Cost Effective Approaches to Identifying Developmental Delay in 4- to 7-Year-Old Children

Recent enactment of public laws have mandated early identification of children at risk for delayed development. Several complex assessment batteries have demonstrated satisfactory predictive and classificatory accuracy when biomedical and social-environmental measures obtained in infancy are used as predictors of later IQ scores. Yet, these complex batteries are too costly for wide- spread adoption. The present study examined the effectiveness of smaller sets of predictor variables for correctly identifying children as developmentally delayed at four through seven years of age. The results show that a combination of six biomedical risk items, maternal education level, and four subscale scores from the HOME scale are effective when used as a screening battery across a four year period. The practical implications are for this battery to be used to screen children in the preschool period for developmental delay in the early primary grades.