DENVER II / METRO MANILA DEVELOPMENTAL SCREENING TEST

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• 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 ½ years and below
What then is DENVER II?
-why called Denver?
-Simple and clinically useful tool
-Previously 105 questions and has been increased to 125
-Purpose: a screening instrument to determine early serious developmental delays
-Developed by: William
- Modified to MMDST and standardized by:
- Developed for health professionals (MDs, RNs, etc)
- Evaluates 4 aspects /sectors of development
1.

2.

3.

4.

• MMDST Kit
1. Manual
2. Sample test form
3. Test materials
4. MMDST bag

• Test materials
1. A bright red yarn pom-pom
2. A rattle with narrow handle
3. Eight 1-inch colored wooden blocks (red, yellow, blue green)
4. A small clear glass/bottle with 5/8 inch opening
5. A small bell with 2 ½ inch-diameter mouth
6. A rubber ball 12 ½ inches in circumference
7. Cheese curls
8. A pencil

• Important considerations
-____________– crucial part and to be considered in the initial step in test administration
- Test items will be dependent on age of child

- Adjusting for Prematurity

- Prematurity
 • Scoring the Test
a. Passed
b. Failed
c. Refused, or
d. No opportunity
- Failure of an item that is completely to the left of the child’s age is considered a developmental delay

• The Test Form

- Across the top and bottom of form are age scales
- Age is marked in months 1-24, and age in years from 2 ½ to 6.
- Each item is represented in the test form by a bar
- The bar is placed along the age scale to show when 25%, 50% (indicated by the hatch mark) 75% and 90% of
the normal children are able to pass the item.
- Footnote - indicates corresponding instruction for administering the item found at the test form
- Some items may be passed by report of the parent (R)

• Drawing the Age Line

- Use age scale shown at the top and bottom of the form
- Mark the age and draw a line through all four sectors

• Selecting Items to be administered

- Administer first those through which child’s 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
- All items crossing the age line should be administered
- Child should have a minimum of three passes to the left of any failure; and

• The Test Procedure

- Preliminary Phase
– Establish rapport
– Make the child as comfortable as possible

• WHAT MAY NOT BE CHANGED?

- Manner in which each test is administered
- Words or direction may not be changed

• INTERPRETATION
- Failure of an item achieved by 90 precent of children of the same age should be considered a delay.
- Performances are scored as abnormal if two or more sectors have two or more delays,
or if one sector has two or more delays
- Questionable if any one sector has two or more delays, or if one or more sectors have one dela
- Untestable if refusals occur in numbers large enough to cause test score to be questionable or abnormal if the
refusals were to be scored as failures.
- Normal if the performance is not abnormal, questionable, or untestable.
- If test results are abnormal, questionable, or untestable, the child should be rescreened a 1-2 weeks after to
month later. Without improvement, the child should be reevaluated with more extensive

• CAUTION: The DDST is not an intelligence test.