# Workflow Map

This workflow map outlines the steps involved in a screening program for a home visiting agency and who is responsible for each step.

**Distribute ASQ®-3 questionnaire** AS alerts HV 1 month prior to upcoming ASQ-3 target date. AS prints appropriate ASQ-3 interval with child’s name and ASQ-3 target date; AS passes to HV.

**Complete ASQ-3** HV provides ASQ-3 to parent 1 week prior to ASQ-3 target date. Parent completes ASQ-3 prior to ASQ-3 target date (with HV support).

**Score ASQ-3** HV scores ASQ-3 during home visit with parent. *or* HV scores ASQ-3 immediately after home visit if scores are expected to be close to or above cutoff scores.

**Scores below cutoffs Scores close to cutoffs Scores well** **or parent concerns above cutoffs** HV discusses ASQ-3 results with HV discusses results with family HV discusses results with family supervisor. within 1 week. within 1 week. HV (and supervisor, when needed) HV and parent determine appropri-HV provides general ASQ-3 communicates screening results ate follow-up (e.g., provide parent–child activities. with family. targeted information on behavior HV provides copy of ASQ-3 Infor- HV and parent determine appropri- of concern, make referrals). mation Summary to AS. ate follow-up (e.g., make referrals). HV provides copy of ASQ-3 Infor- HV provides copy of Information mation Summary to AS. Summary to AS.

**Referrals No referral Screening summary** **and follow-up** Parent and HV make referral(s) HV provides in-house follow-AS records ASQ-3 scores. for to EI/ECSE and/or up as indicated. AS schedules child for next services from other AS records ASQ-3 scores. screening. agencies AS schedules child for re- screening.

**Eligible for services Not eligible for services Key:**

- AS – administrative staff
HV alerts AS regarding eligi-HV provides in-house follow-up as indicated.

- EI/ECSE – early intervention/early
bility and removal from AS records ASQ-3 scores. childhood special education screening program. AS schedules child for re-screening.

- HV – home visitor(s) 
Adapted from ASQ*®-3 User’s Guide by Squires, Twombly, Bricker, & Potter.* © 2009 Paul H. Brookes Publishing Co., Inc. All rights reserved. Ages & Stages Questionnaires® and ASQ® are registered trademarks and the ASQ-3 logo is a trademark of Paul H. Brookes Publishing Co., Inc.