The Feasibility of OT-Based Developmental Screening within a Head Start Program

Children from low socioeconomic backgrounds are at higher risk for developmental delays due to multiple contributing factors. In Iowa, 12.5% of children live in poverty, increasing this risk. Despite the known benefits of early intervention (EI), many children do not receive timely developmental screenings, leading to missed opportunities. This study evaluated the feasibility of implementing occupational therapy (OT) developmental screenings in Iowa’s Head Start program. Participants included 30 children, ages 3–5, attending Head Start preschool in central Iowa. Researchers administered the Developmental Assessment of Young Children Second Edition (DAYC-2) and compared results with the GOLD observational assessment completed by Head Start staff. Additional data, including field notes and child satisfaction ratings, were collected using mixed methods to assess feasibility. Results indicated that conducting OT screenings in Head Start is feasible, with recommendations for improved methods. Findings also revealed minimal correlation between DAYC-2 and GOLD scores. These results highlight the role of OT in early detection of developmental delays and the value of their involvement in screening. By demonstrating both feasibility and effectiveness of OT-based screenings, this study could lead to broader implementation of such programs, thus improving developmental outcomes and quality of life.