# 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:** Liz.Twombly@gmail.com