Guidelines for Providers Working Together with Parents
Before target screening date
Prepare parent for ASQ:SE-2 screening.
Send what’s needed to the parent:
ASQ:SE-2 Parent Guide
Correct ASQ:SE-2 questionnaire for child’s age (HINT: Use ASQ Calculator App)
Use the parent’s preferred method:
Mail paper questionnaire.
Email guide with online Family Access URL with instructions to access or print questionnaire.
Text (or email) JPEG images of the questionnaire pages.
Review ASQ:SE-2 Parent Guide and ASQ:SE-2 questionnaire with the parent.
Schedule home visit to go through ASQ:SE-2 questionnaire responses together.
Ask the parent:
“Do you have any questions?”
“Do you have any concerns about completing ASQ:SE-2?”
“How can I support you? We can go through the questionnaire together, or you can complete ASQ:SE-2 yourself and we can talk after.”
Support parent to complete ASQ:SE-2 using video conferencing or phone.*
*Be careful not to influence the parent’s responses or share your opinions about the child’s behavior.
Have the parent complete ASQ:SE-2 independently before or during videoconferencing or phone call.
Review ASQ:SE-2 responses together in an interview format—parent and provider.
As appropriate, ask the parent for more information about any concerns:
“Can you tell me more about what your child is doing? (when, where, with whom?)”
“Can you tell me more about your concerns?”
Document parent responses to ASQ:SE-2 items.
Use a paper master of the questionnaire and Information Summary with plastic sleeves and dry-erase marker to record responses and score.
Use ASQ Online to record responses; questionnaire scoring is automatic.
Score and chart as required after the virtual screening conference/call.
ASQ:SE-2
No more than 1 week after screening
Summarize results and share with parent using video conferencing or phone.
Begin the meeting by celebrating the child.
Review the completed ASQ:SE-2.
Discuss the child’s strengths (0-point items).
Discuss the 10-point and 15-point items: “Can you tell me more about…?”
Review ASQ:SE-2 results (with or without Information Summary):
Results below cutoff: “Results in this area indicate that your child’s social-emotional development is on-track.”
Results in monitor area: “Results in this area indicate that your child may need additional support and for us to monitor closely.”
Results above cutoff: “This is the referral area. When results are in this area, we may want to get more information from a health care provider or behavioral specialist.”
Determine appropriate follow-up with parent.
The parent should take the lead in making decisions about follow-up.
Offer resources/support for any concerns identified on ASQ:SE-2, regardless of the total score.
Follow-up may include conversations, online information or resources such as tip sheets or Learning Activities, or referrals to other agencies or behavioral specialists.
Facilitate behavioral health, EI/ECSE, and primary health care referrals that are safe and appropriate.
Up to 3 items may be omitted on any ASQ:SE-2 questionnaire if the questions are not in line with family values or parenting practices.
Calculate an adjusted score if 3 items are missing AND the child’s score is within 5 points of the monitoring zone or cutoff score—results will change.