title: EPSDT in practice: what's happening in the field?
abstract: A study of five local program operations in different states around the country indicates that EPSDT is presently ineffective in identifying, referring, and treating children with developmental difficulties. It is suggested that problems in implementation are not merely administrative, and that developmental screening may best be carried out within the context of routine, comprehensive pediatric assessment.
mesh_terms: D000293:Adolescent; D002648:Child; D002657:Child Development; D002661:Child Guidance Clinics; D002662:Child Health Services; D002675:Child, Preschool; D006233:Persons with Disabilities; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008484:Medicaid; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy; D009098:Multiphasic Screening; D009313:National Health Programs