Developmental Screening: (Still) Expecting the Impossible?

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Abstract
The widespread popularity of the Denver Developmental Screening Test (DDST) during the past 25 years has been accompanied by considerable scrutiny. Certain criticisms, such as the lack of updated norms, the limited extent to which norms may apply to groups such as disadvantaged children, and the difficulty in administering some items, appear justified.1 However, a number of studies critical of the DDST examine applications beyond the intended purpose of this instrument, such as identifying developmental delay among biologically vulnerable infants, screening for speech and language problems, and identifying children with moderate to severe delays.2 The inaccurate or inappropriate way in which the test has been administered and interpreted has troubled the test's developers.3

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