Preliminary Screenin Tools
( The tools in the following table areg all MassHealth Approved.)
|
PEDS |
M-CHAT |
PSC |
Y-PSC |
Full Name |
Parents’ Evaluation of Developmental Status |
Modified Checklist for Autism in Toddlers |
Pediatric Symptom Checklist |
Pediatric Symptom Checklist- Youth Report |
Age Group |
Birth to 8 yrs |
16 to 30 months |
4 to 16 yrs |
11+ yrs |
When Administered |
All well child visits up to age 8 |
18 months, 24 months |
Annual visits at 4 years thru 16 years |
Annual visits after 11 years |
Administered by |
Parent |
Parent |
Parent |
Youth |
Number of Questions |
10 |
23 Yes/No |
35 |
35 |
Administration Time |
~ 5 minutes for parent; brief time for staff to score |
~ 5 to 7 minutes for parent; brief time for staff to score |
~5 to 10 minutes for parent; brief time for staff to score |
~5 to 10 minutes for youth; brief time for staff to scrore |
Approximate Per Encounter Cost |
$1.00 |
Free |
Free |
Free |
Link |
Forms: PSC
Forms (click on |
|||
Languages |
English, Spanish, Vietnamese, Hmung, Somali, Chinese, Arabic, French, Haitian-Creole, Indonesian, Portuguese, Russian, Swahili, Thai. Other translations upon request |
English, Spanish |
English, Spanish, Japanese are available
at the MGH website. |
English, Spanish, Japanese are available
at the MGH website. |
Click here for the full list of all of the MassHealth Approved Screening Tools for Children Under 21:
For more information about screening tools, please visit:
The Executive Office of Health and Human Services Webpage on the Children’s Healthcare Initiative
www.developmentalscreening.org/
AAP Policy Statement:
Identifying Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening ( Policy statement includes a table of developmental screening tools.)
Parent Handout:
Is Your One Year Old Communcating with You? – Visit the AAP bookstore