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Originally Posted by
pranavaÂ

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I don't know what it means, and that does make it a little hard for me to believe some things on this chart. Like, "Can name 1 color" just starts to occur around 30 months on this chart? So, what should I make of DS who can name 10 colors at 14 months!? Or, "names friend" comes in at 27 months, but DS has known first and last names of EVERY teacher and kid at daycare only 2 or 3 weeks after he started daycare at 16 months.Â
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I assume you are looking at the Denver.Â
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My girls took the Denver every year from age 6 m to 4 through a local community program. At 4-- they were looking for delays and my girls topped the test out (they both had physical/fine motor delays when younger due to prematurity) except one DD in gross motor skills and she showed a 'caution' (not a full delay, but behind age expectation), which mean it was not a good indicator of 'how' far ahead they area, rather it showed their personal growth over time and/or areas of strength/weakness. That DD also had social delays at 3.75 yrs that were identified per IEP and not picked up on the Denver. Her academic advanced skills were also not apparent on the Denver  except a notation of  'mastered skill' since so few questions are geared toward that sort of skill- again, her IEP clarified her very asynchronous development more clearly (Child reading at 2nd grade level with comprehension, Child prefers adult companionship over other children, Child unable to ride a tricyle,  etc)
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The 'open' areas  are when 25- 75% of the population master a skills (and the age range: say 'put on shirt' ranges from 25m-36m), then from 36m to 3.5 years a full 90% of kids have mastered that skill. So 25% of kids will actually get that skill BEFORE the age range ( shirt on before 25 months) and 10% will not master it until after 3.5 years.
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That 25% is huge and encompasses a VERY wide range. I am willing to be most kids would get a few scores that would fall in that area during testing, especially as they got older.
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Just think in a group of twenty 3 yr olds. A full 5 of them will have mastered every particular skill  and some may have mastered most of them (or all).And two of them would have not mastered that particular skill- they may be flagged for further investigation/evaluation. The Denver is looking to find those two.
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Basically kids that chart is more geared toward identifying kids that are delayed and/or skill growth over time (the same test is often given a few times a year since theoretically the same child would be mastering different skills and taking different portions of the test so it would not be the same thing each time. Skill sets are different by age. Their are also several skill sets in each category and  depending one how many show a delay or how great the delay in one skill is - may determine further evaluation.
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To see potentially inaccurate results (the actual test has specific testing tools-- asks specific colors, special size cup, particular phrasing when asking a child questions, certain pictures for vocabulary testing, etc) ,print off test then draw a line vertically down from the childs ACTUAL age. Then mark the skills they have mastered and you can see a clear pattern if a child is lagging in a particular area (fine motor, social,etc) or is ahead. Again, 10% of kids will not master that skill by the age cutoff given  and 25% will have mastered it before the guidelines even start.
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It is really a screener tool suggested for ages 0-6 (and commonly used for ages 0-4) to detect delays and/or possibly need for further evaluation, it is NOT a full evaluation. Often kids that show a delay on the Denver will be referred to their local Early Intervention and/or School District for further testing to pin point areas of delay. Though there is some controversy to it, our area stopped using it last year and moved to the Lollipop Test as a developmental assessment tool for 0-5
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See below for more info on the Denver:
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According to a study commissioned by the Public Health Agency of Canada, the DDST is the most widely used test for screening developmental problems in children.[2] While this study acknowledges the test's utility for detecting severe developmental problems, the test has been criticized to be unreliable in predicting less severe or specific problems. The same criticism has been upheld for the currently marketed revised version of the Denver Scale, the DENVER II.[3] Frankenburg has replied to such criticism by pointing out that the Denver Scale is not a tool of final diagnosis, but a quick method to process large numbers of children in order to identify those that should be further evaluated.[4]
This revised definition of the Denver's function remains commensurate with what screening tests are designed to do: sort those who probably have problems from those who probably don't. Thus standards for screening test construction still apply to the Denver. Although the instrument has proven reliability, it was not constructed on a large, current, nationally representative sample. It has not been studied for validity (given alongside diagnostic measures to view their relationship or researched for the kinds of problems it may or may not detect). As a consequence, the measure was not studied by its authors for the most critical attribute of any screen, its accuracy. Studies by other researchers showed it to detect only about 50% of children with disabilities, although its specificity in identifying normally developing children is high (when questionables are grouped with normal scores) and the converse when questionable scores are grouped with abnormal results. Since 1991, researchers have appealed to the author to recall and improve the measure but to no avail. Currently the measure is excluded from lists of recommended tools in several states (e.g., Minnesota Department of Education. For a list of accurate alternatives see The website of the American Academy of Pediatrics' Section on Developmental and Behavioral Pediatrics
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Edited by KCMichigan - 3/15/11 at 11:41am