SCREENING & SURVEILLANCE

TOOLS & GUIDELINES
Developmental Surveillance and Screening Algorithm
AAP & Medical Home guides with "click-on" to find specific tools 
Developmental Screening for Healthcare Providers
CDC site provides Overview, "how to" tables, & links screening tool links
Screening Tools Table
Pediatrics table of 20 instruments, with Description; Age range; Administration time, Cultural info, etc.)
Screening Tools Table
schoolpsychiatry.org table of tools (cost-free and marketed tools)
Screening Tools Table: Social & Emotional Devt - Birth to 5 years
U.S. Dept of Education & National Early Childhood Technical Assistance Center


Symptom Checker - electronic Child Mind Institute tool for parents (may help clinicians)

Abuse & Neglect
Practicing Safety AAP modules to identify risk & help w/prevention

Adolescence
CRAFFT Alcohol & drug screening
GAPS (Guidelines for Adolescent Preventive Services) AMA screening & management tool, ages 11-21 (biomedical, behavioral, psychosocial)
HEADSS & HEADSS Guide Adolescent psychosocial assessment (Guide requires registration)
TeenScreen Primary Care Questionnaire overview for PSC-Y, PHQ-9 &CRAFFT

Aggression
Modified Overt Aggression Scale Rate and track aggression

Anxiety
PHQ (Patient Health Questionnaire) & Scoring Self-administered adult screen for anxiety, depression, alcohol, eating. Many languages available.
Preschool Anxiety Scale
+ Scoring & Interpretation Adapted from Spence Children's Anxiety Scale. Download free.
SCARED (Screen for Childhood Anxiety-Related Disorders:Child Self-Report)
 Includes scoring
SCARED: Parent-Report Includes scoring
Spence Children's Anxiety Scale Includes scoring, parent- and child-versions, many languages

Attention Deficit Hyperactivity Disorder - PLUS
Cardiovascular Screening:
Pre-stimulants cardiac screening checklist (per anonymous M.D. source)
Pre-stimulants treatment ECG findings: Table of recommendations (per April '08 American Heart Assn)
Pre-stimulants treatment ECG: American Academy of Pediatrics response to AHA

ADHD Clinical Screening Instruments:
SNAP-IV Rating Scale
SNAP-IV Scoring
SNAP-IV Color copy with instructions
SNAP & SWAN website Includes both printable instruments
AAP - Vanderbilt-ADHD Letter
AAP - Vanderbilt - ADHD Introduction
AAP - Vanderbilt - Initial Evaluation Form
AAP - Vanderbilt - Parent Form
AAP - Vanderbilt - Teacher Form
AAP - Vanderbilt - Parent Follow-up Form
AAP - Vanderbilt - Teacher Follow-up Form
AAP - Vanderbilt - Scoring Instructions
AAP - Vanderbilt - Scoring Sample
AAP - Vanderbilt - Cover Letter to Teachers
AAP - Management Plan Sample 1
AAP - Management Plan Sample 2
AAP - How to Establish School-Home Daily Report Card
AAP - Stimulant Medication Management
AAP - Does My Child Have ADHD?
AAP - Evaluating Your Child for ADHD
AAP - For Parents of Kids with ADHD
AAP - What to do for sleep problems and ADHD
AAP - Educational Rights and ADHD
AAP - Homework Tips and ADHD
AAP - ADHD Work with your child's school
AAP - Coding Fact Sheet for ADHD
AAP - Billing Encounter Form
AAP - Documentation for Reimbursement
AAP - ADHD Internet Resources
NICHQ - Vanderbilt forms & related Diagnosis, Treatment, Parent info & Resources forms

Adult Clinical Screening Instruments:
Adult ADHD Self-Report Scale Includes scoring instructions

Autism
Autism Screening Tool Kit for Primary Care Providers by Developmental Pediatrician Alison Schonwald, MD; Boston Children's Hospital
CAST Childhood Asperger Syndrome Test For youth 4 years - 11 years. Not standardized, but cut-off is suggested.
CSBS DP Infant-Toddler Checklist
3 - 24 months; Seven key predictors of later language/social delay or atypicality
Comparison in Dev't between Typical Kids and/or Kids w/Delays
Table (birth - 3), by Volkmar
"Detect Autism. Act Early"
: CDC Link for parents (and professionals)
DSM-5 Autism Diagnosis criteria
Empathy v Systemizing (for Adults) Simon Baron-Cohen's 4 screens that suggest autistic traits.
MCHAT and MCHAT official website screening for children 16 - 48 months of age
MCHAT-R/F Modified Checklist for Autism in Toddlers - Revised with Followup (2013); official website
First Signs screening tools link
Interview Template Interviewing parents along 3 domains (social, communication & interests)

Cerebral Palsy

Depression
Montgomery-Asberg Depression Rating Scale 10-item diagnostic questionnaire to assess changes with medication
MFQ (Mood & Feelings Questionnaire) Child self-report & parent-report versions. Free but must email for password
PHQ-9 (Patient Health Questionnaire) 9-item primary care scale for depression severity & treatment monitoring (background info on PHQ)

Developmental Milestones - Typical
Ages & Stages birth-to-5 years (milestones) & birth-to-21 years (guidance) (HealthyChildren.org/AAP)
Cognitive Development birth-to-2 years
Cognitive-Motor: Draw-A-Person Test Goodenough-Harris Test
Development birth-thru-adolescence (Child Development Institute)
Development: Pathways birth-to-15 months (in English & multiple languages)
Developmental Milestones birth-to-24 months
Developmental Milestones birth-to-5 years (CDC/NCBDDD)
Developmental Milestones birth-to-6 years (7 categories)
Developmental Milestones 1-month to 5 years (Child Mind Institute)
Gross Motor Development (typical v. delayed) birth-to-12 months
Integrating Developmental Screening into Primary Care Practice
Motor Development birth-to-2 years
PEDS Child Dev't Screening Test and online (free trial available) PEDS:DM (aka PEDS Tools) birth-to-8 years
Psychosocial Dev't birth-to-2 years
Reflexes Primitive & Postural - via an unrefereed site
Speech, Play, and Physical Development birth-to-15 months

Dysmorphology
Human Pathology features photos; search by history or exam finding

Environment
Children of Alcoholics Screening Test (CAST) For kids & adolescents whose parent(s) may have alcohol abuse/dependence
Family Psychosocial Questionnaire by Kathi Kemper, MD, Boston Children's to assess family-based risk factors
StimQ: Cognitive Home Environment NYU tool for kids 5-72 months; measures home cognitive stimulation

Fetal Alcohol Spectrum

General Screening

Genetics Support
Gene Tests Medical genetics resources for clinicians
National Organization for Rare Disorders (NORD) NIH agency
Online Mendelian Inheritance in Man (OMIM) Info on all known Mendelian disorders
SimulConsult Computer program that provides differential diagnosis based on findings

Medical Home
Child Health Notes WA State Medical Home resource for screening and surveillance generally and on specific topics
Well-Child Guidelines checklist for families to determine non-medical needs for kids with special needs

Movement
AIMS (Abnormal Involuntary Movement Scale) Detection of Tardive Dyskinesia in patients taking neuroleptic Rx
AIMS - Instructions
PUTS Premonitory Urge for Tics Scale

Neurological

Oral Health

Physical Examination

Post-partum Depression

Premature Infants
Developmental Skills Check for Children with History of Extreme Prematurity multi-media tool for physicians and nurse practitioners

Psychosocial
Family Psychosocial Screen (website) Parental depression, Substance abuse, Domestic violence, Parental history of abuse, Social supports
Pediatric Symptom Checklist
(website) includes scoring instructions & youth-report option; Language options
Strengths & Difficulties Questionnaire (website) 25-item parent+teacher+self behavioral screening [emotion, conduct, hyperactivity, peer problems, prosocial behavior] about 3-16 year olds. Many languages. Automatic scoring on website.
Survey of Wellbeing of Young Children From Tufts Medical Center; tools to screen social, family & developmental well-being for children 2 months to 5 years old. English, Spanish, Burmese & Nepali

Reading
Get Ready To Read readiness screening tool for 4-year-olds

Sleep
BEARS Sleep Screening Algorithm
Children's Sleep Habits Questionnaire and Scoring Form and research article (Owens et al, 2000)
Children's Sleep Habits Questionnaire Abbreviated version
Clinical Tools From Brown University; Multiple tools (parent questionnaires, sleep log, other)
REM v. Non-REM Parasomnias Comparison table (2010)

Temperament
Temperament Screen based on Chess & Thomas

Trichotillomania

Violence Prevention
Connected Kids American Academy of Pediatrics

Send mail to: szinner@u.washington.edu
Last modified: 8/31/2011 8:27 PM