{"id":93,"date":"2022-06-22T18:49:47","date_gmt":"2022-06-22T18:49:47","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/accece1045\/chapter\/the-purpose-of-monitoring-screening-and-evaluating-young-children\/"},"modified":"2024-08-05T19:04:53","modified_gmt":"2024-08-05T19:04:53","slug":"the-purpose-of-monitoring-screening-and-evaluating-young-children","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/accece1045\/chapter\/the-purpose-of-monitoring-screening-and-evaluating-young-children\/","title":{"raw":"The Purpose of Monitoring, Screening and Evaluating Young Children","rendered":"The Purpose of Monitoring, Screening and Evaluating Young Children"},"content":{"raw":"Because many parents are not familiar with developmental milestones, they might not recognize that their child has a developmental delay or disability. According to the Centers for Disease Control and Prevention, \u201cIn the United States, about 1 in 6 children aged 3 to 17 years have one or more developmental or behavioral disabilities, such as autism, a learning disorder, or attention deficit \/ hyperactivity disorder (ADHD).\u201d What\u2019s more concerning is that many children are not being identified as having a delay or disability until they are in elementary school . Subsequently, they will not receive the appropriate support and services they need early on to be successful at school. It has been well-documented, in both educational and medical professional literature, that developmental outcomes for young children with delays and disabilities can be greatly improved with early identification and intervention (Squires, Nickel, &amp; Eisert, 1996; Shonkoff &amp; Meisels, 2000). While some parents might be in denial and struggling with the uncertainty of having a child with special needs, some parents might not be aware that there are support services available for young children and they may not know how to advocate for their child. Thus, as early child educators we have an obligation to help families navigate through the process of monitoring, as well as provide information and resources if a screening or evaluation is necessary.\n<h2>The Process of Monitoring<\/h2>\nWho can monitor a child\u2019s development? Parents, grandparents, early caregivers, providers and teachers can monitor the children in their care. As previously stated in Chapter 3, one of the tasks of an intentional teacher is to gather baseline data within the first 60 days of a child starting their program. With each observation, teachers are listening to how a child speaks and if they can communicate effectively; they are watching to see how the child plays and interacts with their peers; and they are recording how the child processes information and problem solves. By monitoring a child closely, not only can we observe how a child grows and develops, we can track changes over time. More importantly, we can identify children who fall outside the parameters of what is considered normal or \u201ctypical\u201d development.\n\nWhen teachers monitor children, they are observing and documenting whether children are mastering \u201ctypical\u201d developmental milestones in the physical, cognitive, language, emotional and social domains of development. In particular, teachers are tracking a child\u2019s speech and language development, problem-solving skills, fine and gross motor skills, social skills and behaviors, so that they can be more responsive to each child\u2019s individual needs. Even more so, teachers are trying to figure out what a child can do, and if there are any \u201cred flags\u201d or developmental areas that need further support. As early caregivers and teachers, we are not qualified to formally screen and evaluate children. We can however monitor children\u2019s actions, ask questions that can guide our observations, track developmental milestones, and record our observations. With this vital information we can make more informed decisions on what is in the child\u2019s best interest.\n<h2>What is this Child Trying to Tell Me?<\/h2>\nWith 12-24 busy children in a classroom, there are bound to be occasional outbursts and challenging behaviors to contend with. In fact, a portion of a teacher\u2019s day is typically spent guiding challenging behaviors. With all the numerous duties and responsibilities that a teacher performs daily, dealing with challenging behaviors can be taxing. When a child repeats a challenging behavior, we might be bothered, frustrated, or even confused by their actions. We might find ourselves asking questions like:\n<ul>\n \t<li>\u201cWhy does she keep pinching her classmate?\"<\/li>\n \t<li>\u201cWhy does he put his snack in his hair?\u201d<\/li>\n \t<li>\u201cWhy does he cry when it\u2019s clean up time or when he has to put his shoes on?\u201d<\/li>\n \t<li>\u201cWhy does she fidget so much during group time?\u201d<\/li>\n<\/ul>\nWithout taking the time to observe the potential causes and outcomes associated with the challenging behavior, we may only be putting on band-aids to fix a problem, rather than trying to solve the problem. Without understanding the why , we cannot properly guide the child or support the whole-child\u2019s development. As intentional teachers we are taught to observe, document, and analyze a child\u2019s actions so we can better understand what the child is trying to \u201ctell\u201d us through their behavior. Behavior is a form of communication. Any challenging behavior that occurs over and over, is happening for a reason. If you can find the \u201cpattern\u201d in the behavior, you can figure out how to redirect or even stop the challenging behavior.\n<h2>How do I find the patterns?<\/h2>\nTo be most effective, it is vital that we record what we see and hear as accurately and objectively as possible. No matter which observation method, tool or technique is used (e.g. Event Sampling, Frequency Counts, Checklists or Technology), once we have gathered a considerable amount of data we will need to interpret and reflect on the observation evidence so that we can plan for the next step. Finding the patterns can be instrumental in planning curriculum, setting up the environment with appropriate materials, and creating social situations that are suitable for the child\u2019s temperament.\n<h2>Think About It\u2026Patterns<\/h2>\nIf Wyatt is consistently observed going to the sandbox to play with dinosaurs during outside play, what does this tell you? What is the pattern? Is Wyatt interacting with other children? How is Wyatt using the dinosaurs? How can you use this information to support Wyatt during inside play?\n\nHere are a few ideas:\n<ul>\n \t<li>To create curriculum : To encourage the child to go into the art center, knowing that he likes dinosaurs, I might lay down some butcher paint on a table, put a variety of dinosaurs out on the table, and add some trays with various colors of paint.<\/li>\n \t<li>To arrange the environment : Looking at my centers, I might add books and pictures about dinosaurs, and I might add materials that could be used in conjunction with dinosaurs.<\/li>\n \t<li>To support social development: I noticed Wyatt played by himself on several observations. I may need to do some follow up observations to see if Wyatt is initiating conversations, taking turns, joining in play with others or playing alone.<\/li>\n \t<li>As you can see these are just a few suggestions. What ideas did you come up with? As we monitor children in our class, we are gathering information so that we can create a space where each child\u2019s individual personality, learning strengths, needs, and interests are all taken into account. Whether the child has a disability, delay or impairment or is developing at a typical pace, finding their unique pattern will help us provide suitable accommodations<\/li>\n<\/ul>\n<h2>What is a Red Flag?<\/h2>\nIf, while monitoring a child\u2019s development, a \u201cred flag\u201d is identified, it is the teacher\u2019s responsibility to inform the family, in a timely manner, about their child\u2019s developmental progress. First, the teacher and family would arrange a meeting to discuss what has been observed and documented. At the meeting, the teacher and family would share their perspectives about the child\u2019s behavior, practices, mannerisms, routines and skill sets. There would be time to ask questions and clarify concerns, and a plan of action would be developed. It is likely that various adjustments to the environment would be suggested to meet the individual child\u2019s needs, and ideas on how to tailor social interactions with peers would be discussed. With a plan in place, the teacher would continue to monitor the child. If after a few weeks there was no significant change or improvement, the teacher may then recommend that the child be formally screened and evaluated by a professional (e.g. a pediatrician, behavioral psychologist or a speech pathologist).\n<h2>The Process of Screening and Evaluating<\/h2>\nWho can screen and evaluate children? Doctors, pediatricians, speech pathologists, behaviorists, Screenings and evaluations are more formal than monitoring. Developmental screening takes a closer look at how a child is developing using brief tests. Your child will get a brief test, or you will complete a questionnaire about your child. The tools used for developmental and behavioral screening are formal questionnaires or checklists based on research that ask questions about a child\u2019s development, including language, movement, thinking, behavior, and emotions.\n\nDevelopmental screenings are cost effective and can be used to assess a large number of children in a relatively short period of time. There are screenings to assess a child\u2019s hearing and vision, and to detect notable developmental delays. Screenings can also address some common questions and concerns that teachers, and parents alike, may have regarding a child\u2019s academic progress. For example, when a teacher wonders why a child is behaving in such a way, they will want to observe a child\u2019s social interactions and document how often certain behaviors occur. Similarly, when a parent voices a concern that their child is not talking in complete sentences the way their older child did at that same age. The teacher will want to listen and record the child\u2019s conversations and track their language development.\n\nDevelopmental Delays \u2013 is the condition of a child being less developed mentally or physically than is normal for their age.\n\nDevelopmental Disabilities \u2013 According to the CDC, developmental disabilities are a group of conditions due to an impairment in physical, learning, language, or behavior areas. These conditions begin during the developmental period, may impact day-to-day functioning, and usually last throughout a person\u2019s lifetime. Some noted disabilities include:\n<ul>\n \t<li>ADHD<\/li>\n \t<li>Autism Spectrum Disorder<\/li>\n \t<li>Cerebral Palsy<\/li>\n \t<li>Hearing Loss<\/li>\n \t<li>Vision Impairment<\/li>\n \t<li>Learning Disability<\/li>\n \t<li>\n<p style=\"orphans: 1;\"><span style=\"font-size: 14pt;\">Intellectual Disability<\/span><span style=\"font-size: 14pt;\"> [footnote]<\/span><span style=\"font-size: 14pt;\">Developmental<\/span><span style=\"font-size: 14pt;\"> Disabilities<\/span><span style=\"font-size: 14pt;\"> |<\/span><span style=\"font-size: 14pt;\"> CDC<\/span><span style=\"font-size: 14pt; text-align: initial;\">. (2022). Centers for Disease Control and Prevention. <\/span><span style=\"text-align: initial;\">Retrieved<\/span><span style=\"font-size: 14pt; text-align: initial;\"> from <a href=\"https:\/\/www.cdc.gov\/ncbddd\/developmentaldisabilities\/\">https:\/\/www.cdc.gov\/ncbddd\/developmentaldisabilities\/<\/a><\/span><span style=\"font-size: 14pt; text-align: initial;\">[\/footnote]<\/span><\/p>\n<\/li>\n<\/ul>\n<h2>The Practice of Screening Young Children<\/h2>\nTo quickly capture a snapshot of a child\u2019s overall development, early caregivers and teachers can select from several observation tools to observe and document a child\u2019s play, learning, growth and development. Systematic and routine observations, made by knowledgeable and responsive teachers, ensure that children are receiving the quality care and support they deserve. Several observation tools and techniques can be used by teachers to screen a child\u2019s development. Because each technique and tool provides limited observation data, it is suggested that teachers use a combination of tools and techniques to gather a full panoramic perspective of a child\u2019s development. Here are some guidelines:\n<ul>\n \t<li>Monitoring cannot capture the complete developmental range and capabilities of children, but can provide a general overview<\/li>\n \t<li>Monitoring can only indicate the possible presence of a developmental delay and cannot definitively identify the nature or extent of a disability<\/li>\n \t<li>Not all children with or at risk for delays can be identified<\/li>\n \t<li>Some children who are red-flagged may not have any actual delays or disabilities; they may be considered \u201cexceptional\u201d or \u201cgifted\u201d<\/li>\n \t<li>Children develop at different paces and may achieve milestones at various rates<\/li>\n<\/ul>\n<h2>Tools and Techniques to Monitor and Screen Children\u2019s Development<\/h2>\nLet\u2019s briefly review some of the options more commonly used to monitor children\u2019s development.\n<h2>Developmental Milestone Checklists and Charts<\/h2>\nThere are many factors that can influence a child\u2019s development: genetics, gender, social interactions, personal experiences, temperaments and the environment. It is critical that educators understand what is \u201ctypical\u201d before they can consider what is \u201catypical.\u201d Developmental Milestones provide a clear guideline as to what children should be able to do at set age ranges. However, it is important to note that each child in your classroom develops at their own individualized pace, and they will reach certain milestones at various times within the age range.\n\nDevelopmental Milestone Charts are essential when setting up your classroom environments. Once you know what skills children should be able to do at specific ages, you can then plan developmentally appropriate learning goals, and you can set up your classroom environment with age appropriate materials. Developmental Milestone Charts are also extremely useful to teachers and parents when guiding behaviors. In order to set realistic expectations for children, it is suggested that teachers and parents review all ages and stages of development to understand how milestones evolve. Not only do skills build upon each other, they lay a foundation for the next milestone that\u2019s to come. Developmental Milestone Charts are usually organized into 4 Domains: Physical, Cognitive, Language, and Social -Emotional.\n<h2>Gross Motor Milestones from 2 Months to 2 Years [footnote]What is a Developmental Milestone? (2022). Centers for Disease Control and Prevention. Retrieved from <a href=\"https:\/\/www.cdc.gov\/ncbddd\/actearly\/milestones\/\">https:\/\/www.cdc.gov\/ncbddd\/actearly\/milestones\/<\/a>[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\" border=\"0\"><caption>Table 4.1<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 months<\/td>\n<td style=\"width: 50%;\">Can hold head up and begins to push up when lying on tummy\nMakes smoother movements with arms and legs<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 months<\/td>\n<td style=\"width: 50%;\">Holds head steady, unsupported\nPushes down on legs when feet are on a hard surface\nMay be able to roll over from tummy to back\nBrings hands to mouth\nWhen lying on stomach, pushes up to elbows<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">6 months<\/td>\n<td style=\"width: 50%;\">Rolls over in both directions (front to back, back to front)\nBegins to sit without support\nWhen standing, supports weight on legs and might bounce\nRocks back and forth, sometimes crawling backward before moving forward<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">9 months<\/td>\n<td style=\"width: 50%;\">Stands, holding on\nCan get into sitting position\nSits without support\nPulls to stand\nCrawls<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">1 year<\/td>\n<td style=\"width: 50%;\">Gets to a sitting position without help\nPulls up to stand, walks holding on to furniture (\u201ccruising\u201d)\nMay take a few steps without holding on\nMay stand alone<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">18 months<\/td>\n<td style=\"width: 50%;\">Walks alone\nMay walk up steps and run\nPulls toys while walking\nCan help undress self<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 years<\/td>\n<td style=\"width: 50%;\">Stands on tiptoe\nKicks a ball\nBegins to run\nClimbs onto and down from furniture without help\nWalks up and down stairs holding on\nThrows ball overhand<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Fine Motor Milestones from 2 Months to 2 Years [footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\" border=\"0\"><caption>Table 4.2<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 months<\/td>\n<td style=\"width: 50%;\">Grasps reflexively\nDoes not reach for objects\nHolds hands in fist<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 months<\/td>\n<td style=\"width: 50%;\">Brings hands to mouth\nUses hands and eyes together, such as seeing a toy and reaching for it\nFollows moving things with eyes from side to side\nCan hold a toy with whole hand ( palmar grasp ) and shake it and swing at dangling toys<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">6 months<\/td>\n<td style=\"width: 50%;\">Reaches with both arms\nBrings things to mouth\nBegins to pass things from one hand to the other<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">9 months<\/td>\n<td style=\"width: 50%;\">Puts things in mouth\nMoves things smoothly from one hand to the other\nPicks up things between thumb and index finger (pincer grip )<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">1 year<\/td>\n<td style=\"width: 50%;\">Reaches with one hand\nBangs two things together\nPuts things in a container, takes things out of a container\nLets things go without help\nPokes with index (pointer) finger<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">18 months<\/td>\n<td style=\"width: 50%;\">Scribbles on own\nCan help undress herself\nDrinks from a cup\nEats with a spoon with some accuracy\nStacks 2-4 objects<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 years<\/td>\n<td style=\"width: 50%;\">Builds towers of 4 or more blocks\nMight use one hand more than the other\nMakes copies of straight lines and circles\nEnjoys pouring and filling\nUnbuttons large buttons\nUnzips large zippers\nDrinks and feeds self with more accuracy<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Cognitive Milestones from 2 Months to 2 Years [footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\" border=\"0\"><caption>Table 4.3<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 months<\/td>\n<td style=\"width: 50%;\">Pays attention to faces\nBegins to follow things with eyes and recognize people at a distance\nBegins to act bored (cries, fussy) if activity doesn\u2019t change<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 months<\/td>\n<td style=\"width: 50%;\">Lets you know if she is happy or sad\nResponds to affection\nReaches for toy with one hand\nUses hands and eyes together, such as seeing a toy and reaching for it\nFollows moving things with eyes from side to side\nWatches faces closely\nRecognizes familiar people and things at a distance<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">6 months<\/td>\n<td style=\"width: 50%;\">Looks around at things nearby\nBrings things to mouth\nShows curiosity about things and tries to get things that are out of reach\nBegins to pass things from one hand to the other<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">9 months<\/td>\n<td style=\"width: 50%;\">Watches the path of something as it falls\nLooks for things he sees you hide\nPlays peek-a-boo\nPuts things in mouth\nMoves things smoothly from one hand to the other\nPicks up things like cereal o\u2019s between thumb and index finger<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">1 year<\/td>\n<td style=\"width: 50%;\">Explores things in different ways, like shaking, banging, throwing\nFinds hidden things easily\nLooks at the right picture or thing when it\u2019s named\nCopies gestures\nStarts to use things correctly; for example, drinks from a cup, brushes hair\nBangs two things together\nPuts things in a container, takes things out of a container\nLets things go without help\nPokes with index (pointer) finger\nFollows simple directions like \u201cpick up the toy\u201d<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">18 months<\/td>\n<td style=\"width: 50%;\">Knows what ordinary things are for; for example, telephone, brush, spoon\nPoints to get the attention of others\nShows interest in a doll or stuffed animal by pretending to feed\nPoints to one body part\nScribbles on own\nCan follow 1-step verbal commands without any gestures; for example, sits when you say \u201csit down\u201d<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 years<\/td>\n<td style=\"width: 50%;\">Finds things even when hidden under two or three covers\nBegins to sort shapes and colors\nCompletes sentences and rhymes in familiar books\nPlays simple make-believe games\nBuilds towers of 4 or more blocks\nMight use one hand more than the other\nFollows two-step instructions such as \u201cPick up your shoes and put them in the closet.\u201d\nNames items in a picture book such as a cat, bird, or dog<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Language Milestones from 2 Months to 2 Years[footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\" border=\"0\"><caption>Table 4.4<\/caption>\n<tbody>\n<tr>\n<td style=\"width: 50%;\">Typical Age<\/td>\n<td style=\"width: 50%;\">What Most Children Do By This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 months<\/td>\n<td style=\"width: 50%;\">Coos, makes gurgling sounds\nTurns head toward sounds<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 months<\/td>\n<td style=\"width: 50%;\">Begins to babble\nBabbles with expression and copies sounds he hears\nCries in different ways to show hunger, pain, or being tired<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">6 months<\/td>\n<td style=\"width: 50%;\">Responds to sounds by making sounds\nStrings vowels together when babbling (\u201cah,\u201d \u201ceh,\u201d \u201coh\u201d) and likes taking turns with parent while making sounds\nResponds to own name\nMakes sounds to show joy and displeasure\nBegins to say consonant sounds (jabbering with \u201cm,\u201d \u201cb\u201d)<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">9 months<\/td>\n<td style=\"width: 50%;\">Understands \u201cno\u201d\nMakes a lot of different sounds like \u201cmamamama\u201d and \u201cbababababa\u201d\nCopies sounds and gestures of others\nUses fingers to point at things<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">1 year<\/td>\n<td style=\"width: 50%;\">Responds to simple spoken requests\nUses simple gestures, like shaking head \u201cno\u201d or waving \u201cbye-bye\u201d\nMakes sounds with changes in tone (sounds more like speech)\nSays \u201cmama\u201d and \u201cdada\u201d and exclamations like \u201cuh-oh!\u201d\nTries to say words you say<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">18 months<\/td>\n<td style=\"width: 50%;\">Says several single words\nSays and shakes head now\nPoints to show others what is wanted<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 years<\/td>\n<td style=\"width: 50%;\">Points to things or pictures when they are named\nKnows names of familiar people and body parts\nSays sentences with 2 to 4 words\nFollows simple instructions\nRepeats words overheard in conversation\nPoints to things in a book<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Social and Emotional Milestones from 2 Months to 2 Years[footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 506px;\" border=\"0\"><caption>Table 4.5<\/caption>\n<tbody>\n<tr style=\"height: 16px;\">\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">What Most Children Do By This Age<\/td>\n<\/tr>\n<tr style=\"height: 49px;\">\n<td style=\"width: 50%; height: 49px;\">2 months<\/td>\n<td style=\"width: 50%; height: 49px;\">Begins to smile at people\nCan briefly calm self (may bring hands to mouth and suck on hand)\nTries to look at parent<\/td>\n<\/tr>\n<tr style=\"height: 49px;\">\n<td style=\"width: 50%; height: 49px;\">4 months<\/td>\n<td style=\"width: 50%; height: 49px;\">Smiles spontaneously, especially at people\nLikes to play with people and might cry when playing stops\nCopies some movements and facial expressions, like smiling or frowning<\/td>\n<\/tr>\n<tr style=\"height: 65px;\">\n<td style=\"width: 50%; height: 65px;\">6 months<\/td>\n<td style=\"width: 50%; height: 65px;\">Knows familiar faces and begins to know if someone is a stranger\nLikes to play with others, especially parents\nResponds to other people\u2019s emotions and often seems happy\nLikes to look at self in a mirror<\/td>\n<\/tr>\n<tr style=\"height: 49px;\">\n<td style=\"width: 50%; height: 49px;\">9 months<\/td>\n<td style=\"width: 50%; height: 49px;\">May be afraid of strangers\nMay be clingy with familiar adults\nHas favorite toys<\/td>\n<\/tr>\n<tr style=\"height: 131px;\">\n<td style=\"width: 50%; height: 131px;\">1 year<\/td>\n<td style=\"width: 50%; height: 131px;\">Is shy or nervous with strangers\nCries when mom or dad leaves\nHas favorite things and people\nShows fear in some situations\nHands you a book when she wants to hear a story\nRepeats sounds or actions to get attention\nPuts out arm or leg to help with dressing\nPlays games such as \u201cpeek-a-boo\u201d and \u201cpat-a-cake\u201d<\/td>\n<\/tr>\n<tr style=\"height: 131px;\">\n<td style=\"width: 50%; height: 131px;\">18 months<\/td>\n<td style=\"width: 50%; height: 131px;\">Likes to hand things to others as play\nMay have temper tantrums\nMay be afraid of strangers\nShows affection to familiar people\nPlays simple pretend, such as feeding a doll\nMay cling to caregivers in new situations\nPoints to show others something interesting\nExplores alone but with parent close by<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">2 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Copies others, especially adults and older children\nGets excited when with other children\nShows more and more independence\nShows defiant behavior (doing what he has been told not to)\nPlays mainly beside other children, but is beginning to include other children, such as in chase games<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Gross Motor Milestones from 3 Years to 5 Years[footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 128px;\" border=\"0\"><caption>Table 4.6<\/caption>\n<tbody>\n<tr style=\"height: 16px;\">\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">3 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Climbs well\nRuns easily\nPedals a tricycle (3-wheel bike)\nWalks up and down stairs, one foot on each step<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">4 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Hops and stands on one foot up to 2 seconds\nCatches a bounced ball most of the time<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">5 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Stands on one foot for 10 seconds or longer\nHops; may be able to skip\nCan do a somersault\nCan use the toilet on own\nSwings and climbs<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Fine Motor Milestones from 3 Years to 5 Years[footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\" border=\"0\"><caption>Table 4.7<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">3 years<\/td>\n<td style=\"width: 50%;\">Copies a circle with pencil or crayon\nTurns book pages one at a time\nBuilds towers of more than 6 blocks\nScrews and unscrews jar lids or turns door handle<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 years<\/td>\n<td style=\"width: 50%;\">Pours, cuts with supervision, and mashes own food\nDraws a person with 2 to 4 body parts\nUses scissors\nStarts to copy some capital letters<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">5 years<\/td>\n<td style=\"width: 50%;\">Can draw a person with at least 6 body parts\nCan print some letters or numbers\nCopies a triangle and other geometric shapes\nUses a fork and spoon and sometimes a table knife<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Cognitive Milestones from 3 Years to 5 Years[footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 227px;\" border=\"0\"><caption>Table 4.8<\/caption>\n<tbody>\n<tr style=\"height: 16px;\">\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">What Most Children Do By This Age<\/td>\n<\/tr>\n<tr style=\"height: 65px;\">\n<td style=\"width: 50%; height: 65px;\">3 years<\/td>\n<td style=\"width: 50%; height: 65px;\">Can work toys with buttons, levers, and moving parts\nPlays make-believe with dolls, animals, and people\nDoes puzzles with 3 or 4 pieces\nUnderstands what \u201ctwo\u201d means<\/td>\n<\/tr>\n<tr style=\"height: 114px;\">\n<td style=\"width: 50%; height: 114px;\">4 years<\/td>\n<td style=\"width: 50%; height: 114px;\">Names some colors and some numbers\nUnderstands the idea of counting\nStarts to understand time\nRemembers parts of a story\nUnderstands the idea of \u201csame\u201d and \u201cdifferent\u201d\nPlays board or card games\nTells you what he thinks is going to happen next in a book<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">5 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Counts 10 or more things\nKnows about things used every day, like money and food<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Language Milestones from 3 Years to 5 Years[footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 80px;\" border=\"0\"><caption>Table 4.9<\/caption>\n<tbody>\n<tr style=\"height: 16px;\">\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">What Most Children Do By This Age<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">3 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Follows instructions with 2 or 3 steps\nCan name most familiar things\nUnderstands words like \u201cin,\u201d \u201con,\u201d and \u201cunder\u201d\nSays first name, age, and sex\nNames a friend\nSays words like \u201cI,\u201d \u201cme,\u201d \u201cwe,\u201d and \u201cyou\u201d and some plurals (cars, dogs, cats)\nTalks well enough for strangers to understand most of the time\nCarries on a conversation using 2 to 3 sentences<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">4 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Knows some basic rules of grammar, such as correctly using \u201che\u201d and \u201cshe\u201d\nSings a song or says a poem from memory such as the \u201cItsy Bitsy Spider\u201d or the \u201cWheels on the Bus\u201d\nTells stories\nCan say first and last name<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">5 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Speaks very clearly\nTells a simple story using full sentences\nUses future tense; for example, \u201cGrandma will be here.\u201d\nSays name and address<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Social and Emotional Milestones from 3 Years to 5 Years[footnote]Ibid.[\/footnote]<\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\" border=\"0\"><caption>Table 4.10<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">3 years<\/td>\n<td style=\"width: 50%;\">Copies adults and friends\nShows affection for friends without prompting\nTakes turns in games\nShows concern for a crying friend\nDresses and undresses self\nUnderstands the idea of \u201cmine\u201d and \u201chis\u201d or \u201chers\u201d\nShows a wide range of emotions\nSeparates easily from mom and dad\nMay get upset with major changes in routine<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 years<\/td>\n<td style=\"width: 50%;\">Enjoys doing new things\nIs more and more creative with make-believe play\nWould rather play with other children than by self\nCooperates with other children\nPlays \u201cmom\u201d or \u201cdad\u201d\nOften can\u2019t tell what\u2019s real and what\u2019s make-believe\nTalks about what she likes and what she is interested in<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">5 years<\/td>\n<td style=\"width: 50%;\">Wants to please friends\nWants to be like friends\nMore likely to agree with rules\nLikes to sing, dance, and act\nIs aware of gender\nCan tell what\u2019s real and what\u2019s make-believe\nShows more independence\nIs sometimes demanding and sometimes very cooperative<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Time Sampling or Frequency Counts<\/h2>\nWhen a teacher wants to know how often or how infrequent a behavior is occurring, they will use a Frequency Count to track a child\u2019s behavior during a specific timeframe. This technique can help teachers track a child\u2019s social interactions, play preferences, temperamental traits, aggressive behaviors, and activity interests.\n<h2>Checklists<\/h2>\nWhen a teacher wants to look at a child\u2019s overall development, checklists can be a very useful tool to determine the presence or absence of a particular skill, milestone or behavior. Teachers will observe children during play times, circle times and centers, and will check-off the skills and behaviors as they are observed. Checklists help to determine which developmental skills have been mastered, which skills are emerging, and which skills have yet to be learned.\n<h2>Technology<\/h2>\nTeachers can use video recorders, cameras and tape recorders to record children while they are actively playing. This is an ideal method for capturing authentic quotes and work samples. Information gathered by way of technology can also be used with other screening tools and techniques as supporting evidence. (Note: it is important to be aware of center policies and procedures regarding proper consent before photographing or taping a child).\n<h2>Event Sampling and the ABC Technique<\/h2>\nWhen an incident occurs, we may wonder what triggered that behavior. The Event Sampling or ABC technique helps us to identify the social interactions and environmental situations that may cause children to react in certain ways. If we are to reinforce someone\u2019s positive behavior, or change someone\u2019s negative behavior, we must first try to understand what might be causing that particular behavior. With an ABC Analysis, the observer is looking for and tracking a specific behavior . More than the behavior itself, the observer wants to understand what is causing the behavior \u2013 this is antecedent. The antecedent happens before the behavior. It is believed that if the observer can find the \u201ctriggers\u201d that might be leading up to or causing the challenging behavior, then potential strategies can be planned to alter, redirect or end the challenging behavior. In addition to uncovering the antecedent, what happens after the behavior is just as important, this is the \u201cconsequence.\u201d How a child is treated after the incident or challenging behavior can create a positive or negative reinforcement pattern. In short, the ABC technique tells a brief story of what is happening before, during, and after a noted behavior.\n\nThe ABC observation method requires some training and practice. The observer must practice being neutral and free of bias, judgement and assumption in order to collect and record objective evidence and to portray an accurate picture. Although it may be uncomfortable to admit, certain behaviors can frustrate a teacher. If the teacher observes a child while feeling frustrated or annoyed, this can possibly taint the observation data. It is important to record just the facts. And to review the whole situation before making any premature assumptions.\n<h2>Collecting your data<\/h2>\nIf you have a concern about a child\u2019s behavior or if you have noticed a time when a child\u2019s behavior has been rather disruptive, you will schedule a planned observation. For this type of observation, you can either video record the child in classroom environment, or you can take observation notes using a Running Record or Anecdotal Record technique. To find a consistent pattern, it is best to tape or write down your observations for several days to find a true and consistent pattern. To document your observations, include the child\u2019s name, date, time, setting, and context. Observe and write down everything you see and hear before, during and after the noted behavior.\n<h2>Organizing your data<\/h2>\nDivide a piece of paper into 3 sections: A \u2013 for Antecedent; B \u2013 for Behavior; and C- for Consequence. Using your observation notes you will organize the information you collected into the proper sections. As you record the observation evidence, remember to report just the facts as objectively as possible. Afterwards, you will interpret the information and look for patterns. For example, did you find any \u201ctriggers\u201d before the behavior occurred? What kind of \u201creinforcement\u201d did the child receive after the behavior? What are some possible strategies you can try to minimize or redirect the challenging behavior? Do you need to make environmental changes? Are their social interactions that need to be further monitored? With challenging behaviors, there is not a quick fix or an easy answer. You must follow through and continue to observe the child to see if your strategies are working.\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\n<p class=\"textbox__title\">Pin It! The ABC Method<\/p>\n\n<\/header>\n<div class=\"textbox__content\">\n\n(A) Antecedent : Right before an incident or challenging behavior occurs, something is going on to lead up to or prompt the actual incident or behavior.\n\nFor example, one day during lunch Susie spills her milk (this behavior has happened several times before). Rather than focusing solely on the incident itself (Susie spilling the milk), look to see what was going on before the incident. More specifically, look to see if Susie was in a hurry to finish her snack so she could go outside and play? Was Susie being silly? Which hand was Susie using \u2013 is this her dominant hand? Is the milk pitcher too big for Susie to manipulate?\n\n(B) Behavior: This refers to the measurable or observable actions.\n\nIn this case, it is Susie spilling the milk.\n\n(C) Consequence: The consequence is what happens directly after the behavior.\n\nFor example, right after Susie spilt the milk, did you yell at her or display an unhappy or disgusted look? Did Susie cry? Did Susie attempt to clean up the milk? Did another child try to help Susie?\n\n<\/div>\n<\/div>\nWatch this video for more information on the ABC model.\n\nhttps:\/\/www.youtube.com\/watch?v=UVKb_BXEp5U\n\nABC template worksheet\n<h2>The Practice of Screening and Evaluating<\/h2>\nBeyond monitoring, once a child has been \u201cred-flagged\u201d they will need to be assessed by a professional who will use a formal diagnostic tool to evaluate the child\u2019s development. Families can request that a formal screening be conducted at the local elementary school if their child is 3 to 5 years old. Depending upon the nature of the red flag, there are a battery of tools that can be used to evaluate a child\u2019s development. Here are some guidelines:\n<ul>\n \t<li>Screenings are designed to be brief (30 minutes or less)<\/li>\n \t<li>A more comprehensive assessment and formal evaluation must be conducted by a professional in order to confirm or disconfirm any red flags that were raised during the initial monitoring or screening process<\/li>\n \t<li>Families must be treated with dignity, sensitivity and compassion while their child is going through the screening process<\/li>\n \t<li>Use a screening tool from a reputable publishing company<\/li>\n<\/ul>\n<h2>Screening Instruments and Evaluation Tests<\/h2>\nThe instruments listed below are merely a sample of some of the developmental and academic screening tests that are widely used.\n<ul>\n \t<li>Ages and Stages Questionnaires (ASQ), Brookes Publishing Company (available in Spanish, French, and Korean)<\/li>\n \t<li>Battelle Developmental Inventory Screening Test, Riverside Publishing<\/li>\n \t<li>Developmental Indicators for Assessment of Learning (DIAL) III, Pearson Assessments (includes Spanish materials)<\/li>\n \t<li>Dynamic Indicators of Basic Early Literacy Skills (DIBELS), University of Oregon Center on Teaching and Learning<\/li>\n \t<li>Early Screening Inventory-Revised (ESI-R), Pearson Early Learning (includes separate scoring for preschool and kindergarten) [footnote]A Guide to Assessment in Early Childhood; Infancy to Age Eight. Washington State Office of Superintendent of Public Instruction, 2008.\u00a0<a class=\"link-https\" href=\"https:\/\/www.k12.wa.us\/sites\/default\/files\/public\/earlylearning\/pubdocs\/assessment_print.pdf\" target=\"_blank\" rel=\"external noopener nofollow\">http:\/\/www.k12.wa.us\/EarlyLearning\/pubdocs\/assessment_print.pdf<\/a>[\/footnote]<\/li>\n<\/ul>\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\n<p class=\"textbox__title\">Pin It! Reliability and Validity Defined<\/p>\n\n<\/header>\n<div class=\"textbox__content\">\n\nReliability means that the scores on the tool will be stable regardless of when the tool is administered, where it is administered, and who is administering it. Reliability answers the question: Is the tool producing consistent information across different circumstances? Reliability provides assurance that comparable information will be obtained from the tool across different situations.\n\nValidity means that the scores on the tool accurately capture what the tool is meant to capture in terms of content. Validity answers the question: Is the tool assessing what it is supposed to assess?\n\n<\/div>\n<\/div>","rendered":"<p>Because many parents are not familiar with developmental milestones, they might not recognize that their child has a developmental delay or disability. According to the Centers for Disease Control and Prevention, \u201cIn the United States, about 1 in 6 children aged 3 to 17 years have one or more developmental or behavioral disabilities, such as autism, a learning disorder, or attention deficit \/ hyperactivity disorder (ADHD).\u201d What\u2019s more concerning is that many children are not being identified as having a delay or disability until they are in elementary school . Subsequently, they will not receive the appropriate support and services they need early on to be successful at school. It has been well-documented, in both educational and medical professional literature, that developmental outcomes for young children with delays and disabilities can be greatly improved with early identification and intervention (Squires, Nickel, &amp; Eisert, 1996; Shonkoff &amp; Meisels, 2000). While some parents might be in denial and struggling with the uncertainty of having a child with special needs, some parents might not be aware that there are support services available for young children and they may not know how to advocate for their child. Thus, as early child educators we have an obligation to help families navigate through the process of monitoring, as well as provide information and resources if a screening or evaluation is necessary.<\/p>\n<h2>The Process of Monitoring<\/h2>\n<p>Who can monitor a child\u2019s development? Parents, grandparents, early caregivers, providers and teachers can monitor the children in their care. As previously stated in Chapter 3, one of the tasks of an intentional teacher is to gather baseline data within the first 60 days of a child starting their program. With each observation, teachers are listening to how a child speaks and if they can communicate effectively; they are watching to see how the child plays and interacts with their peers; and they are recording how the child processes information and problem solves. By monitoring a child closely, not only can we observe how a child grows and develops, we can track changes over time. More importantly, we can identify children who fall outside the parameters of what is considered normal or \u201ctypical\u201d development.<\/p>\n<p>When teachers monitor children, they are observing and documenting whether children are mastering \u201ctypical\u201d developmental milestones in the physical, cognitive, language, emotional and social domains of development. In particular, teachers are tracking a child\u2019s speech and language development, problem-solving skills, fine and gross motor skills, social skills and behaviors, so that they can be more responsive to each child\u2019s individual needs. Even more so, teachers are trying to figure out what a child can do, and if there are any \u201cred flags\u201d or developmental areas that need further support. As early caregivers and teachers, we are not qualified to formally screen and evaluate children. We can however monitor children\u2019s actions, ask questions that can guide our observations, track developmental milestones, and record our observations. With this vital information we can make more informed decisions on what is in the child\u2019s best interest.<\/p>\n<h2>What is this Child Trying to Tell Me?<\/h2>\n<p>With 12-24 busy children in a classroom, there are bound to be occasional outbursts and challenging behaviors to contend with. In fact, a portion of a teacher\u2019s day is typically spent guiding challenging behaviors. With all the numerous duties and responsibilities that a teacher performs daily, dealing with challenging behaviors can be taxing. When a child repeats a challenging behavior, we might be bothered, frustrated, or even confused by their actions. We might find ourselves asking questions like:<\/p>\n<ul>\n<li>\u201cWhy does she keep pinching her classmate?&#8221;<\/li>\n<li>\u201cWhy does he put his snack in his hair?\u201d<\/li>\n<li>\u201cWhy does he cry when it\u2019s clean up time or when he has to put his shoes on?\u201d<\/li>\n<li>\u201cWhy does she fidget so much during group time?\u201d<\/li>\n<\/ul>\n<p>Without taking the time to observe the potential causes and outcomes associated with the challenging behavior, we may only be putting on band-aids to fix a problem, rather than trying to solve the problem. Without understanding the why , we cannot properly guide the child or support the whole-child\u2019s development. As intentional teachers we are taught to observe, document, and analyze a child\u2019s actions so we can better understand what the child is trying to \u201ctell\u201d us through their behavior. Behavior is a form of communication. Any challenging behavior that occurs over and over, is happening for a reason. If you can find the \u201cpattern\u201d in the behavior, you can figure out how to redirect or even stop the challenging behavior.<\/p>\n<h2>How do I find the patterns?<\/h2>\n<p>To be most effective, it is vital that we record what we see and hear as accurately and objectively as possible. No matter which observation method, tool or technique is used (e.g. Event Sampling, Frequency Counts, Checklists or Technology), once we have gathered a considerable amount of data we will need to interpret and reflect on the observation evidence so that we can plan for the next step. Finding the patterns can be instrumental in planning curriculum, setting up the environment with appropriate materials, and creating social situations that are suitable for the child\u2019s temperament.<\/p>\n<h2>Think About It\u2026Patterns<\/h2>\n<p>If Wyatt is consistently observed going to the sandbox to play with dinosaurs during outside play, what does this tell you? What is the pattern? Is Wyatt interacting with other children? How is Wyatt using the dinosaurs? How can you use this information to support Wyatt during inside play?<\/p>\n<p>Here are a few ideas:<\/p>\n<ul>\n<li>To create curriculum : To encourage the child to go into the art center, knowing that he likes dinosaurs, I might lay down some butcher paint on a table, put a variety of dinosaurs out on the table, and add some trays with various colors of paint.<\/li>\n<li>To arrange the environment : Looking at my centers, I might add books and pictures about dinosaurs, and I might add materials that could be used in conjunction with dinosaurs.<\/li>\n<li>To support social development: I noticed Wyatt played by himself on several observations. I may need to do some follow up observations to see if Wyatt is initiating conversations, taking turns, joining in play with others or playing alone.<\/li>\n<li>As you can see these are just a few suggestions. What ideas did you come up with? As we monitor children in our class, we are gathering information so that we can create a space where each child\u2019s individual personality, learning strengths, needs, and interests are all taken into account. Whether the child has a disability, delay or impairment or is developing at a typical pace, finding their unique pattern will help us provide suitable accommodations<\/li>\n<\/ul>\n<h2>What is a Red Flag?<\/h2>\n<p>If, while monitoring a child\u2019s development, a \u201cred flag\u201d is identified, it is the teacher\u2019s responsibility to inform the family, in a timely manner, about their child\u2019s developmental progress. First, the teacher and family would arrange a meeting to discuss what has been observed and documented. At the meeting, the teacher and family would share their perspectives about the child\u2019s behavior, practices, mannerisms, routines and skill sets. There would be time to ask questions and clarify concerns, and a plan of action would be developed. It is likely that various adjustments to the environment would be suggested to meet the individual child\u2019s needs, and ideas on how to tailor social interactions with peers would be discussed. With a plan in place, the teacher would continue to monitor the child. If after a few weeks there was no significant change or improvement, the teacher may then recommend that the child be formally screened and evaluated by a professional (e.g. a pediatrician, behavioral psychologist or a speech pathologist).<\/p>\n<h2>The Process of Screening and Evaluating<\/h2>\n<p>Who can screen and evaluate children? Doctors, pediatricians, speech pathologists, behaviorists, Screenings and evaluations are more formal than monitoring. Developmental screening takes a closer look at how a child is developing using brief tests. Your child will get a brief test, or you will complete a questionnaire about your child. The tools used for developmental and behavioral screening are formal questionnaires or checklists based on research that ask questions about a child\u2019s development, including language, movement, thinking, behavior, and emotions.<\/p>\n<p>Developmental screenings are cost effective and can be used to assess a large number of children in a relatively short period of time. There are screenings to assess a child\u2019s hearing and vision, and to detect notable developmental delays. Screenings can also address some common questions and concerns that teachers, and parents alike, may have regarding a child\u2019s academic progress. For example, when a teacher wonders why a child is behaving in such a way, they will want to observe a child\u2019s social interactions and document how often certain behaviors occur. Similarly, when a parent voices a concern that their child is not talking in complete sentences the way their older child did at that same age. The teacher will want to listen and record the child\u2019s conversations and track their language development.<\/p>\n<p>Developmental Delays \u2013 is the condition of a child being less developed mentally or physically than is normal for their age.<\/p>\n<p>Developmental Disabilities \u2013 According to the CDC, developmental disabilities are a group of conditions due to an impairment in physical, learning, language, or behavior areas. These conditions begin during the developmental period, may impact day-to-day functioning, and usually last throughout a person\u2019s lifetime. Some noted disabilities include:<\/p>\n<ul>\n<li>ADHD<\/li>\n<li>Autism Spectrum Disorder<\/li>\n<li>Cerebral Palsy<\/li>\n<li>Hearing Loss<\/li>\n<li>Vision Impairment<\/li>\n<li>Learning Disability<\/li>\n<li>\n<p style=\"orphans: 1;\"><span style=\"font-size: 14pt;\">Intellectual Disability<\/span><span style=\"font-size: 14pt;\"> <a class=\"footnote\" title=\"Developmental Disabilities | CDC. (2022). Centers for Disease Control and Prevention. Retrieved from https:\/\/www.cdc.gov\/ncbddd\/developmentaldisabilities\/\" id=\"return-footnote-93-1\" href=\"#footnote-93-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><\/span><\/p>\n<\/li>\n<\/ul>\n<h2>The Practice of Screening Young Children<\/h2>\n<p>To quickly capture a snapshot of a child\u2019s overall development, early caregivers and teachers can select from several observation tools to observe and document a child\u2019s play, learning, growth and development. Systematic and routine observations, made by knowledgeable and responsive teachers, ensure that children are receiving the quality care and support they deserve. Several observation tools and techniques can be used by teachers to screen a child\u2019s development. Because each technique and tool provides limited observation data, it is suggested that teachers use a combination of tools and techniques to gather a full panoramic perspective of a child\u2019s development. Here are some guidelines:<\/p>\n<ul>\n<li>Monitoring cannot capture the complete developmental range and capabilities of children, but can provide a general overview<\/li>\n<li>Monitoring can only indicate the possible presence of a developmental delay and cannot definitively identify the nature or extent of a disability<\/li>\n<li>Not all children with or at risk for delays can be identified<\/li>\n<li>Some children who are red-flagged may not have any actual delays or disabilities; they may be considered \u201cexceptional\u201d or \u201cgifted\u201d<\/li>\n<li>Children develop at different paces and may achieve milestones at various rates<\/li>\n<\/ul>\n<h2>Tools and Techniques to Monitor and Screen Children\u2019s Development<\/h2>\n<p>Let\u2019s briefly review some of the options more commonly used to monitor children\u2019s development.<\/p>\n<h2>Developmental Milestone Checklists and Charts<\/h2>\n<p>There are many factors that can influence a child\u2019s development: genetics, gender, social interactions, personal experiences, temperaments and the environment. It is critical that educators understand what is \u201ctypical\u201d before they can consider what is \u201catypical.\u201d Developmental Milestones provide a clear guideline as to what children should be able to do at set age ranges. However, it is important to note that each child in your classroom develops at their own individualized pace, and they will reach certain milestones at various times within the age range.<\/p>\n<p>Developmental Milestone Charts are essential when setting up your classroom environments. Once you know what skills children should be able to do at specific ages, you can then plan developmentally appropriate learning goals, and you can set up your classroom environment with age appropriate materials. Developmental Milestone Charts are also extremely useful to teachers and parents when guiding behaviors. In order to set realistic expectations for children, it is suggested that teachers and parents review all ages and stages of development to understand how milestones evolve. Not only do skills build upon each other, they lay a foundation for the next milestone that\u2019s to come. Developmental Milestone Charts are usually organized into 4 Domains: Physical, Cognitive, Language, and Social -Emotional.<\/p>\n<h2>Gross Motor Milestones from 2 Months to 2 Years <a class=\"footnote\" title=\"What is a Developmental Milestone? (2022). Centers for Disease Control and Prevention. Retrieved from https:\/\/www.cdc.gov\/ncbddd\/actearly\/milestones\/\" id=\"return-footnote-93-2\" href=\"#footnote-93-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\">\n<caption>Table 4.1<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 months<\/td>\n<td style=\"width: 50%;\">Can hold head up and begins to push up when lying on tummy<br \/>\nMakes smoother movements with arms and legs<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 months<\/td>\n<td style=\"width: 50%;\">Holds head steady, unsupported<br \/>\nPushes down on legs when feet are on a hard surface<br \/>\nMay be able to roll over from tummy to back<br \/>\nBrings hands to mouth<br \/>\nWhen lying on stomach, pushes up to elbows<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">6 months<\/td>\n<td style=\"width: 50%;\">Rolls over in both directions (front to back, back to front)<br \/>\nBegins to sit without support<br \/>\nWhen standing, supports weight on legs and might bounce<br \/>\nRocks back and forth, sometimes crawling backward before moving forward<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">9 months<\/td>\n<td style=\"width: 50%;\">Stands, holding on<br \/>\nCan get into sitting position<br \/>\nSits without support<br \/>\nPulls to stand<br \/>\nCrawls<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">1 year<\/td>\n<td style=\"width: 50%;\">Gets to a sitting position without help<br \/>\nPulls up to stand, walks holding on to furniture (\u201ccruising\u201d)<br \/>\nMay take a few steps without holding on<br \/>\nMay stand alone<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">18 months<\/td>\n<td style=\"width: 50%;\">Walks alone<br \/>\nMay walk up steps and run<br \/>\nPulls toys while walking<br \/>\nCan help undress self<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 years<\/td>\n<td style=\"width: 50%;\">Stands on tiptoe<br \/>\nKicks a ball<br \/>\nBegins to run<br \/>\nClimbs onto and down from furniture without help<br \/>\nWalks up and down stairs holding on<br \/>\nThrows ball overhand<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Fine Motor Milestones from 2 Months to 2 Years <a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-3\" href=\"#footnote-93-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\">\n<caption>Table 4.2<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 months<\/td>\n<td style=\"width: 50%;\">Grasps reflexively<br \/>\nDoes not reach for objects<br \/>\nHolds hands in fist<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 months<\/td>\n<td style=\"width: 50%;\">Brings hands to mouth<br \/>\nUses hands and eyes together, such as seeing a toy and reaching for it<br \/>\nFollows moving things with eyes from side to side<br \/>\nCan hold a toy with whole hand ( palmar grasp ) and shake it and swing at dangling toys<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">6 months<\/td>\n<td style=\"width: 50%;\">Reaches with both arms<br \/>\nBrings things to mouth<br \/>\nBegins to pass things from one hand to the other<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">9 months<\/td>\n<td style=\"width: 50%;\">Puts things in mouth<br \/>\nMoves things smoothly from one hand to the other<br \/>\nPicks up things between thumb and index finger (pincer grip )<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">1 year<\/td>\n<td style=\"width: 50%;\">Reaches with one hand<br \/>\nBangs two things together<br \/>\nPuts things in a container, takes things out of a container<br \/>\nLets things go without help<br \/>\nPokes with index (pointer) finger<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">18 months<\/td>\n<td style=\"width: 50%;\">Scribbles on own<br \/>\nCan help undress herself<br \/>\nDrinks from a cup<br \/>\nEats with a spoon with some accuracy<br \/>\nStacks 2-4 objects<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 years<\/td>\n<td style=\"width: 50%;\">Builds towers of 4 or more blocks<br \/>\nMight use one hand more than the other<br \/>\nMakes copies of straight lines and circles<br \/>\nEnjoys pouring and filling<br \/>\nUnbuttons large buttons<br \/>\nUnzips large zippers<br \/>\nDrinks and feeds self with more accuracy<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Cognitive Milestones from 2 Months to 2 Years <a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-4\" href=\"#footnote-93-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\">\n<caption>Table 4.3<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 months<\/td>\n<td style=\"width: 50%;\">Pays attention to faces<br \/>\nBegins to follow things with eyes and recognize people at a distance<br \/>\nBegins to act bored (cries, fussy) if activity doesn\u2019t change<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 months<\/td>\n<td style=\"width: 50%;\">Lets you know if she is happy or sad<br \/>\nResponds to affection<br \/>\nReaches for toy with one hand<br \/>\nUses hands and eyes together, such as seeing a toy and reaching for it<br \/>\nFollows moving things with eyes from side to side<br \/>\nWatches faces closely<br \/>\nRecognizes familiar people and things at a distance<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">6 months<\/td>\n<td style=\"width: 50%;\">Looks around at things nearby<br \/>\nBrings things to mouth<br \/>\nShows curiosity about things and tries to get things that are out of reach<br \/>\nBegins to pass things from one hand to the other<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">9 months<\/td>\n<td style=\"width: 50%;\">Watches the path of something as it falls<br \/>\nLooks for things he sees you hide<br \/>\nPlays peek-a-boo<br \/>\nPuts things in mouth<br \/>\nMoves things smoothly from one hand to the other<br \/>\nPicks up things like cereal o\u2019s between thumb and index finger<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">1 year<\/td>\n<td style=\"width: 50%;\">Explores things in different ways, like shaking, banging, throwing<br \/>\nFinds hidden things easily<br \/>\nLooks at the right picture or thing when it\u2019s named<br \/>\nCopies gestures<br \/>\nStarts to use things correctly; for example, drinks from a cup, brushes hair<br \/>\nBangs two things together<br \/>\nPuts things in a container, takes things out of a container<br \/>\nLets things go without help<br \/>\nPokes with index (pointer) finger<br \/>\nFollows simple directions like \u201cpick up the toy\u201d<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">18 months<\/td>\n<td style=\"width: 50%;\">Knows what ordinary things are for; for example, telephone, brush, spoon<br \/>\nPoints to get the attention of others<br \/>\nShows interest in a doll or stuffed animal by pretending to feed<br \/>\nPoints to one body part<br \/>\nScribbles on own<br \/>\nCan follow 1-step verbal commands without any gestures; for example, sits when you say \u201csit down\u201d<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 years<\/td>\n<td style=\"width: 50%;\">Finds things even when hidden under two or three covers<br \/>\nBegins to sort shapes and colors<br \/>\nCompletes sentences and rhymes in familiar books<br \/>\nPlays simple make-believe games<br \/>\nBuilds towers of 4 or more blocks<br \/>\nMight use one hand more than the other<br \/>\nFollows two-step instructions such as \u201cPick up your shoes and put them in the closet.\u201d<br \/>\nNames items in a picture book such as a cat, bird, or dog<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Language Milestones from 2 Months to 2 Years<a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-5\" href=\"#footnote-93-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\">\n<caption>Table 4.4<\/caption>\n<tbody>\n<tr>\n<td style=\"width: 50%;\">Typical Age<\/td>\n<td style=\"width: 50%;\">What Most Children Do By This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 months<\/td>\n<td style=\"width: 50%;\">Coos, makes gurgling sounds<br \/>\nTurns head toward sounds<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 months<\/td>\n<td style=\"width: 50%;\">Begins to babble<br \/>\nBabbles with expression and copies sounds he hears<br \/>\nCries in different ways to show hunger, pain, or being tired<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">6 months<\/td>\n<td style=\"width: 50%;\">Responds to sounds by making sounds<br \/>\nStrings vowels together when babbling (\u201cah,\u201d \u201ceh,\u201d \u201coh\u201d) and likes taking turns with parent while making sounds<br \/>\nResponds to own name<br \/>\nMakes sounds to show joy and displeasure<br \/>\nBegins to say consonant sounds (jabbering with \u201cm,\u201d \u201cb\u201d)<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">9 months<\/td>\n<td style=\"width: 50%;\">Understands \u201cno\u201d<br \/>\nMakes a lot of different sounds like \u201cmamamama\u201d and \u201cbababababa\u201d<br \/>\nCopies sounds and gestures of others<br \/>\nUses fingers to point at things<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">1 year<\/td>\n<td style=\"width: 50%;\">Responds to simple spoken requests<br \/>\nUses simple gestures, like shaking head \u201cno\u201d or waving \u201cbye-bye\u201d<br \/>\nMakes sounds with changes in tone (sounds more like speech)<br \/>\nSays \u201cmama\u201d and \u201cdada\u201d and exclamations like \u201cuh-oh!\u201d<br \/>\nTries to say words you say<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">18 months<\/td>\n<td style=\"width: 50%;\">Says several single words<br \/>\nSays and shakes head now<br \/>\nPoints to show others what is wanted<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">2 years<\/td>\n<td style=\"width: 50%;\">Points to things or pictures when they are named<br \/>\nKnows names of familiar people and body parts<br \/>\nSays sentences with 2 to 4 words<br \/>\nFollows simple instructions<br \/>\nRepeats words overheard in conversation<br \/>\nPoints to things in a book<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Social and Emotional Milestones from 2 Months to 2 Years<a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-6\" href=\"#footnote-93-6\" aria-label=\"Footnote 6\"><sup class=\"footnote\">[6]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 506px;\">\n<caption>Table 4.5<\/caption>\n<tbody>\n<tr style=\"height: 16px;\">\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">What Most Children Do By This Age<\/td>\n<\/tr>\n<tr style=\"height: 49px;\">\n<td style=\"width: 50%; height: 49px;\">2 months<\/td>\n<td style=\"width: 50%; height: 49px;\">Begins to smile at people<br \/>\nCan briefly calm self (may bring hands to mouth and suck on hand)<br \/>\nTries to look at parent<\/td>\n<\/tr>\n<tr style=\"height: 49px;\">\n<td style=\"width: 50%; height: 49px;\">4 months<\/td>\n<td style=\"width: 50%; height: 49px;\">Smiles spontaneously, especially at people<br \/>\nLikes to play with people and might cry when playing stops<br \/>\nCopies some movements and facial expressions, like smiling or frowning<\/td>\n<\/tr>\n<tr style=\"height: 65px;\">\n<td style=\"width: 50%; height: 65px;\">6 months<\/td>\n<td style=\"width: 50%; height: 65px;\">Knows familiar faces and begins to know if someone is a stranger<br \/>\nLikes to play with others, especially parents<br \/>\nResponds to other people\u2019s emotions and often seems happy<br \/>\nLikes to look at self in a mirror<\/td>\n<\/tr>\n<tr style=\"height: 49px;\">\n<td style=\"width: 50%; height: 49px;\">9 months<\/td>\n<td style=\"width: 50%; height: 49px;\">May be afraid of strangers<br \/>\nMay be clingy with familiar adults<br \/>\nHas favorite toys<\/td>\n<\/tr>\n<tr style=\"height: 131px;\">\n<td style=\"width: 50%; height: 131px;\">1 year<\/td>\n<td style=\"width: 50%; height: 131px;\">Is shy or nervous with strangers<br \/>\nCries when mom or dad leaves<br \/>\nHas favorite things and people<br \/>\nShows fear in some situations<br \/>\nHands you a book when she wants to hear a story<br \/>\nRepeats sounds or actions to get attention<br \/>\nPuts out arm or leg to help with dressing<br \/>\nPlays games such as \u201cpeek-a-boo\u201d and \u201cpat-a-cake\u201d<\/td>\n<\/tr>\n<tr style=\"height: 131px;\">\n<td style=\"width: 50%; height: 131px;\">18 months<\/td>\n<td style=\"width: 50%; height: 131px;\">Likes to hand things to others as play<br \/>\nMay have temper tantrums<br \/>\nMay be afraid of strangers<br \/>\nShows affection to familiar people<br \/>\nPlays simple pretend, such as feeding a doll<br \/>\nMay cling to caregivers in new situations<br \/>\nPoints to show others something interesting<br \/>\nExplores alone but with parent close by<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">2 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Copies others, especially adults and older children<br \/>\nGets excited when with other children<br \/>\nShows more and more independence<br \/>\nShows defiant behavior (doing what he has been told not to)<br \/>\nPlays mainly beside other children, but is beginning to include other children, such as in chase games<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Gross Motor Milestones from 3 Years to 5 Years<a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-7\" href=\"#footnote-93-7\" aria-label=\"Footnote 7\"><sup class=\"footnote\">[7]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 128px;\">\n<caption>Table 4.6<\/caption>\n<tbody>\n<tr style=\"height: 16px;\">\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">3 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Climbs well<br \/>\nRuns easily<br \/>\nPedals a tricycle (3-wheel bike)<br \/>\nWalks up and down stairs, one foot on each step<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">4 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Hops and stands on one foot up to 2 seconds<br \/>\nCatches a bounced ball most of the time<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">5 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Stands on one foot for 10 seconds or longer<br \/>\nHops; may be able to skip<br \/>\nCan do a somersault<br \/>\nCan use the toilet on own<br \/>\nSwings and climbs<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Fine Motor Milestones from 3 Years to 5 Years<a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-8\" href=\"#footnote-93-8\" aria-label=\"Footnote 8\"><sup class=\"footnote\">[8]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\">\n<caption>Table 4.7<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">3 years<\/td>\n<td style=\"width: 50%;\">Copies a circle with pencil or crayon<br \/>\nTurns book pages one at a time<br \/>\nBuilds towers of more than 6 blocks<br \/>\nScrews and unscrews jar lids or turns door handle<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 years<\/td>\n<td style=\"width: 50%;\">Pours, cuts with supervision, and mashes own food<br \/>\nDraws a person with 2 to 4 body parts<br \/>\nUses scissors<br \/>\nStarts to copy some capital letters<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">5 years<\/td>\n<td style=\"width: 50%;\">Can draw a person with at least 6 body parts<br \/>\nCan print some letters or numbers<br \/>\nCopies a triangle and other geometric shapes<br \/>\nUses a fork and spoon and sometimes a table knife<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Cognitive Milestones from 3 Years to 5 Years<a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-9\" href=\"#footnote-93-9\" aria-label=\"Footnote 9\"><sup class=\"footnote\">[9]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 227px;\">\n<caption>Table 4.8<\/caption>\n<tbody>\n<tr style=\"height: 16px;\">\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">What Most Children Do By This Age<\/td>\n<\/tr>\n<tr style=\"height: 65px;\">\n<td style=\"width: 50%; height: 65px;\">3 years<\/td>\n<td style=\"width: 50%; height: 65px;\">Can work toys with buttons, levers, and moving parts<br \/>\nPlays make-believe with dolls, animals, and people<br \/>\nDoes puzzles with 3 or 4 pieces<br \/>\nUnderstands what \u201ctwo\u201d means<\/td>\n<\/tr>\n<tr style=\"height: 114px;\">\n<td style=\"width: 50%; height: 114px;\">4 years<\/td>\n<td style=\"width: 50%; height: 114px;\">Names some colors and some numbers<br \/>\nUnderstands the idea of counting<br \/>\nStarts to understand time<br \/>\nRemembers parts of a story<br \/>\nUnderstands the idea of \u201csame\u201d and \u201cdifferent\u201d<br \/>\nPlays board or card games<br \/>\nTells you what he thinks is going to happen next in a book<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">5 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Counts 10 or more things<br \/>\nKnows about things used every day, like money and food<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Language Milestones from 3 Years to 5 Years<a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-10\" href=\"#footnote-93-10\" aria-label=\"Footnote 10\"><sup class=\"footnote\">[10]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%; height: 80px;\">\n<caption>Table 4.9<\/caption>\n<tbody>\n<tr style=\"height: 16px;\">\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%; height: 16px;\">What Most Children Do By This Age<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">3 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Follows instructions with 2 or 3 steps<br \/>\nCan name most familiar things<br \/>\nUnderstands words like \u201cin,\u201d \u201con,\u201d and \u201cunder\u201d<br \/>\nSays first name, age, and sex<br \/>\nNames a friend<br \/>\nSays words like \u201cI,\u201d \u201cme,\u201d \u201cwe,\u201d and \u201cyou\u201d and some plurals (cars, dogs, cats)<br \/>\nTalks well enough for strangers to understand most of the time<br \/>\nCarries on a conversation using 2 to 3 sentences<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">4 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Knows some basic rules of grammar, such as correctly using \u201che\u201d and \u201cshe\u201d<br \/>\nSings a song or says a poem from memory such as the \u201cItsy Bitsy Spider\u201d or the \u201cWheels on the Bus\u201d<br \/>\nTells stories<br \/>\nCan say first and last name<\/td>\n<\/tr>\n<tr style=\"height: 16px;\">\n<td style=\"width: 50%; height: 16px;\">5 years<\/td>\n<td style=\"width: 50%; height: 16px;\">Speaks very clearly<br \/>\nTells a simple story using full sentences<br \/>\nUses future tense; for example, \u201cGrandma will be here.\u201d<br \/>\nSays name and address<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Social and Emotional Milestones from 3 Years to 5 Years<a class=\"footnote\" title=\"Ibid.\" id=\"return-footnote-93-11\" href=\"#footnote-93-11\" aria-label=\"Footnote 11\"><sup class=\"footnote\">[11]<\/sup><\/a><\/h2>\n<table class=\"grid\" style=\"border-collapse: collapse; width: 100%;\">\n<caption>Table 4.10<\/caption>\n<tbody>\n<tr>\n<td class=\"shaded\" style=\"width: 50%;\">Typical Age<\/td>\n<td class=\"shaded\" style=\"width: 50%;\">What Most Children Do by This Age<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">3 years<\/td>\n<td style=\"width: 50%;\">Copies adults and friends<br \/>\nShows affection for friends without prompting<br \/>\nTakes turns in games<br \/>\nShows concern for a crying friend<br \/>\nDresses and undresses self<br \/>\nUnderstands the idea of \u201cmine\u201d and \u201chis\u201d or \u201chers\u201d<br \/>\nShows a wide range of emotions<br \/>\nSeparates easily from mom and dad<br \/>\nMay get upset with major changes in routine<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">4 years<\/td>\n<td style=\"width: 50%;\">Enjoys doing new things<br \/>\nIs more and more creative with make-believe play<br \/>\nWould rather play with other children than by self<br \/>\nCooperates with other children<br \/>\nPlays \u201cmom\u201d or \u201cdad\u201d<br \/>\nOften can\u2019t tell what\u2019s real and what\u2019s make-believe<br \/>\nTalks about what she likes and what she is interested in<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">5 years<\/td>\n<td style=\"width: 50%;\">Wants to please friends<br \/>\nWants to be like friends<br \/>\nMore likely to agree with rules<br \/>\nLikes to sing, dance, and act<br \/>\nIs aware of gender<br \/>\nCan tell what\u2019s real and what\u2019s make-believe<br \/>\nShows more independence<br \/>\nIs sometimes demanding and sometimes very cooperative<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Time Sampling or Frequency Counts<\/h2>\n<p>When a teacher wants to know how often or how infrequent a behavior is occurring, they will use a Frequency Count to track a child\u2019s behavior during a specific timeframe. This technique can help teachers track a child\u2019s social interactions, play preferences, temperamental traits, aggressive behaviors, and activity interests.<\/p>\n<h2>Checklists<\/h2>\n<p>When a teacher wants to look at a child\u2019s overall development, checklists can be a very useful tool to determine the presence or absence of a particular skill, milestone or behavior. Teachers will observe children during play times, circle times and centers, and will check-off the skills and behaviors as they are observed. Checklists help to determine which developmental skills have been mastered, which skills are emerging, and which skills have yet to be learned.<\/p>\n<h2>Technology<\/h2>\n<p>Teachers can use video recorders, cameras and tape recorders to record children while they are actively playing. This is an ideal method for capturing authentic quotes and work samples. Information gathered by way of technology can also be used with other screening tools and techniques as supporting evidence. (Note: it is important to be aware of center policies and procedures regarding proper consent before photographing or taping a child).<\/p>\n<h2>Event Sampling and the ABC Technique<\/h2>\n<p>When an incident occurs, we may wonder what triggered that behavior. The Event Sampling or ABC technique helps us to identify the social interactions and environmental situations that may cause children to react in certain ways. If we are to reinforce someone\u2019s positive behavior, or change someone\u2019s negative behavior, we must first try to understand what might be causing that particular behavior. With an ABC Analysis, the observer is looking for and tracking a specific behavior . More than the behavior itself, the observer wants to understand what is causing the behavior \u2013 this is antecedent. The antecedent happens before the behavior. It is believed that if the observer can find the \u201ctriggers\u201d that might be leading up to or causing the challenging behavior, then potential strategies can be planned to alter, redirect or end the challenging behavior. In addition to uncovering the antecedent, what happens after the behavior is just as important, this is the \u201cconsequence.\u201d How a child is treated after the incident or challenging behavior can create a positive or negative reinforcement pattern. In short, the ABC technique tells a brief story of what is happening before, during, and after a noted behavior.<\/p>\n<p>The ABC observation method requires some training and practice. The observer must practice being neutral and free of bias, judgement and assumption in order to collect and record objective evidence and to portray an accurate picture. Although it may be uncomfortable to admit, certain behaviors can frustrate a teacher. If the teacher observes a child while feeling frustrated or annoyed, this can possibly taint the observation data. It is important to record just the facts. And to review the whole situation before making any premature assumptions.<\/p>\n<h2>Collecting your data<\/h2>\n<p>If you have a concern about a child\u2019s behavior or if you have noticed a time when a child\u2019s behavior has been rather disruptive, you will schedule a planned observation. For this type of observation, you can either video record the child in classroom environment, or you can take observation notes using a Running Record or Anecdotal Record technique. To find a consistent pattern, it is best to tape or write down your observations for several days to find a true and consistent pattern. To document your observations, include the child\u2019s name, date, time, setting, and context. Observe and write down everything you see and hear before, during and after the noted behavior.<\/p>\n<h2>Organizing your data<\/h2>\n<p>Divide a piece of paper into 3 sections: A \u2013 for Antecedent; B \u2013 for Behavior; and C- for Consequence. Using your observation notes you will organize the information you collected into the proper sections. As you record the observation evidence, remember to report just the facts as objectively as possible. Afterwards, you will interpret the information and look for patterns. For example, did you find any \u201ctriggers\u201d before the behavior occurred? What kind of \u201creinforcement\u201d did the child receive after the behavior? What are some possible strategies you can try to minimize or redirect the challenging behavior? Do you need to make environmental changes? Are their social interactions that need to be further monitored? With challenging behaviors, there is not a quick fix or an easy answer. You must follow through and continue to observe the child to see if your strategies are working.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Pin It! The ABC Method<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<p>(A) Antecedent : Right before an incident or challenging behavior occurs, something is going on to lead up to or prompt the actual incident or behavior.<\/p>\n<p>For example, one day during lunch Susie spills her milk (this behavior has happened several times before). Rather than focusing solely on the incident itself (Susie spilling the milk), look to see what was going on before the incident. More specifically, look to see if Susie was in a hurry to finish her snack so she could go outside and play? Was Susie being silly? Which hand was Susie using \u2013 is this her dominant hand? Is the milk pitcher too big for Susie to manipulate?<\/p>\n<p>(B) Behavior: This refers to the measurable or observable actions.<\/p>\n<p>In this case, it is Susie spilling the milk.<\/p>\n<p>(C) Consequence: The consequence is what happens directly after the behavior.<\/p>\n<p>For example, right after Susie spilt the milk, did you yell at her or display an unhappy or disgusted look? Did Susie cry? Did Susie attempt to clean up the milk? Did another child try to help Susie?<\/p>\n<\/div>\n<\/div>\n<p>Watch this video for more information on the ABC model.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"Antecedent Behavior Consequence: ABC Charts &amp; Model\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/UVKb_BXEp5U?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>ABC template worksheet<\/p>\n<h2>The Practice of Screening and Evaluating<\/h2>\n<p>Beyond monitoring, once a child has been \u201cred-flagged\u201d they will need to be assessed by a professional who will use a formal diagnostic tool to evaluate the child\u2019s development. Families can request that a formal screening be conducted at the local elementary school if their child is 3 to 5 years old. Depending upon the nature of the red flag, there are a battery of tools that can be used to evaluate a child\u2019s development. Here are some guidelines:<\/p>\n<ul>\n<li>Screenings are designed to be brief (30 minutes or less)<\/li>\n<li>A more comprehensive assessment and formal evaluation must be conducted by a professional in order to confirm or disconfirm any red flags that were raised during the initial monitoring or screening process<\/li>\n<li>Families must be treated with dignity, sensitivity and compassion while their child is going through the screening process<\/li>\n<li>Use a screening tool from a reputable publishing company<\/li>\n<\/ul>\n<h2>Screening Instruments and Evaluation Tests<\/h2>\n<p>The instruments listed below are merely a sample of some of the developmental and academic screening tests that are widely used.<\/p>\n<ul>\n<li>Ages and Stages Questionnaires (ASQ), Brookes Publishing Company (available in Spanish, French, and Korean)<\/li>\n<li>Battelle Developmental Inventory Screening Test, Riverside Publishing<\/li>\n<li>Developmental Indicators for Assessment of Learning (DIAL) III, Pearson Assessments (includes Spanish materials)<\/li>\n<li>Dynamic Indicators of Basic Early Literacy Skills (DIBELS), University of Oregon Center on Teaching and Learning<\/li>\n<li>Early Screening Inventory-Revised (ESI-R), Pearson Early Learning (includes separate scoring for preschool and kindergarten) <a class=\"footnote\" title=\"A Guide to Assessment in Early Childhood; Infancy to Age Eight. Washington State Office of Superintendent of Public Instruction, 2008.\u00a0http:\/\/www.k12.wa.us\/EarlyLearning\/pubdocs\/assessment_print.pdf\" id=\"return-footnote-93-12\" href=\"#footnote-93-12\" aria-label=\"Footnote 12\"><sup class=\"footnote\">[12]<\/sup><\/a><\/li>\n<\/ul>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Pin It! Reliability and Validity Defined<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<p>Reliability means that the scores on the tool will be stable regardless of when the tool is administered, where it is administered, and who is administering it. Reliability answers the question: Is the tool producing consistent information across different circumstances? Reliability provides assurance that comparable information will be obtained from the tool across different situations.<\/p>\n<p>Validity means that the scores on the tool accurately capture what the tool is meant to capture in terms of content. Validity answers the question: Is the tool assessing what it is supposed to assess?<\/p>\n<\/div>\n<\/div>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-93-1\"><\/span><span style=\"font-size: 14pt;\">Developmental<\/span><span style=\"font-size: 14pt;\"> Disabilities<\/span><span style=\"font-size: 14pt;\"> |<\/span><span style=\"font-size: 14pt;\"> CDC<\/span><span style=\"font-size: 14pt; text-align: initial;\">. (2022). Centers for Disease Control and Prevention. <\/span><span style=\"text-align: initial;\">Retrieved<\/span><span style=\"font-size: 14pt; text-align: initial;\"> from <a href=\"https:\/\/www.cdc.gov\/ncbddd\/developmentaldisabilities\/\">https:\/\/www.cdc.gov\/ncbddd\/developmentaldisabilities\/<\/a><\/span><span style=\"font-size: 14pt; text-align: initial;\"> <a href=\"#return-footnote-93-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-93-2\">What is a Developmental Milestone? (2022). Centers for Disease Control and Prevention. Retrieved from <a href=\"https:\/\/www.cdc.gov\/ncbddd\/actearly\/milestones\/\">https:\/\/www.cdc.gov\/ncbddd\/actearly\/milestones\/<\/a> <a href=\"#return-footnote-93-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-93-3\">Ibid. <a href=\"#return-footnote-93-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-93-4\">Ibid. <a href=\"#return-footnote-93-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-93-5\">Ibid. <a href=\"#return-footnote-93-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><li id=\"footnote-93-6\">Ibid. <a href=\"#return-footnote-93-6\" class=\"return-footnote\" aria-label=\"Return to footnote 6\">&crarr;<\/a><\/li><li id=\"footnote-93-7\">Ibid. <a href=\"#return-footnote-93-7\" class=\"return-footnote\" aria-label=\"Return to footnote 7\">&crarr;<\/a><\/li><li id=\"footnote-93-8\">Ibid. <a href=\"#return-footnote-93-8\" class=\"return-footnote\" aria-label=\"Return to footnote 8\">&crarr;<\/a><\/li><li id=\"footnote-93-9\">Ibid. <a href=\"#return-footnote-93-9\" class=\"return-footnote\" aria-label=\"Return to footnote 9\">&crarr;<\/a><\/li><li id=\"footnote-93-10\">Ibid. <a href=\"#return-footnote-93-10\" class=\"return-footnote\" aria-label=\"Return to footnote 10\">&crarr;<\/a><\/li><li id=\"footnote-93-11\">Ibid. <a href=\"#return-footnote-93-11\" class=\"return-footnote\" aria-label=\"Return to footnote 11\">&crarr;<\/a><\/li><li id=\"footnote-93-12\">A Guide to Assessment in Early Childhood; Infancy to Age Eight. Washington State Office of Superintendent of Public Instruction, 2008.\u00a0<a class=\"link-https\" href=\"https:\/\/www.k12.wa.us\/sites\/default\/files\/public\/earlylearning\/pubdocs\/assessment_print.pdf\" target=\"_blank\" rel=\"external noopener nofollow\">http:\/\/www.k12.wa.us\/EarlyLearning\/pubdocs\/assessment_print.pdf<\/a> <a href=\"#return-footnote-93-12\" class=\"return-footnote\" aria-label=\"Return to footnote 12\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":32,"menu_order":1,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":["gina-peterson","emily-elam"],"pb_section_license":"cc-by"},"chapter-type":[],"contributor":[61,60],"license":[52],"class_list":["post-93","chapter","type-chapter","status-publish","hentry","contributor-emily-elam","contributor-gina-peterson","license-cc-by"],"part":91,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/pressbooks\/v2\/chapters\/93","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":1,"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/pressbooks\/v2\/chapters\/93\/revisions"}],"predecessor-version":[{"id":94,"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/pressbooks\/v2\/chapters\/93\/revisions\/94"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/pressbooks\/v2\/parts\/91"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/pressbooks\/v2\/chapters\/93\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/wp\/v2\/media?parent=93"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/pressbooks\/v2\/chapter-type?post=93"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/wp\/v2\/contributor?post=93"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accece1045\/wp-json\/wp\/v2\/license?post=93"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}