Other Screening Evaluations
| • Hearing |
| ○ Validate newborn screening when available |
| ○ Screen all children if possible, particularly those with risk factors for hearing loss as well as developmental (speech) delays |
| • Vision |
| ○ Eye examination as appropriate for age |
| ○ Screening for refraction error as of age 3 |
| ○ Funduscopic examination for children with birth wt <1500 g |
| • Dental |
| ○ Referral to dentist for all children 12 mo or older |
| ○ Earlier referral if evidence of dental caries or abuse via the mouth |
| • Developmental screening/assessment/interventions |
| ○ Timely identification of developmental delays is strongly recommended |
| ○ Risk factors include prematurity, illegal drug and/or alcohol exposure, poor prenatal care, institutionalization |
| • Formal referral for all children adopted in the newborn period or beyond with risk factors as listed or other concerns |
| • Referral for all children adopted beyond the newborn period with risk factors or concerns about development when appropriate. |
| • For children adopted internationally, a speech evaluation within a few weeks of arrival home by a speech therapist fluent in the child’s native language is optimal to help reveal gaps in articulation and language processing skills |
| ○ Referrals may be made to the early intervention program for children birth through 35 mo of age |
| ○ Referrals through the school system for children 36 mo and older with establishment of an Individualized Educational Plan (IEP) when appropriate |
| ○ Referral for speech/language, occupational, and physical therapy when indicated |
| ○ Children adopted internationally should be placed in an educational setting with flexible placement based on the child’s developmental profile |
| • Hearing |
| ○ Validate newborn screening when available |
| ○ Screen all children if possible, particularly those with risk factors for hearing loss as well as developmental (speech) delays |
| • Vision |
| ○ Eye examination as appropriate for age |
| ○ Screening for refraction error as of age 3 |
| ○ Funduscopic examination for children with birth wt <1500 g |
| • Dental |
| ○ Referral to dentist for all children 12 mo or older |
| ○ Earlier referral if evidence of dental caries or abuse via the mouth |
| • Developmental screening/assessment/interventions |
| ○ Timely identification of developmental delays is strongly recommended |
| ○ Risk factors include prematurity, illegal drug and/or alcohol exposure, poor prenatal care, institutionalization |
| • Formal referral for all children adopted in the newborn period or beyond with risk factors as listed or other concerns |
| • Referral for all children adopted beyond the newborn period with risk factors or concerns about development when appropriate. |
| • For children adopted internationally, a speech evaluation within a few weeks of arrival home by a speech therapist fluent in the child’s native language is optimal to help reveal gaps in articulation and language processing skills |
| ○ Referrals may be made to the early intervention program for children birth through 35 mo of age |
| ○ Referrals through the school system for children 36 mo and older with establishment of an Individualized Educational Plan (IEP) when appropriate |
| ○ Referral for speech/language, occupational, and physical therapy when indicated |
| ○ Children adopted internationally should be placed in an educational setting with flexible placement based on the child’s developmental profile |