Welcome to the training on Developmental Surveillance and Screening: Birth through 6 Years provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).
The goal of this module is to equip Texas Health Steps providers and others to conduct developmental surveillance and screening during preventive medical checkups for children birth through 6 years, use approved screening tools, make appropriate referrals, and coordinate care in the primary care setting.
Texas Health Steps providers and other interested health-care professionals.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Apply the requirements of the Texas Health Steps Periodicity Schedule for developmental surveillance and screening of children birth through 6 years.
- Specify how to respond when parents or caregivers express concern about a child’s development or behavior.
- Employ the validated screening tools approved by Texas Health Steps.
- Based on stated criteria and patient needs, determine appropriate referrals for a child who is at risk for, or determined to have, a developmental delay or disorder.
Note: In this course, the term "parent" also refers to guardians and other caregivers.
Please note this module expires on 8/18/2023.
This module was released on 8/18/2020.
Continuing Medical Education
The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.
The Texas Department of State Health Services, Continuing Education Service designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The Texas Department of State Health Services, Continuing Education Service has awarded 1.25 contact hour(s) of Continuing Nursing Education.
The Texas Department of State Health Services, Continuing Education Service under sponsor number CS3065 has been approved by the Texas State Board of Social Worker Examiners to offer continuing education contact hours to social workers. The approved status of The Texas Department of State Health Services, Continuing Education Service expires annually on December 31. The Texas Department of State Health Services, Continuing Education Service has awarded 1.25 contact hour(s) of Continuing Social Work Education.
Certified Health Education Specialists
Sponsored by The Texas Department of State Health Services, Continuing Education Service, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.25 total entry-level Category I contact education contact hours.
Certificate of Attendance
The Texas Department of State Health Services, Continuing Education Service has designated 1.25 hour(s) for attendance.
One of the requirements of continuing education is disclosure of the following information to the learner:
- Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
- Create a Texas Health Steps account.
- Complete on-line registration process.
- Thoroughly read the content of the module.
- Complete the on-line examination.
- Complete the evaluation.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support.
- Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose.
- Non-Endorsement Statement.
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center.
- Off-Label Use.
Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).
The following are policies and definitions of terms related to continuing education disclosure:
The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.
All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.
Glossary of Terms
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).
Texas Health Steps courses are best viewed using a current browser. If you are using an out-of-date browser or a version of Internet Explorer less than 11, lesson progress and interactive features may not function properly.
- American Academy of Pediatrics. (2020). Principles of Financing the Medical Home for Children. Pediatrics, 145(1): e20193451.
- American Academy of Pediatrics. (2019). Technical Report: Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice. Pediatrics, 143(1), e20183259.
- American Academy of Pediatrics Policy Statement. (2006/2014). Identifying Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening. Pediatrics, 118(1), 405-420.
- American Academy of Pediatrics. (2002/2008). Policy Statement: The Medical Home. Pediatrics, 110, 184–186.
- Centers for Disease Control and Prevention. (2020). Why Act Early if You’re Concerned about Development?
- Centers for Disease Control and Prevention. (2020). Data & Statistics on Autism Spectrum Disorder: Prevalence.
- Centers for Disease Control and Prevention. (2019). Increase in Developmental Disabilities Among Children in the United States.
- The Children’s Hospital of Philadelphia Policy Lab. (2014). Watch Them Thrive: The Case for Developmental Screening.
- Glascoe, F. P., & Marks, K. P. (2011). Detecting children with developmental-behavioral problems: The value of collaborating with parents. Psychological Test and Assessment Modeling, 53(2), 258-279.
- Mackrides, P. S., & Ryherd, S. J. (2011). Screening for developmental delay. American Family Physician, 84(5), 544-9.
- Marceau, L., Sices, L., Ranganathan, G., Coleman, J., Zuckerman, B. (2018). Effect of a Web-based Course for Pediatricians on Communication About Developmental Screening. Pediatrics, 141 (1 Meeting Abstract) 28.
- Raspa, M., Levis, D. M., Kish-Doto, J., Wallace, I., Rice, C., Barger, B., Green, K. K., & Wolf, R. B. (2015). Examining Parents' Experiences and Information Needs Regarding Early Identification of Developmental Delays: Qualitative Research to Inform a Public Health Campaign. Journal of Developmental and Behavioral Pediatrics, 36(8), 575–585.
- U.S. Department of Education. The Individuals with Disabilities Education Act (IDEA) Amendments of 1990 to 1997.
- Zablotsky, B., Black, L. I., Maenner, M. J., Schieve, L. A., Danielson, M. L., Bitsko, R. H., Blumberg, S. J., Kogan, M. D., & Boyle, C. A. (2019). Prevalence and Trends of Developmental Disabilities among Children in the US: 2009–2017. Pediatrics, 144(4), e20190811.
The medical definitions in this module were obtained or adapted from the Centers for Disease Control and Prevention and the U.S. National Library of Medicine.
Genetic Screening, Testing, Treatment and Referral
Learn best practices and ethical guidelines for genetic clinical evaluations, screening and testing, appropriate referrals and ongoing care in a primary care practice.
Case Management Services in Texas
Integrate case management services to support patients and families dealing with special health-care needs or chronic conditions. Includes information about eligibility for Case Management for Children and Pregnant Women.
* Required course for MCO service coordinators. A certificate will be provided upon course completion.