1. Child and Family Outcomes Chapter 10: Developmental Milestones Checklist - Service Provider Edition Instructions for completing the Developmental Milestones Checklist for all Service Providers

2. Important Message Please watch the “Developmental Milestones Chart” video before viewing this video. Please note: The Developmental Milestones Checklist is referred to as the “DMC.”

3. When do I complete the DMC? When the child is ready to exit the EI program. Age Moving to different state Prior to the IFSP meeting. Helpful for guidance & reference. Use if there was no formal testing conducted. If formal testing was conducted: You may complete the Evaluation Summary – Federal Child Functional Outcome Areas instead.

4. Why use the DMC? Each service provider is responsible for documenting information related to the three child outcomes areas: 1. Positive social emotional skills 2. Acquiring & using knowledge & skills 3. Using appropriate behavior to meet needs Note: Only use the DMC if the child participated in the EIP for at least six months.

5. DMC - Service Provider Edition Behaviors typically present in each of the three outcome areas from birth to 36 months are listed in the DMC. Evaluate whether or not the child has attained each milestone by selecting yes, no, or inconsistent. The rating on this scale can be the result of direct observation, parent report, or extrapolation.

6. Sample picture of the DMC

7. Completing the DMC The developmental milestones are listed starting with 3 months and ending at 36 months for each outcome.

8. Completing the DMC The DMC begins with behaviors and skills related to Outcome 1. When completing the DMC, pay close attention to the age, the behaviors expected of that age, and to which Outcome the behaviors belong.

9. Completing the DMC Check ONE box under the heading titled “Has Child Attained Milestone?” for each behavior or skill listed.

10. Completing the DMC Direct Observation*If the behavior was directly assessed or observed during the assessment session. Parent Report* If the rating was based on information provided by the parent or caregiver during the assessment session. Extrapolation If the rating was based on clinical judgment and not directly observed or reported by the parents or caregivers. * Specify the Number Codes of tests used at the bottom of the checklist, if applicable. NOTE: You may check as many boxes as apply to that rating. Repeat this process for each of the three child outcomes.

11. For all ratings based on Direct Observation or Parent Report, record the Number Codes of test used (if applicable) found at the end of the chart (see below). Example of partially completed DMC

12. Codes for Developmental Tests Located in Appendix C, is the Child Outcomes Summary Form - Instructions Supplement: “Codes for Developmental Tests Used as Supporting Evidence” See the “Assessment Tools” presentation for more detailed description.

13. If You Still Have Questions Log on to our website: http://icd.binghamton.edu and click on the Early Intervention program logo Email us at: nyseip@binghamton.edu Call us at: 1-888-4EIPDOH (1-888-434-7364)