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Child Development |
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National
and Multistate Research Efforts on or Related to Developmental
Screening |
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American Academy of Pediatrics (AAP), Periodic Survey of Fellows
This survey queries pediatricians about their attitudes and practices on a
wide range of current child health topics. Three or four surveys are
conducted per year, each mailed to a unique random sample of approximately
1600 active, US members of the AAP.
Sample Finding “Pediatricians who are reimbursed predominantly by
Medicaid, serve minority families, and practice in urban cities are less
likely to refer families to several community-based health services.”
Website
http://www.aap.org/research/surv1.htm
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Annual Early Periodic Screening, Diagnostic, and Treatment (EPSDT)
Report EPSDT is Medicaid’s comprehensive and preventive child health
program for individuals under the age of 21, which includes periodic
screening for developmental delays and anticipatory guidance for parents.
The annual report documents, for each state, the number of children
provided child health screening services, initial or periodic screening,
and referrals for treatment.
Sample Finding Only about one-third of US children who are eligible
for EPSDT receive these checkups.
Website
http://cms.hhs.gov/medicaid/epsdt/default.asp
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National Survey of Early Childhood Health (NSECH) From the parents
or guardians who are primarily responsible for the health of a child in the
home, NSECH recently collected information on a random sample of young
children (ages 4 through 35months). This survey is a module of the State
and Local Area Integrated Telephone Survey (SLAITS). It collects
information mostly on the health-related concerns and needs of parents and
children, the quality of developmental and psychosocial care received,
factors associated with quality pediatric care, and home health behaviors.
Sample Finding Only 35% of surveyed parents reported that their
child had been asked by their health care provider to pick up small objects
or do related tasks that would suggest that a developmental assessment was
done.
Website
http://www.cdc.gov/nchs/about/major/slaits/nsech.htm
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Promoting Healthy Development Survey (PHDS-PLUS) By interviewing
parents of children four years-of-age and under, this survey, by the
Foundation for Accountability, seeks to measure how well pediatric
clinicians provide child development health care services.
Sample Finding Only 46% of parents who reported potentially serious
concerns to their healthcare provider also reported getting the information
they needed to address these concerns.
Website
http://www.facct.org/facct/site/facct/facct/home
Gaps in our knowledge on Developmental Screening
Although the above datasets have provided, and continue to provide,
important information on developmental screening, there is no survey that
follows children from screening to intervention. Therefore, we are lacking
data on the effects of screening for further assessment and intervention
implementation. This leaves us with little data on the outcomes of
developmental screening.
Other gaps in our knowledge relate to meeting the requirements of federally
mandated services, such as EPSDT, Child Find, and early interventions.
Better evaluation of these programs is needed to identify the barriers and
increase accountability for providing more eligible children services.
[Return to Top]
Date: September 20, 2005
Content source: National Center on Birth Defects and Developmental
Disabilities
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