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How good is general practice developmental screening?

J Dearlove1, D Kearney

  • 1Yeovil District Hospital, Somerset.

BMJ (Clinical Research Ed.)
|May 5, 1990
PubMed
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Developmental screening by health visitors and general practitioners in Somerset showed low sensitivity for identifying children with special educational needs. Most children needing special education were identified before preschool screening, indicating limited program utility.

Area of Science:

  • Child Development
  • Public Health
  • Educational Psychology

Background:

  • Developmental screening is crucial for early identification of special educational needs.
  • Current screening practices in Somerset involve general practitioners and health visitors.
  • The effectiveness of these established screening programs requires evaluation.

Purpose of the Study:

  • To assess the sensitivity of developmental assessments conducted by health visitors and general practitioners.
  • To determine the relationship between preschool developmental assessments and later reading ability.
  • To evaluate the overall utility of the Somerset developmental screening program.

Main Methods:

  • Retrospective review of 1504 seven-year-old children in Somerset.

Related Experiment Videos

  • Analysis of developmental assessment data from health visitors and general practitioners.
  • Comparison of screening results with identification of children with special educational needs and school placement.

    • Main Results:

    • Health visitor sensitivity was 45%, and general practitioner sensitivity was 56% for identifying special educational needs.
    • No correlation found between preschool developmental assessment and later reading ability.
    • 22 out of 23 children in special schools were identified independently of the screening program.

    Conclusions:

    • Developmental screening in Somerset demonstrated limited effectiveness in identifying children with special educational needs.
    • The existing screening program did not significantly contribute to early identification or impact later academic outcomes.
    • Alternative or improved methods for developmental screening may be necessary.