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Screening Tools

The following charts are a list of measures approved for use in EPSDT screenings.

The "Description" column provides information on alternative ways (if available) to administer measures (e.g., waiting rooms).

The "Accuracy" column shows the percentage of patients with and without problems identified correctly.

The "Time Frame/Costs" column shows the costs of materials per visit along with the costs of professional time needed to administer each measure.

For parent report tools, administration time reflects not only scoring of test results, but also the relationship between each test's reading level and the percentage of TennCare patients with less than a high school education (who may or may not be able to complete measures in waiting rooms due to literacy problems and will thus need interview administrations).

TOOLS THAT ARE RECOMMENDED FOR USE IN EPSDT SCREENINGS

Measure Age Range Description Scoring Accuracy Time Frame

Child Development Inventories (formerly Minnesota Child Development Inventories). (1992) Behavior Science Systems, Box 580274,Minneapolis, MN 55458 (phone:612-929-6220)

Birth to 72 months

60 yes/no descriptions with separate forms for 0-18 months, 18-36 months, and 3-6 years. Can be mailed to families, completed in waiting rooms, administered by interview or by direct elicitation.

A single cutoff tied to 1.5 standard deviations below the mean

Sensitivity' was 75% or greater across studies and specificity² was 70%.

About 10 minutes (if interview needed)

Parents' Evaluations of Developmental Status (PEDS) (1997) Ellsworth & Vandemeer Press, Ltd. P.O. Box68164, Nashville, TN 37206 Phone: 615-226-4460; fax: 615-227-0411 http://www.pedstest.com ($38.99)

Birth to 9 years

10 questions eliciting parents' concerns. Can be administered in waiting rooms or by interview. Available in Spanish. Written at the 5th grade level. Normed in teaching hospitals and private practice.

Categorizes patients into those needing referrals, screening, counseling, Reassurance, extra monitoring

Sensitivity ranged from 74% to 79% and specificity ranged from 70% to 80%.

About 2 minutes (if interview needed)

Pediatric Symptom Checklist Jellinek MS, Murphy JM, Robinson J. et al.

Pediatric Symptom Checklist: Screening School age children for psychosocial dysfunction. Journal of Pediatrics, 1988; 112:201-209 (the test is included in the article and in the PEDS manual)

6 to 16

35 short statements of problem behaviors to which parents respond with "never," "sometimes," or "often." The PSC screens for academic and emotional/
behavioral difficulties.

Single refer/ nonrefer score

Sensitivity ranged from80% to 95%. Specificity in all but one study was 70% to 100%.

About 7 minutes(if interview needed)

¹ Sensitivity = percentage of children with disabilities identified as probably delayed by a screening test

² Specificity = percentage of children without disabilities identified as probably normal by a screening test.

TOOLS THAT ARE RECOMMENDED FOR SECONDARY
SCREENING INVOLVING DIRECT TESTING OF CHILDREN

Measure Age Range

Description Scoring Accuracy Time Frame

Brigance Screens. Billerica, MA: Curriculum Associates, Inc. (1985) 153 Rangeway Road, N. Billerica, MA 01862 (1-800-225-0248)

21 to 90 months

Seven separate forms, one for each 12 month age range. Taps speech-language, motor, readiness and general knowledge at younger ages and also reading and math at older ages. Uses direct elicitation and observation.

Cutoff and age equivalent scores

Sensitivity and specificity to giftedness and to developmental and academic problems was 70% to 82%.

10 minutes (direct testing only)