The use of standard tools to assess young children’s development is an important part of children’s primary health care. The Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents, supported by the American Academy of Pediatrics and the MCHB, recommends routine screening by pediatric health care providers for developmental and behavioral problems using standardized screening tools.1 Despite this recommendation, only half (50.5 percent) of CSHCN aged 1-5 were reported to have received such a screening during a preventive health visit in the past 12 months. This percentage was highest among children with private insurance, of whom 51.8 percent were reported to have received a developmental screening, and lowest among uninsured CSHCN, of whom 40.2 percent were screened.

The likelihood of receiving a standard developmental screen varies slightly by race and ethnicity, from 47.3 percent of non-Hispanic Black children to 50.5 percent of non-Hispanic White children.

1 Hagan JF, Shaw JS, Duncan PM, eds. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. Third edition. Elk Grove Village, IL: American Academy of Pediatrics, 2008. Return to text.

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