Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening

Algorithm for screening a patient without identified risks for developmental problems at a health supervision visit. Numbers and headings refer to steps in the algorithm. ^aTo identify problems not previously recognized during earlier screenings, clinicians should pay particular attention to developmental surveillance at the age 4- or 5-year visit, before entering kindergarten. Developmental surveillance should continue throughout childhood. ^bScreening instruments may be administered through a previsit process initiated by the practice or by the family. ^cProviders should create methods in their record system (paper or electronic) to ensure that these facts are visible to clinicians in future visits and in the appointment scheduling process. CK, creatine kinase.