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Development assessment

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Development assessment

  1. 1. DEVELOPMENT ASSESSMENT SCALES<br />CHAIR PERSON : DR.AMI PATEL<br />SPEAKER :DR.YOGESH<br />
  2. 2. INTRODUCTION<br />DEVELOPMENT<br />It is acquisition of qualitative and quantitative skills in a social environment<br />FOUR AREAS<br />Gross motor development<br />Fine motor development<br />Personal /social development<br />Language development<br />
  3. 3. SIGNIFICANT DELAY<br />Discrepancy 25% or more OR 1.5 to 2 SD from normal<br />GLOBAL DEVELOPMENT DELAY<br />Delay in 2 or more domains of development<br />DEVELOPMENT DEVIANCE<br />When child develop milestone or skill outside typical acquisition of sequence<br />
  4. 4. DEVELOPMENT DISSOCIATION<br />When child has widely differing rates of development in different domains of development<br />DEVELOPMENT REGRESSION<br />When child loses previously acquired skills or milestone<br />
  5. 5. SURVEILLANCE<br />Is flexible ,longitudinal ,continuous process through which potential risk factors for developmental and behavioral disorder can be identified<br />5 components<br /><ul><li>Eliciting and attending to the parents concern about their child’s development
  6. 6. Documenting and maintaining a developmental history
  7. 7. Making accurate observations of child
  8. 8. Identify risk and protective factors
  9. 9. Maintaining accurate record of the surveillance process and findings</li></li></ul><li>SCREENING<br />It is brief ,formal ,standardized evaluation aid in the early identification of pt. with development / behavioral delay<br />TYPES<br />Informal screening<br />Routine formal screening<br />Focused screening<br /> - more important<br /> -When parents or teacher suspect<br /> -High risk neonates <br /> > BIOLOGICAL : IVH,HIE,VLBW babies ,low apgar ,persistent seizures ,meningitis ,hyperbilirubinemia<br /> >ESTABLISHED : Cerebral palsy , down syndrome<br /> >ENVIRONMENTAL : Orphan child , single parent , negligence<br />
  10. 10. GUIDELINES<br />Screening instrument should be reliable ,culturally relevant and used only for specific purpose<br />Multiple sources of information should be used<br />Should be done only by trained personales<br />Screening should be on recurrent and periodic basis <br />Family members should be part of process<br />
  11. 11. DENVER DEVELOPMENT SCREENING TEST<br />Assessment of infant & pre school children<br />Include 4 vital area <br />105 items<br />Not promising results<br />DENVER 2 (Modified DDST )<br />125 items<br />Increase in language items<br />2 articulation items<br />Behavior rating scale<br />New training materials<br />Higher test retest reliability<br />Can identify milder delay<br />DOES NOT MEASURE INTELLIGENCE OR DQ<br />
  12. 12. GESSEL DEVELOPMENT SCHEDULE<br /><ul><li> Up to 5 years of age
  13. 13. Include 4 major functional areas
  14. 14. Take 30 -40 minutes
  15. 15. more concern with diagnosis and evaluation of abnormalities than attainment of various milestones</li></li></ul><li>BAYLEY SCALE OF INFANT DEVELOPMENT<br />Based on motor scale , mental scale and infant behaviour<br />Up to 30 months of age <br />Takes 30-60 minutes<br />67 motor scale ,107 mental scales<br />
  16. 16. BARODA DEVELOPMENTAL SCREENING TEST<br />Based on BSID ,baroda norms developed by dr.phatak ,suitable for indian children<br />Not required any standardized equpment<br />25 items<br />Up to 30 months<br />Domains evaluated are gross motor, fine motor ,cognitive<br />Take 10 minutes<br />Sensitivity 0.66-0.93 specificity 0.77-0.94<br />
  17. 17. TRIVANDRUM DST<br />Based on baroda norms <br />Domains are gross motor, fine motor and cognitive<br />0-2 years by para medical health worker<br />Take 5 minutes<br />Sensitivity 0.67 specificity 0.79<br />
  18. 18.
  19. 19. INCLUDE 17 ITEMS<br />Social smile<br />Eyes follow pen/pencil<br />Holds head steady<br />Rolls from back to stomach<br />Turns head to sound of bell/ rattle<br />Transfer objects hand to hand<br />Raises self to sitting position<br />Standing up by furniture<br />Fine prehension pellet<br />Pat a cake<br />Walk with help<br />Throws ball<br />Walk alone<br />Says two words<br />Walks backwards<br />Walks upstarswiyh help<br />Points to part of a doll<br />
  20. 20. DEVELOPMENT ASSESSMENT TOOL FOR ANGANWADIS (DATA )<br />Brief ,simple and psychometrically sound measure for anganwadis<br />Mainly for toddlers<br />Identify at risk ,mild delay ,moderate deley and severe delay<br />
  21. 21. 12 ITEMS<br />GROSS MOTOR<br />Kicks stationary ball<br />Jumps in place<br />FINE MOTOR<br />Folds paper in to half in imitation<br />Opens stacking barrel and takes out beads<br />COGNITIVE<br />Finds specific objects on request<br />Places objects on request<br />
  22. 22. <ul><li>PERSONAL SOCIAL</li></ul> Differentiate between edible and non edible substances<br /> Proper bowel /bladder control<br /><ul><li> EXPRESSIVE LANGUAGE</li></ul> Combine two words to express possesion<br /> Can ask “what is this ? “<br /><ul><li> RECEPTIVE LANGUAGE</li></ul> Points to common objects described by its use<br /> Points to picture of action<br />
  23. 23. DEVELOPMENT SCREENING TEST(DST):<br /> - simple scale & administered up to age of 15 years<br /> - it was standardized on indian children<br />BRAZELTON NEONATAL BEHAVIOURAL ASSESSMENT SCALE :<br /> -based on observation of baby & response to 20 primitive reflexes<br />
  24. 24. <ul><li>DEVELOPMENTAL OBSERVATION CARD(DOC) :</li></ul> -designed in child development centre of SAT Hospital ,trivandrum<br /> -using four key milestones namely social smile,head holding , sitting alone & standing alone generally appear not later than 2,4,8 &12 months<br />
  25. 25. DQ = Developmental age /chronological age ×100<br />IQ = Mental age /chronological age × 100<br />
  26. 26. ASSESSMENT OF INTELLIGENCE<br />GOOD ENOUGH’S DRAW A MAN TEST :<br /> - 3 to 13 years of age<br /> -51 items <br /> -receive 1 point for each item <br /> - for each 4 points , one year is added to the basal age of 3<br />
  27. 27. STANFORD BINET INTELLIGENCE SCALE :<br /> - Include verbal ability ,perceptual skills , short term memory & hand and eye co-ordination<br /> -takes 45-60 minutes<br />BINET – KAMAT TEST<br /> -indian adaptation of stanford - binet scale<br /> - also available in hindi<br />
  28. 28. WECHSLER INTELLIGENCE SCALE FOR CHILDREN (WISC):<br /> - verbal and performance scale <br /> -5 to 15 years<br /> -takes 45-60 min<br />MALIN INTELLIGENCE SCALE FOR INDIAN CHILDREN:<br /> - Indian adaptation of WISC <br /> - It may not give real capabilities in non school going children as mostly influenced by formal schooling system <br />

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