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Centralized assessment of early developmental delays in children in foster care: A program that works

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  • Bruhn, Christina M.
  • Duval, Denise
  • Louderman, Richard

Abstract

While children in out-of-home care are disproportionately at risk for early developmental delays, historically, child welfare systems have poor track records of ensuring that children entering care are assessed for developmental delays and, where necessary, are referred for and linked with appropriate early intervention services. Recent studies have demonstrated that programs of comprehensive assessment, or those that ensure that all children entering care receive initial and ongoing assessments, produce both higher rates of assessment and higher rates of identification of developmental delay. However, no study heretofore has examined how comprehensive assessment relates to rates of service delivery. This study represents and evaluation of a program for ongoing assessment of early childhood developmental delays by qualified screeners operated by the Illinois Department of Children and Family Services. Results indicated that 77% of children eligible for the program received assessments. Of all those assessed, 57% were found to have probable developmental delays; nearly all were referred to the early intervention system and formally evaluated. Ninety-four percent of children who were formally evaluated were determined to be eligible for services, and all had IFSPs. Recommendations for optimization of assessment and referral programs are offered.

Suggested Citation

  • Bruhn, Christina M. & Duval, Denise & Louderman, Richard, 2008. "Centralized assessment of early developmental delays in children in foster care: A program that works," Children and Youth Services Review, Elsevier, vol. 30(5), pages 536-545, May.
  • Handle: RePEc:eee:cysrev:v:30:y:2008:i:5:p:536-545
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    References listed on IDEAS

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    1. Rosenberg, Steven A. & Robinson, Cordelia C., 2004. "Out-of-home placement for young children with developmental and medical conditions," Children and Youth Services Review, Elsevier, vol. 26(8), pages 711-723, August.
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    1. McCrae, Julie S. & Cahalane, Helen & Fusco, Rachel A., 2011. "Directions for developmental screening in child welfare based on the ages and stages questionnaires," Children and Youth Services Review, Elsevier, vol. 33(8), pages 1412-1418, August.
    2. Shannon, Patrick & Tappan, Christine, 2011. "A qualitative analysis of child protective services practice with children with developmental disabilities," Children and Youth Services Review, Elsevier, vol. 33(9), pages 1469-1475, September.
    3. Jacobsen, Heidi & Wentzel-Larsen, Tore & Bergsund, Hans Bugge, 2020. "Foster children’s cognitive functioning: A follow-up comparison study at 8 years of age," Children and Youth Services Review, Elsevier, vol. 118(C).

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