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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU: Or is the 2 and a half year development check a bit odd?

38 replies

dashoflime · 11/01/2015 12:13

So D's just had his 2 and a half year development check. He's a pretty bright, well behaved little chap so I wasn't expecting much drama.
He got measured and weighed. Bit on the small side but nothing to worry about apparently. Then he built a little tower of bricks. All good so far.
The next thing was a questionaire on behaviour for me to complete. This came out as slightly hyperactive. The health worker said this surprised her as Ds didn't seem hyperactive. I said it surprised me too as DS is actually very calm and placid. It constantly surprises me how placid he is (partly because I really was hyperactive as a child- so that's my benchmark!)
Next thing was a checklist of 50 common words and I had to tick the ones he says. It was under 32, which is the benchmark for intervention. The intervention turned out to be a leaflet about how to talk to your child (some of which was useful) and a follow up appointment in 3 months time.
The health worker told me that in the past, when shed been able to use her judgement, she wouldn't have done the "intervention" as she could "see he was OK" but that these days she has to go strictly by a checklist.
As she was discussing this with me, DS was amusing himself with a jigsaw, saying the names of all the pieces (car, bus, train etc...) and their colours. All of which are words, obviously- just not the words on the list!
The health worker, seeing this, seemed to get a bit frustrated and went over the word list with me again to see if she could bump up the score sufficiently to avoid having to make an appointment. We managed to establish that DS will say "seat" and "chair" and that this would do as an equivalent to "sofa/settee" and that although DS has never said "want" or "need" he is able to ask for something with the phrase "Help please-(eg) milk" I'm not sure if this puts us over the threshold for intervention or not.
Health visitor then suggested that if an appointment is made and I feel DS "doesn't need it" it would be OK not to attend.
It will be a cold day in hell before I follow this advice as I once had a referral made to social services because of "failing to engage with services" (I missed some health appointments through no fault of my own- the hospital was sending letters to the wrong address) and I am now militant about attending everything, whether I feel its necessary or not.
So AIBU to think that this tick box approach is a bit flawed? Or have I just been answering the questions over cautiously? (Health worker seemed to be implying I had- but I was loathed to embroider)

OP posts:
RandallFloyd · 11/01/2015 15:37

We weren't given a questionnaire at all.

If we had been maybe it would have helped as he certainly couldn't climb stairs at the time, and over a year later he still can't jump or copy a straight line.

All she did was ask him a series of questions which he either got wrong or didn't answer.

It was all very odd.

lambsie · 11/01/2015 15:37

If these tests are left till later/ not done thoroughly, there is more chance the most vunerable children will not get the help they need.

MrsTawdry · 11/01/2015 15:38

Oh I love these stories! My friend's son was asked at 2 to buckle up an old fashioned shoe with a tiny buckle! (I was present) He was then made to run up and down a corridor to check his gross motor skills as apparently, since his fine ones were crappy he was at risk of having shit gross ones too!

The buckle in question would have phased my 6 year old!

RandallFloyd · 11/01/2015 15:39

I can't remember what she checked for his 1 year check.

He certainly couldn't pull up to standing at that age. He'd only just started attempting to crawl and he could only to that backwards!

Pico2 · 11/01/2015 15:42

The use of a 50 word questionnaire with a 32 word pass level doesn't mean that they are happy that a child knows 32 words in total. They extrapolate from those 50 words to estimate how many words the child knows in total. That is because it is impractical to give you a questionnaire with a few thousand words on it.

This is quite a good way of investigating a child's vocabulary and you can then look at what centile your child falls into.

Aeroflotgirl · 11/01/2015 16:10

I get that lambsie, but at the same time, it can be used as a tick box exercise, children develop at different rates, at 2 they are not fully developed. If parents are concerned they should see the GP or HV. I feel because I have a dd with ASD, the HV and SALT have their Autistic radar up and running, ds is an individual, and would like him to be viewed as one. He is very different to his sister, thank goodness we are seeing her old paed with him.

SuburbanRhonda · 11/01/2015 16:30

If parents are concerned they should see the GP or HV.

Yes, aeroflot, they should, but as I'm sure countless early years teachers will tell you, the most vulnerable ones don't, and often by that time they have missed years of early support that could have made a huge difference.

Aeroflotgirl · 11/01/2015 16:35

I feel the visit should not be about tick boxes, and checklists, but more informal to see how the child is getting on. Not every 2 year old can say 50 words, does not mean there is anything wrong, or they will not. My experience HCP with dd was more positive, and more relaxed, than it is with ds, I feel that they are over analyzing him, and finding fault. DD still got the help she needed, and she is doing amazingly well in her Autistic school. The SALT was different more relaxed without making you feel bad about your dc, but now it seems to have changed and it has become a tick box excercise, a list of what he can't do.

Aeroflotgirl · 11/01/2015 16:38

That is why I am very happy to be referred to dd old Paed, as he is quite relaxed about it, and adopts a wait and see approach to take into account the developing child.

x2boys · 11/01/2015 16:52

That's terrible waste of s/l services when considering my non verbal four and a half year son wirhba diagnosis of autism and learning difficulties has had ( until he started his special.needs school last September) just two six week blocks of speech therapy .

SuburbanRhonda · 11/01/2015 17:50

I agree about the tick boxes.

It's a bit like parents' evening - all I ever wanted to talk about was whether my DCs were happy and keen to learn. I had no interest in being told whether they could recognise a variety of genres of poetry Confused

QueenofKelsingra · 11/01/2015 18:23

this is why I didn't take my DTs to their 2 year check. DC1 'failed' due to lack of words - because they only counted the English and not the French (bilingual). and HV was concerned because he couldn't do the jigsaw - true, because at that age he really had no interest in them. I refused further meetings about it as I had no worries and he is now a very chatty 5 year old who is a wiz at jigsaws! the DTs have less words than DC1 did and I just CBA with the hassle. I actually haven't seen a HV since they were 8 weeks old! life is much less stressful this way!

Aeroflotgirl · 11/01/2015 18:54

I totally understand queen, I wish I never referred ds to SALT, I thought it was going to be a positive experience, like it was with dd, and they would apply some commonsense, but no it was not

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