Devereux Early Childhood Assessment for Infants Record ...

53875_DECA2prtx8 12/28/06 9:21 AM Page 1

Devereux Early Childhood Assessment for Infants Record Form

(1 month up to 18 months)

Mary Mackrain, Paul LeBuffe and Gregg Powell

Infant's Name Person Completing this Form Date of Rating

Gender

DOB

Relationship to Infant

Site/Program

This form describes a number of behaviors seen in some infants. Read the statements that follow the phrase: During the past 4 weeks, how often did the infant... and place a check mark in the box underneath the word that tells how often you saw the behavior. Answer each question carefully. There are no right or wrong answers. Please answer every item. If you wish to change your answer, put an X through it and fill in your new choice as shown to the right.

Age Room

(In Months)

Never

Very Rarely Occasionally Frequently Frequently

Item # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

During the past 4 weeks, how often did the infant... try to do new things? respond when spoken to? imitate actions of others? enjoy interacting with others? keep trying when unsuccessful? enjoy being cuddled? show interest in what others were doing? show affection for a familiar adult? notice changes in surroundings? seek comfort from familiar adults? adjust her/his energy level to the type of play? act in a good mood? act happy when praised? make eye contact with others? explore surroundings? calm down with help from a familiar adult? express her/his dislikes? smile back at a familiar adult? reach for a familiar adult? respond to her/his name? keep trying to obtain a toy? react to another child's cry? smile at familiar adults? respond positively to adult attention? act happy? act in a way that make others smile or show interest? easily go from one activity to another? seek attention when a familiar adult was with another child? look to a familiar adult when exploring her/his surroundings? enjoy being around other children? show pleasure when interacting with adults? act happy with familiar adults? accept comfort from a familiar adult?

Never

Very Rarely Occasionally Frequently Frequently

Copyright ? 2007 by The Devereux Foundation All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage or retrieval system, without permission in writing from the publisher.

53875_DECA2prtx8 12/28/06 9:21 AM Page 3

Devereux Early Childhood Assessment for Infants Record Form

(1 month up to 18 months)

Mary Mackrain, Paul LeBuffe and Gregg Powell

Infant's Name Person Completing this Form Date of Rating

Gender

DOB

Relationship to Infant

Site/Program

Age Room

(In Months)

Scale Raw Score T Score

Initiative (IN)

Attachment/Relationships (A/R)

+

=

Total Protective Factors (TPF) Sum

Percentile Description

T Score Percentile Description

Item # During the past 4 weeks, how often did the infant... 1 try to do new things?

Never

0

Very Rarely Occasionally Frequently Frequently

1

2

3

4

IN A/R

2 respond when spoken to? 3 imitate actions of others? 4 enjoy interacting with others? 5 keep trying when unsuccessful? 6 enjoy being cuddled?

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

7 show interest in what others were doing? 8 show affection for a familiar adult? 9 notice changes in surroundings? 10 seek comfort from familiar adults?

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

11 adjust her/his energy level to the type of play?

0

1

2

3

4

12 act in a good mood?

0

1

2

3

4

13 act happy when praised?

0

1

2

3

4

14 make eye contact with others?

0

1

2

3

4

15 explore surroundings?

0

1

2

3

4

16 calm down with help from a familiar adult?

0

1

2

3

4

17 express her/his dislikes?

0

1

2

3

4

18 smile back at a familiar adult?

0

1

2

3

4

19 reach for a familiar adult?

0

1

2

3

4

20 respond to her/his name? 21 keep trying to obtain a toy? 22 react to another child's cry? 23 smile at familiar adults? 24 respond positively to adult attention? 25 act happy?

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

26 act in a way that make others smile or show interest?

0

1

2

3

4

27 easily go from one activity to another?

0

1

2

3

4

28 seek attention when a familiar adult was with another child? 0 1 2 3 4

29 look to a familiar adult when exploring her/his surroundings? 0 1 2 3 4

30 enjoy being around other children? 31 show pleasure when interacting with adults? 32 act happy with familiar adults? 33 accept comfort from a familiar adult?

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

Scale Raw Scores

Copyright ? 2007 by The Devereux Foundation All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage or retrieval system, without permission in writing from the publisher.

53875_Guidesx4 12/28/06 9:17 AM Page 2

Guidelines for Scoring the Devereux Early Childhood Assessment for Infants

1. On page 3 copy the number (0-4) for each item from the box that was checked to the empty box on the same line.

2. Add the numbers in each column under IN and A/R to compute the scale raw scores, and enter the sums in the spaces provided at the bottom right corner of page 3.

3. Write those sums in the appropriate Scale Raw Score boxes across the top of page 3 (IN=Initiative; A/R=Attachment/Relationships).

4. Obtain the DECA-I Individual Profile. In step 5, make sure that you use the correct profile depending on 1) child's age and 2) who is the rater, the child's parent (or other family member) or teacher (or other professional such as child care providers or home visitors).

5. On the DECA-I Individual Profile, circle the appropriate Scale Raw Score on the vertical line underneath each of the two scales (Initiative and Attachment/Relationships).

6. Connect the scores for the two Protective Factor Scales (Initiative and Attachment/Relationships) to create the child's Protective Factor Profile. Do NOT connect these scores to Total Protective Factors.

7. Using either the Individual Profile, or the tables in the User's Guide, determine the T score and percentile associated with the Initiative and Attachment/Relationships Scale Raw Scores and record these in the boxes at the top of page 3.

8. Add the Initiative and Attachment/Relationships T scores together to get a sum. Record this number in the box labeled Sum under the Total Protective Factors box on page 3.

9. Using either the Individual Profile, or the tables in the User's Guide, determine the T score and percentile associated with the Total Protective Factors sum (IN and A/R added together) and record in the boxes at the top of page 3.

10. Determine the description (i.e., strength, typical, area of need) for each scale using the following guide: Strength is equal to a T score of 60 or above Typical is equal to a T score of 41 to 59 Area of Need is equal to a T score of 40 or below.

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