Professional Documents
Culture Documents
SCREENING TEST
Overview
Screening is a presumptive
identification of unrecognized disease
or defect
Early detection model
Test children with problem
Facilitates early referral and treatment
Overview
Detection of developmental disabilities
Children 6 years and below
MMDST
Simple and clinically useful tool
To determine early serious developmental
delays
MMDST
Dr. William K. Frankenburg
Modified and standardized by Dr.
Phoebe D. Williams DDST to MMDST
MMDST
Developed for health professionals (MDs,
RNs, etc)
It is not an intelligence test
MMDST
It is a screening instrument to
determine if childs development is
within normal
Purposes
Measures developmental delays
Evaluates 4 aspects of development
Aspects of development
Personal-social
Fine-motor adaptive
Language
Gross motor behavior
MMDST Kit
Manual
Sample test form
Test materials
MMDST bag
Test materials
A bright red yarn pom-pom
A rattle with narrow handle
Eight 1-inch colored wooden blocks (red,
yellow, blue green)
Test materials
A small clear glass/bottle with 5/8 inch
opening
A small bell with 2 inch-diameter mouth
Test materials
A rubber ball 12 inches in
circumference
Cheese curls
A pencil
Cheese curls
Important considerations
Childs age is crucial= initial step in test
administration
Test items will be dependent on age of
child
Important considerations
Age = guide the selection of test items and
subsequent interpretation of results
Passed
Failed
Refused, or
No opportunity
Four Sectors
Personal-Social tasks which indicate
the childs ability to get along with people
and to take care of himself
Four Sectors
Fine-Motor Adaptive tasks which
indicate the childs ability to see and use
his hands to pick up objects and to draw
Four Sectors
Language tasks which indicate the
childs ability to hear, follow directions and
to speak; and
Four Sectors
Gross-Motor tasks which indicate the
childs ability to sit, walk and jump
Test Directions
1. Try to get the child to smile by smiling,
talking or waving to him. Do not touch
him.
2. When the child is playing with toy, pull it
away from him. Pass if he resists.
Test Directions
3. Child does not have to be able to tie
shoes or button in the back
4. Move yarn slowly in an arch from one
side to the other, about 6 above childs
face. Pass if the eyes follow 90o to
midline. (past midline; 180o)
Test Directions
5. Pass if the child grasps rattle when it is
touched to the backs or tips of fingers
6. Pass if the child continues to look where
yarn disappeared or tries to see where it
went. Yarn should be dropped quickly from
sight from testers hand without arm
movement
Test Directions
7. Pass if the child picks up cheese curl
with any part of the thumb and finger
8. Pass if child picks up cheese curl with
the ends of thumb and index finger using
an over hand approach
Test Directions
9. Pass any enclosed form. Fail continuous
round motion.
Test Directions
10. Which line is longer (not bigger). Turn
the paper upside down an repeat (3/3 or
5/6)
Test Directions
11. Pass any crossing line
Test Directions
12. Have child copy first. If failed,
demonstrate
Test Directions
Note
When giving items 9, 11 and 12, do not name
the forms. Do not demonstrate 9 and 11.
Test Directions
13. When scoring, each pair (2 arms, 2 legs,
etc) counts as one part
14. Point to picture and have the child name
it. (No credit is given for sounds only)
Test Directions
15. Tell the child to: give block to mommy;
put block on table; put block on floor.
Pass 2 of 3. (Do not help child by
pointing, moving head or eyes.)
16. Ask child: What do you do when you are
cold? Hungry? Tired? Pass 2 of 3.
Test Directions
17. Tell child to: Put block on table; under
table; in front of chair, behind chair.
Pass 3 of 4. (Do not help child by
pointing, moving head or eyes.)
18. Ask child: If fire is hot, ice is? Mother is
a woman, Dad is a?, a horse is big, a
mouse is ? Pass 2 of 3.
Test Directions
19. Ask child: What is a ball? River? Desk?
House? Banana?, Curtain? Roof? Fence?
Street? Pass if defined in terms of use,
shape, what is it made of or its general
category (such as banana is a fruit, not
just yellow). Pass 6 of 9.
Test Directions
20. Ask child: What is a spoon made of? A
shoe made of? A door made of? (no
other objects can be substituted.) Pass 3
of 3.
21. When placed on stomach, child lifts
chest off table with support of forearms
and/or hands.
Test Directions
22. While child is on back, grasp his hands
and pull him to sitting. Pass if head does
not hang back
23. Child may use wall or rail only, not
person. May not crawl.
Test Directions
24. Child must throw ball overhead 3 feet to
within arms reach of tester
25. Child must perform standing broad
jumps over width of test sheet (8
inches)
Test Directions
26. Tell child to walk forward, heel within 1
inch of toe. Tester may demonstrate.
Child must walk 4 consecutive steps, 2
out of 3 trials.
Test Directions
27. Bounce ball to child who should stand 3
feet away from tester. Child must catch
ball with hands, not arms, 2 out of 3
trials.
Test Directions
28. Tell child to walk backward toe within 1
inch of heel. Tester may demonstrate.
Child must walk 4 consecutive steps, 2
out of 3 trials.
Important
Date and Behavioral Observations
How child feels at time of test, relations to
tester, attention span, verbal behavior, selfconfidence, etc)
Percentage of
normal children
passing the item
13 14 16
25%
Hatch Mark
50%
WALKS WELL
18
75%
90%
R
WALKS UP STEPS
Footnote number
23
Month
Day
Date of test
99
2
8
Birthdate -97
- 3
-10
Age of child
1
10
25
Month
98
99
Date of test
Birthdate -97
Age of child
1
Day
13
2
- 3
35
8
-10
10
25
Selecting Items to be
administered
Administer first those through which childs
chronological age line passes
If failure occurs in any items, proceed to
administer items to the left of the age line
until you obtain 3 passes then stop
Selecting Items to be
administered
WHAT TO KEEP
IN MIND!!!!!
Selecting Items to be
administered
All items crossing the age line should be
administered
Child should have a minimum of three
passes to the left of any failure; and
Each sector should have at least 3 passes
and three failures