Abstract
In Reply.— Dr Cunningham raises several important issues regarding developmental surveillance in general and, more specifically, the early identification of children with mild mental retardation. Dr Cunningham equates surveillance with "eyeball" estimates of development. Although I agree (and acknowledge in my review) that subjective impressions of children's developmental status are often inaccurate, the process of developmental surveillance is actually far more sophisticated. It includes eliciting and attending to parental concerns, making accurate and informative longitudinal observations of children, and obtaining a relevant development history.
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