLANCE

Is flexible ,longitudinal ,continuous processthrough which potential risk factors fordevelopmental and behavioral disorder can beidentified

5 components Eliciting and attending to the parents concern

about their childs development

Documenting and maintaining a developmental

history Making accurate observations of child

Identify risk and protective factors

Maintaining accurate record of the surveillance

process and findings


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SCREENING

It is brief ,formal ,standardized evaluation aid in the early identification of pt. withdevelopment / behavioral delay

TYPES

Informal screening

Routine formal screening

Focused screening

- more important

-When parents or teacher suspect

-High risk neonates

> BIOLOGICAL : IVH,HIE,VLBW babies ,low apgar ,persistent seizures ,meningitis,hyperbilirubinemia

>ESTABLISHED : Cerebral palsy , down syndrome

>ENVIRONMENTAL : Orphan child , single parent , negligence


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GUIDELINES

Screening instrument should be reliable

,culturally relevant and used only for specific

purpose

Multiple sources of information should be used

Should be done only by trained personales

Screening should be on recurrent and periodic

basis Family members should be part of process


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DENVER DEVELOPMENT

SCREENING TEST Assessment of infant & pre school children

Include 4 vital area

105 items

Not promising results

DENVER 2 (Modified DDST )

125 items

Increase in language items

2 articulation items

Behavior rating scale

New training materials Higher test retest reliability

Can identify milder delay

DOES NOT MEASURE INTELLIGENCE OR DQ


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GESSEL DEVELOPMENT SCHEDULE

Up to 5 years of age

Include 4 major functional areas

Take 30 -40 minutes

more concern with diagnosis and evaluation

of abnormalities than attainment of various

milestones


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BAYLEY SCALE OF INFANT

DEVELOPMENT

Based on motor scale , mental scale and infant

behaviour

Up to 30 months of age

Takes 30-60 minutes

67 motor scale ,107 mental scales


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BARODA DEVELOPMENTAL SCREENING

TEST

Based on BSID ,baroda norms developed bydr.phatak ,suitable for indian children

Not required any standardized equpment

25 items Up to 30 months

Domains evaluated are gross motor, fine motor,cognitive

Take 10 minutes

Sensitivity 0.66-0.93 specificity 0.77-0.94


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TRIVANDRUM DST

Based on baroda norms

Domains are gross motor, fine motor and

cognitive

0-2 years by para medical health worker

Take 5 minutes

Sensitivity 0.67 specificity 0.79


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INCLUDE 17 ITEMS

1. Social smile

2. Eyes follow pen/pencil3. Holds head steady

4. Rolls from back to stomach

5. Turns head to sound of bell/ rattle

6. Transfer objects hand to hand

7. Raises self to sitting position

8. Standing up by furniture9. Fine prehension pellet

10. Pat a cake

11. Walk with help

12. Throws ball

13. Walk alone

14. Says two words15. Walks backwards

16. Walks upstars wiyh help

17. Points to part of a doll


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DEVELOPMENT ASSESSMENT TOOL

FOR ANGANWADIS (DATA )

Brief ,simple and psychometrically sound

measure for anganwadis

Mainly for toddlers

Identify at risk ,mild delay ,moderate deley and

severe delay


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12 ITEMS

GROSS MOTORKicks stationary ball

Jumps in place

FINE MOTORFolds paper in to half in imitation

Opens stacking barrel and takes out beads

COGNITIVEFinds specific objects on request

Places objects on request


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PERSONAL SOCIALDifferentiate between edible and non edible

substances

Proper bowel /bladder control EXPRESSIVE LANGUAGE

Combine two words to express possesion

Can ask what is this ?

RECEPTIVE LANGUAGE

Points to common objects described by its

use

Points to picture of action


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DEVELOPMENT SCREENINGTEST(DST):

- simple scale & administered up to

age of 15 years- it was standardized on indian

children

BRAZELTON NEONATALBEHAVIOURAL ASSESSMENT

SCALE :

-based on observation of bab &


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DEVELOPMENTAL

OBSERVATION CARD(DOC) :

-designed in child development

centre of SAT Hospital ,trivandrum

-using four key milestones

namely social smile,head holding ,sitting alone & standing alone

generally appear not later than

2,4,8 &12 months


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DQ = Developmental age /chronological age 100

IQ = Mental age /chronological age 100

Level of retardation IQ

Borderline/average 70-85

Mild/educable 50-70

Moderate/trainable 35-50

Severe 20-35

Profound


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ASSESSMENT OF

INTELLIGENCE

GOOD ENOUGHS DRAW A MAN TEST :

- 3 to 13 years of age

-51 items

-receive 1 point for each item

- for each 4 points , one year is added to the

basal age of 3


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STANFORD BINET INTELLIGENCE SCALE :

- Include verbal ability ,perceptual skills , shortterm memory & hand and eye co-ordination

-takes 45-60 minutes

BINET KAMAT TEST

-indian adaptation of stanford - binet scale- also available in hindi


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WECHSLER INTELLIGENCE SCALE FORCHILDREN (WISC):

- verbal and performance scale

-5 to 15 years-takes 45-60 min

MALIN INTELLIGENCE SCALE FOR INDIANCHILDREN:

- Indian adaptation of WISC

- It may not give real capabilities in non schoolgoing children as mostly influenced by formal

schooling system


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