SWYC Milestones Scoring Sheet The SWYC Milestones is a 10-item questionnaire that parent’s fill out their child’s development. The age ranges for the SWYC’s are: 9 Months: 9-11 months 12 Months: 12-14 months 15Months: 15-17 months 18 Months: 18-22 months 24 Months: 23-28 months 30 Months: 29-34 months For each item, a parent can choose which of three answers best describes their child, in which: Not Yet= 0 points Somewhat= 1 point Very Much= 2 points 1. To score, add up the total number of points. Any missing items count as 0 points. 2. Determine what specific age the child is (i.e. 11 months for the 9 month SWYC, etc.) 3. Refer to the score charts below. 4. Upon scoring the screen: If a child is in the average or above average range, highlight the milestones that the child has reached. If the child is below average, further investigation and referrals are recommended for any below-average scores. Fill out an Early Intervention referral form and a Health Status Form and hand it to the clerical staff to fax to Early Intervention. Briefly explain that you are referring the for further developmental screening. Give parents the for Early Intervention”. “Prescription
SWYC Milestones Scoring Sheet The SWYC Milestones is a 10-item questionnaire that parent’s fill out their child’s development. The age ranges for the SWYC’s are: 9 Months: 9-11 months 12 Months: 12-14 months 15Months: 15-17 months 18 Months: 18-22 months 24 Months: 23-28 months 30 Months: 29-34 months For each item, a parent can choose which of three answers best describes their child, in which: Not Yet= 0 points Somewhat= 1 point Very Much= 2 points 1. To score, add up the total number of points. Any missing items count as 0 points. 2. Determine what specific age the child is (i.e. 11 months for the 9 month SWYC, etc.) 3. Refer to the score charts below. 4. Upon scoring the screen: If a child is in the average or above average range, highlight the milestones that the child has reached. If the child is below average, further investigation and referrals are recommended for any below-average scores. Fill out an Early Intervention referral form and a Health Status Form and hand it to the clerical staff to fax to Early Intervention. Briefly explain that you are referring the for further developmental screening. Give parents the “Prescription for Early Intervention”.