Parents of 153 children with autism completed a questionnaire on early childhood behaviors of concern and age of onset. Parents identified the following concerns: gross motor difficulties; social awareness deficits; communication problems; and unusual preoccupations. There was a significant interval between parents first noticing abnormalities and…

The identification of clusters of behavior that are commonly seen in infants with prenatal drug exposure is discussed, as are intervention techniques that have been successful in hospital and home programs. Reading behavioral cues, modifying the environment, and providing support for the infant's attempts at self-regulation are suggested.…

Development of an inexpensive but powerful computer program to teach clinical periodontal diagnosis using epidemiological principles is described. Using probabilistic thinking, the student is guided from application of raw research data to derivation of likelihood ratios and how they affect clinical decision making. Student response was found to…

Principles of comprehensive assessment of students with attention deficit hyperactivity disorder are examined in relation to legal compliance, special considerations for cultural diversity, medical diagnosis versus educational identification, and the problem-solving assessment model. Strengths and weakness of specific strategies are identified as…

A University of Georgia physical assessment course for entry-level doctoral pharmacy students is described. The course focuses on provision of patient care and communication skill development, not strictly physical diagnosis. It includes classroom instruction in interviewing and physical assessment techniques, case studies, and a three-hour…

This article notes that children with developmental difficulties may exhibit qualitatively different behaviors in addition to or instead of developmental delay. It offers a rationale for neurobehavioral assessment and describes a new instrument, Neurobehavioral Indicators of Atypical Development, that is designed to assist in early screening and…

A self-report measure for the Type A subcomponent of time urgency and perpetual activation (TUPA) was developed using 10 coronary heart disease (CHD) patients and validated with another 48 CHD patients. The internal consistency and test-retest reliabilities indicate that the instrument has clinical and research applications. (SLD)

In a study of special education programs in five urban school districts, parent interview data for 1,726 children (elementary school students) indicated how the students' problems were identified and how the medical system was involved in the diagnosis. Implications for physicians and educators are discussed. (SLD)

Three methods of designating everyday-dysfunction cases in the Colorado Social Health Survey are compared for a sample of 4,745 adults. The clinical judgment approach was chosen as the primary method of identification, with the statistical deviation criterion a backup. The patient criterion group approach was less useful. (SLD)

The Curriculum Outcomes Review and Evaluation system of outcomes assessment for accreditation of Canadian dental faculties is described. Features include chart reviews; evaluation of diagnosis and treatment planning and case presentation for a student sample; structured clinical observation; presite visit survey; and solicitation of feedback from…

The diagnostic discourse of medical students and physicians in thinking-aloud protocols on paper cases was analyzed for evidence of semantic structure. Results show that structural semantics can be used to distinguish various levels of mental processing among novices as well as between novices and professionals. (MSE)

A study that followed 1,008 children from prekindergarten through grade seven or eight for 13 years found that defining reading comprehension disability in terms of a discrepancy between group-administered tests of listening and reading comprehension provided a fairly accurate estimate of the stability, gender ratio, and prevalence of the…

A scoring algorithm for performance assessments is described that is based on expert judgments but requires the rating of only a sample of performances. A regression-based policy capturing procedure was implemented for clinicians evaluating skills of 280 medical students. Results demonstrate the usefulness of the algorithm. (SLD)

This article determines the prevalence of mental health diagnosis and impairment among 632 participants in Temporary Assistance for Needy Families (TANF) and describes the relationship between these problems and welfare tenure and employment. A random sample of female TANF participants was surveyed in two California counties consecutively for 3…

Background: Existing evidence points to a substantial rise in psychosocial disorders affecting young people over the past 50 years (Rutter & Smith, 1995). However, there are major methodological challenges in providing conclusive answers about secular changes in disorder. Comparisons of rates of disorder at different time points are often…