PMID: 9164778Jun 1, 1997Paper

An economic analysis of developmental detection methods

Pediatrics
F P GlascoeM L Wolraich

Abstract

To assess the costs and benefits of various approaches to early detection of developmental disabilities. Cost-benefit analyses based on data from previously published studies of developmental screening tests. General pediatric practices and day care centers. A total of 247 parents and their 0- to 6-year-old children-103 from day care centers and 144 from pediatric practices. Licensed psychological examiners administered a screening test of parents' concerns about children's development and one or two direct screening tests: the Denver-II and/or the Battelle Developmental Inventory Screening Test. For the day care sample, examiners also administered to each child measures of intelligence, adaptive behavior, and language. In the pediatric sample, children were administered additional assessments. At the same time, diagnostic measures were administered to a randomly selected subsample to make determinations about developmental status. Each screening method was evaluated for its short-term costs (administration, interpretation, diagnosis, and treatment) and long-term benefits (impact of early intervention on adult functioning as inferred from longitudinal studies by other researchers). When the long-term costs and benefits were con...Continue Reading

Citations

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