Transcript Denver Prescreening Developmental Questionnaire II

Denver Prescreening
Developmental Questionnaire II
What it is and how to use it
Denver Prescreening Developmental
Questionnaire II (Denver PDQ II)
• Is based on sound research
• Is quick and easy to administer and score
• Is a parent completed questionnaire
• Is used with EHS infants under 4 months of age
• Is used to find out what (if any) concerns a parent
might have about the baby
• Has questions arranged in chronological order of
when a typically developing child can usually
perform the tasks referenced
• Is to be completed in BLUE INK ONLY!!!
Denver PDQ II
• Is NOT intended to diagnose
or determine that there is a
problem
• Is NOT able to be copiedyou MUST use an original
orange screening
Related Performance Standard
§ 1304.20 (b) (1):
(b) Screening for developmental, sensory, and
behavioral concerns.
(1) In collaboration with each child's parent, and
within 45 calendar days of the child's entry into the
program, grantee and delegate agencies must
perform or obtain linguistically and age appropriate
screening procedures to identify concerns regarding
a child's developmental, sensory (visual and
auditory), behavioral, motor, language, social,
cognitive, perceptual, and emotional skills (see 45
CFR 1308.6(b)(3) for additional information). To the
greatest extent possible, these screening
procedures must be sensitive to the child's cultural
background.
Denver PDQ II Administration
1. Write the child’s name, testing date, and
birth date on the form.
2. “Person Completing PDQ II” and
“Relation to Child” both refer to the
parent/guardian answering the
questions.
3. Staff will complete the age calculation in
the upper right corner of the screening
form.
Denver PDQ II Administration
Age calculation:
Calculate “Child’s Exact Age” first by subtracting
the child’s birth date from “Today’s Date”.
• If you have to “borrow” days, ADD 30 days to
today’s date and SUBTRACT 1 month from
today’s month.
• If you have to “borrow” months, ADD 12 months
to today’s month (or what you have left after
borrowing days). Then, SUBTRACT 1 year from
today’s year.
Denver PDQ II Administration
Example of calculating “Child’s Exact Age”:
9 yr
Today’s Date:
= 21
+12 mo
9 mo
= 45
+30 days
2010 yr
10 mo
15 day
Child’s Birthdate: - 2009 yr
12 mo
30 day
9 mo
15 day
Child’s Actual Age:
0 yr
In example above, we are setting “today’s date” as Oct. 15, 2010
and using a child with the birthdate Dec. 30, 2009.
Denver PDQ II Administration
Calculate the Child’s Exact Age in the following
example:
Today’s Date:
2010 yr
9 mo
Child’s Birthdate: - 2010 yr
5 mo
Child’s Actual Age=
?
?
8 day
16 day
?
In example above, we are setting “today’s date” as Sept. 8, 2010
and using a child with the birthdate May 16, 2010.
Denver PDQ II Administration
Answer:
0 yr, 3 mo, 22 days
8 mo
Today’s Date:
2010 yr
9 mo
= 38
+30 days
8 day
Child’s Birthdate: - 2010 yr
5 mo
16 day
Child’s Actual Age:
3 mo
22 day
0 yr
In example above, we are setting “today’s date” as Sept. 9, 2010
and using a child with the birthdate May 16, 2010.
Denver PDQ II Administration
Let’s do another one:
Today’s Date:
2010 yr
8 mo
Child’s Birthdate: - 2009 yr
9 mo
10 day
13 day
Child’s Actual Age
In example above, we are setting “today’s date” as Aug. 10, 2010
and using a child with the birthdate Sept. 13, 2009.
Denver PDQ II Administration
Answer= 0 yr, 10 mo, and 27 days
9 yr
Today’s Date:
= 19
+12 mo
7 mo
= 40
+30 days
2010 yr
8 mo
Child’s Birthdate: - 2009 yr
9 mo
13 day
10 mo
27 day
Child’s Actual Age:
0 yr
10 day
In example above, we are setting “today’s date” as Aug. 10, 2010
and using a child with the birthdate Sept. 13, 2009.
Denver PDQ II Administration
• After calculating the “Child’s Exact Age”, you
will need to calculate the “PDQ II” age.
 For children under 24 months of age, the PDQ II
age is expressed in completed months and
weeks, as shown below.
Child’s Exact Age: 1 yr
8 mo
+12
PDQ II Age:
- yr
20 mo
20 days
7
2 completed weeks
NOTE: Only completed months and completed weeks
are to be counted when calculating the “PDQ II Age.”
DO NOT round up to the next higher age to express
“PDQ II Age.”
Denver PDQ II Administration
Find the child’s PDQ II Age in the following
example:
Child’s Exact Age: 1 yr
6 mo
PDQ II Age:
?
?
26 days
?
Remember: Only completed months and completed
weeks are to be counted when calculating the “PDQ II
Age”
Denver PDQ II Administration
Answer= 18 mo and 3 completed weeks
Child’s Exact Age: 1 yr
6 mo
+12
PDQ II Age:
- yr
18 mo
26 days
7
3 completed weeks
Remember: Only completed months and completed
weeks are to be counted when calculating the “PDQ II
Age”
Denver PDQ II Administration
• Give the prepared form to the child’s parent.
Allow parent to answer questions until EITHER:
1) 3 “NOs” have been circled (note that they do
not have to be in a row)
OR
2) All of the questions on both sides of the form
have been answered.
Denver PDQ II Administration
• Review the “Yes” and “No” responses with the
parent to make sure that the parent understood
each of the questions answered and marked
them correctly.
Denver PDQ II Scoring
• Identify “delays”
 A “delay” is any item passed by 90% of children
at a younger age than the child being screened.
 Ages at which 90% of children in the Denver II
sample passed the items are listed under “90%”
in the “For Office Use” column.
 These ages are shown in months and weeks.
(for example, “20-2” means 20 months, 2
weeks).
 Mark “delays” by circling the 90% age to the right
of the item that the child was not able to perform.
Denver PDQ II Scoring
• Identify “cautions”
 A “caution” is any item passed by 75% of
children at a younger age than the child being
screened.
 Ages at which 75% of children in the Denver II
sample passed the items are listed under “75%”
in the “For Office Use” column.
 Mark “cautions” by circling the 75% age to the
right of the item that the child was not able to
perform.
Denver PDQ II Scoring
• Example of “delays” and “cautions”:
PDQ II Age: 3 mo 3 completed weeks
delay
caution
Denver PDQ II Scoring
• Children who have no “delays” or “cautions” are
considered to be developing normally.
• If a child has one “delay” or two “cautions,” the
caregiver should be given some age-appropriate
developmental activities to pursue with the child.
• Children who have two or more “delays” or three
or more “cautions” will need to have an ICOPA
(Individualized Child Outcome Plan of Action)
completed.
 In the ICOPA meeting, the parent can choose if
s/he wants to have the child re-screened in 2
weeks or if s/he wants an immediate referral to
ECI.
Let’s Review
•What do the letters
PDQ stand for?
Let’s Review
Prescreening
Developmental
Questionnaire
Let’s Review
•With what age
group are we
going to use the
Denver PDQ II?
Let’s Review
Infants under 4 months
Let’s Review
• At what point should
you ask the parent to
stop answering PDQ II
questions?
Let’s Review
When 3 “NOs” have
been circled
OR
Both sides of the form
have been completed
Let’s Review
Do the “NOs” have to
be consecutive (in a
row)?
Let’s Review
No
Questions?
Jennifer Crookham
Mental Health & Disability Manager
(806) 891- 2156
Dianne Taylor
EHS Assistant & HS/EHS Home Base Coordinator
(806) 762-8815