Beyond the Screen

How do we Engage Parents in Followup & Maximize Screening Benefits?

Challenges

• Parents taken out of the process
• Systems that use ASQ only to screen/refer
• Online screening systems
• Referral challenges "Children falling through cracks"
• Lack of resources to provide
• Relationship building
• Information Sharing/resources

Types of Assessment

• Screening informs us that:
  • Most children are on schedule
  • Many children will benefit from support in specific areas (e.g., fine motor, regulation)
  • A few children may need in-depth evaluation
  • Some children become eligible for intervention services.

How do we engage families?

• Engagement Informs family:
  • age-appropriate expectations.
  • how to support development.
• Empowers parents to advocate for their child.
• Families feel equal in service relationships.
• Service delivery is not "done to" but "designed with".
• Respects parent & other family members as experts.
• Allows observation of optimum skills in natural environments.

As translators, interpreters, providers, researchers, how do we:

• Build trusting relationships
• Use simple, positive, trauma-informed communication.
• Avoid jargon and terms such as test, pass, fail.
• Decrease stigma around assessment.
• Keep process fun, celebratory and informative.
• Respect parenting practices & cultural beliefs
• Support different learning styles
• Always support parent/child relationship

Followup: targeted supports

• ASQ targeted supports provided for Children whose results:

  • Do not indicate need for referral at this time.
  • Have 1+ monitor area
  • May include 1 area below cutoff
  • Include concerns in Overall section

• ASQ:SE Targeted supports used with:

  • Children whose results:
    • Do not indicate need for referral at this time
    • Are in monitor area
    • Include any behavior concerns

What resources can we direct families to that are of good quality & are evidence-based?

• Parent/Child Activities
• Tip Sheets: Feeding, Sleeping, Calming.
• Special Topic Tip Sheets.
• Newsletters.

Community Resource Mapping

• Parenting
• Health & Mental health
• Basic needs
• Development & Behavior

ASQ & ASQ:SE Learning Activities

• ASQ3 Learning Activities
• Need a variety of formats to make accessible

Provider training

• Prioritizing Next Steps
• Identifying best resources/formats
• Providing support as needed to parents.

Engaging Families in FollowUp

• Tailor levels of support
• Practical Support: Obtaining information and resources (e.g., Learning Activities)
• Additional Support: Simplifying information

Activity-Based Followup: Classroom and Home Schedules

• Classroom: snack time, circle time, outdoor play
• Home: mealtimes, dressing, bath time, outings

Questions for Parents

• Use a home/school activity framework as a tool to plan and structure learning opportunities.
• Use simple strategies to increase opportunities to problem-solve challenging behaviors.

Support parent in play

• Celebrate
• Stay Positive
• Be Curious
• Problem solve together

Favorite Followup Resources

• National Center for Pyramid Model Innovations (NCPMI)
• Triple P Positive Parenting Program
• Parent/Child Interaction Therapy
• Nurse Family Partnership
• Healthy Families
• The Incredible Years

Evidence-Based Parenting & Home Visiting Programs

• Help Me Grow National Center

Contact Information

• Liz Twombly
• Email: [email protected]