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EBP Compendium: Summary of Clinical Practice Guideline

Institute for Clinical Systems Improvement
Preventive Services for Children and Adolescents

Bloomington (MN): Institute for Clinical Systems Improvement, 88 pages.

AGREE Rating: Highly Recommended


This guideline provides recommendations for preventive services for children and adolescents. The primary audiences are health professionals and experts. Preventive services are graded and defined as:

  • Level I: Providers must assess the need for and recommend these services to every patient. These have the highest value and are worthy of attention at every opportunity.
  • Level II:Providers should assess the need for and recommend these services to every patient. These have demonstrated value, although less than Level I services, and should be provided whenever possible.
  • Level III: Providers could recommend these services to patients, but only after careful consideration of costs and benefits. These are services for which the evidence of effectiveness is currently incomplete or equivocal, or which may have the potential for significant harm. Providing these services is left to the judgment of individual medical groups, clinicians and their patients. Decisions about preventive services in particular should be made based on the principles of shared decision-making.
  • Level IV: These services are not supported by evidence and should not be recommended. They may have insufficient evidence of effectiveness, clear evidence of lack of effectiveness, or the potential for significant harm without any benefit. 


  • Assessment/Diagnosis
    • Assessment Areas
      • Speech/Language - Developmental and behavioral assessment of infants and children, including speech and language skills, could be recommended. "The periodic evaluation of children who are at great risk for developmental delay is mandated by federal statute (Individuals with Disabilities Education Act [IDEA] [Pub L No. 101-476])" (Level III service) (p. 33).
      • Hearing - "Universal screening of infants for congenital hearing loss should be recommended before one month of age" (Level II service) (p. 21).

Keywords: Hearing Loss, Language Disorders

Access the Guideline

Added to Compendium: April 2012

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