To appropriately route children with developmental disabilities to appropriate early interventions, those children must first be identified via developmental screening and/or developmental monitoring. Most early identification research emphasizes the relationship between developmental screening and Part C early intervention (EI) receipt for children birth to two. The relationship between developmental monitoring and service receipt is understudied, particularly for 3 to 5-year-old children are routed to Part B (619) early childhood special education services. Thus, this study used data from the National Surveys of Children’s Health (2007, 2012) to investigate the relationship between community-based health care providers (HCP) developmental screening and/or monitoring and the odds of early childhood special education receipt for preschool aged children (3 to 5). Across years, children whose HCP provided both developmental screening and monitoring, or developmental monitoring alone, had substantially greater odds of receiving special education compared to those who did not receive screening or monitoring. Receipt of developmental screening alone was associated with special education receipt in 2012, but not 2007. Developmental monitoring is understudied compared to developmental screening. Data presented here indicate that monitoring is associated with Part B 619 special education receipt and warrants further investigation to better understand how, with developmental screening, developmental monitoring might improve the identification of young children in need of 619 services. In particular, longitudinal analyses capturing data across systems, from screening and monitoring to assessment and service receipt, is needed to understand the effectiveness of monitoring for early identification and appropriate routing of children to relevant care systems.

为了适当地使发育障碍儿童接受适当的早期干预，必须首先通过发育筛查和/或发育监测来识别这些儿童。大多数早期识别研究都强调两个孩子的发育筛查与C部分早期干预（EI）接收之间的关系。对发展监测与服务接受之间的关系进行了研究，特别是对于3至5岁的儿童，他们被送往B部分（619）的早期幼儿特殊教育服务。因此，本研究使用了《美国国家儿童健康调查》（2007年，2012年）调查基于社区的医疗服务提供者（HCP）的发育筛查和/或监测与学龄前儿童的幼儿特殊教育收据几率之间的关系（3至5岁）。多年以来，与那些没有接受筛查或监测的儿童相比，那些由HCP提供发育筛查和监测，或仅提供发育监测的儿童接受特殊教育的几率要高得多。仅发育筛查的收据与2012年的特殊教育收据相关，但与2007年无关。与发育筛查相比，发育监测的研究不足。此处提供的数据表明，监控与B部分619特殊教育收据相关，需要进行进一步调查以更好地了解如何通过发育筛查，发展性监测可能会改善对需要619个服务的幼儿的识别。尤其是，需要进行纵向分析以捕获整个系统的数据，从筛查和监测到评估和服务接收，以了解监测的有效性，以便及早识别儿童并将儿童适当地送至相关的护理系统。