A
similarly high rate of return is unlikely for most current and proposed pre-K programs because many
of the children being served have relatively low levels
of risk for school
failure, placement in special education, later criminal behavior, or
failure to become economically self - sufficient in adulthood.
Even when a child or adolescent is well known in a pediatric practice, only 50 %
of those with clinically significant behavioral and emotional problems are detected.23 Other investigators have found
similarly high failure of detection
rates ranging from 14 % to 40 %.22, 24 Surveyed pediatricians, however, overwhelmingly endorse that they should be responsible for identifying children with ADHD, eating disorders, depression, substance abuse, and behavior problems.26