Dimensions of Early Identification

Several dimensions of early identification are discussed, including the relationship between early identification and prevention. A preventive component is described for the various forms of early identification—child find, screening, assessment, and program planning. Also discussed are recently published guidelines for screening and assessment and the assumptions on which these guidelines are based. Chief among these assumptions is the notion that risk and disability are multidetermined; hence, systems of early identification must similarly be founded on a multiple risk model. The implications of this model for selecting assessment instruments and for determining eligibility are described, as are future directions that should be explored in early identification.