# Using ASQ :SE-2 Effectively with Parents ## During Virtual Screening Interviews ## Download slide handouts and other resources at ## bpub.fyi/ASQVirtualEnv --- # Webinar Goal ## Learn how to support families and continue social-emotional screening during the health crisis --- # Presenters **Elizabeth Twombly, M.S. Amy Clause** ASQ Author and Trainer Marketing Manager Brookes Publishing --- ## Scope of Webinar - Navigating our current environment for screening - Focusing on ASQ:SE-2 administration - Note: Find the webinar for ASQ-3 virtual screening available at bpub.fyi/ASQ3-Virt-Env-Webinar - Identify options to access ASQ:SE-2 questionnaires and tools available to score and document results and follow-up --- ## ASQ:SE-2—Key Features - Examines social-competence and problem behaviors - High scores indicate concerns - Behavior interpreted through caregiver’s lens - Not unusual for results to vary between caregivers—no right/wrong reports - Identifies behaviors of concern for follow-up **Ages & Stages Questionnaires: Social-Emotional** A Parent-Completed Child Monitoring System for Social-Emotional Behaviors SECOND EDITION Jane Squires, Diane Bricker, & Elizabeth Twombly with Javinee Lee Robert Hobson, Kembery Murphy, DJ Dolls, Suzeen Nocularle, Mia Schaefer, A Ralph Kim --- ## Challenges & Opportunities - Poor connectivity - Social distancing - Social-emotional well-being focus during crisis --- ## How can I deliver ASQ:SE-2 questionnaires in virtual environments? ### Questionnaire Delivery: Online - ASQ Online: Secure, subscription-based system with data management, online questionnaire completion, and reporting - Programs email the link to parents or add a link on their program website ### Learn more about ASQ Online - bpub.fyi/ASQOnline - Join us for a free demo - bpub.fyi/ASQOnline-Demo ### Interactive Video Conferencing (IVC) Screening - Parent completes ASQ:SE-2 using Family Access in advance of visit - Parent answers questions verbally and professional records answers in ASQ Online ### Questionnaire Delivery: Text - Special Release of ASQ:SE-2 questionnaires in JPEG format; one image per questionnaire page - Images can be texted to parents who don’t have internet access - For interview, not completion—may be used to support virtual one-on-one parent conferences by direct service providers - Images can be used by professionals who don’t currently have access to program’s ASQ:SE-2 box, files, or ASQ Online - Professionals use Item Response Sheets to record responses and score; Information Summaries to review results and follow-up. --- ## 2 Month Information Summary 1 month 0 days through 2 months 20 days ### FOLLOW-UP REFRESH CONSIDERATIONS: Mark at all Yes, No, or Unknown (Y, N, U). - Setting time factors (e.g., Is the baby's behavior at the school? - Developmental factors (e.g., Is the baby's behavior related to a developmental stage or delay?) - Health factors (e.g., Is the baby's behavior related to health or biological factors?) - Family/cultural factors (e.g., Is the baby's behavior acceptable given the baby's cultural or family context? - Parent concerns (e.g., Did the parent/ caregiver express any concerns about the baby's behavior?) ### Interactive Video Conferencing (IVC) Screening - Professional sends images of questionnaire prior to meeting - Parent can review items prior to the video - Parent can review items prior to the video meeting; they can record answers on scrap paper - Parent and professional discuss items ### Telecommunication Screening - Professional sends images of questionnaire prior to meeting - Parent can review items prior to phone meeting; they can record answers on scrap paper - Parents answers items in interview format with professional - Professional records parent responses on paper, in ASQ Online, or via fillable Item Response Sheet ### Access to Special Release - Program administrators can apply for access to the special release - This alternative format is authorized for use through September 1, 2020 --- ## How can I support and engage parents while implementing ASQ:SE-2 in virtual environments? ### Break Down Steps for a Virtual Environment 1. Prepare parent for screening 2. Introduce screening and ASQ:SE-2 3. Support administration 4. Document parent responses 5. Score and share results 6. Support follow-up ### Virtual Screening: 1. Prepare parent for screening - Mail paper questionnaire - Email guide with Family Access URL (and instructions to access or print questionnaire) - Text JPEG images of questionnaire pages and guide - Close to target screening date, reach out and send materials using the method the parent prefers: - Text JPEG images of questionnaire pages and guide - Mail paper questionnaire ### Virtual Screening: 2. Introduce screening and ASQ:SE-2 Close to or on target screening date (TSD), review with the parent: - ASQ:SE-2 Parent Guide - What is Screening & Why is it Important? - What is ASQ:SE-2? - How can I support you to complete ASQ:SE-2? On target screening date, go through ASQ:SE-2 together: Parent may complete ASQ:SE-2 - Parent and provider complete ASQ:SE-2 in an interview format* ### Virtual Screening: 4. Document parent responses During the virtual screening, record parent responses: - Use ASQ Online - Use a paper copy of ASQ:SE-2 - Use a paper master of ASQ:SE-2 with plastic sleeves and a dry-erase marker - Use Special Release fillable ASQ:SE-2 Item Response Sheet (also totals scores!) - Score and chart as required after the virtual screening conference/call ### Virtual Screening: 5. Score ASQ:SE-2 and Share Results Within 1 week of target screening date, discuss results with parent: - Review completed ASQ:SE-2 - Discuss child’s strengths (items scored as 0 points) - Discuss items scored as 10 or 15 points - Discuss concerns noted in the Overall section - Discuss results (on-schedule, monitor, ### Virtual Screening: 6. Support follow-up - Parent takes the lead in follow-up decisions - Offer follow-up for any concerns identified, regardless of total ASQ:SE-2 score - Monitor child’s development - REMEMBER: Screening is a service. - Follow up may be ongoing check-ins and conversations, information and resource sharing, or referrals for further evaluation. --- ## Provide Follow-Up Offer follow-up options when ASQ:SE-2 results: - Are in the monitoring area - Pay special attention to “Internalizers” - For any items scored as 10 or 15 points - Include any overall parent concerns - Monitor the child’s behavior closely with parent and refer to specialist if concerns continue! - Include any overall parent concerns - Share resources that address parent concerns - Offer 1 or 2 resources in a format parent prefers (written, video, text, etc.) - Review resources together - Encourage parent to try ideas with child --- ## Provider Role in Follow-up All families need: Practical Support - Obtaining ASQ:SE-2 and follow-up resources Many families need: Additional Support - Simplifying information - Making it relevant to the family and parenting practices ### Parenting and emotional support—when challenges arise - Handouts can be emailed to families - Age-appropriate handouts focused on social-emotional needs: - Newsletters - Special topic tip sheets - ASQ:SE-2 Learning Activities - Parent–child activities supporting social-emotional development ### ASQ:SE-2 Learning Activities | Materials in ASQ:SE-2 Learning Activities & More | ASQ:SE-2 Interval | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | 2 month | 6 month | 12 month | 18 month | 24 month | 30 month | 36 month | 48 month | 60 month | | | Section I: Newsletters & Activities | | | | | | | | | | | Newsletters | 0-3 months | 3-9 months | 9-15 months | 15-21 months | 21-27 months | 27-33 months | 33-42 months | 42-54 months | 54-72 months | | Activities | | | | | | | | | | | Section II: Tip Sheets | | | | | | | | | | | Feeding Tip Sheet | 0-3 months | 3-9 months | 9-15 months | 15-33 months | | | 33-72 months | | | | Sleeping Tip Sheet | | | | | | | | | | | Calming Tip Sheet | | | | | | | | | | | Section III: Special Topic Tip Sheets | | | | | | | | | | | Body Awareness | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | | Calming a Colicky Baby | ✓ | ✓ | | | | | | | | | Caring for Yourself | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | | Child Care for Babies | ✓ | ✓ | ✓ | | | | | | | | Child Care for Toddlers and Preschoolers | | | | ✓ | ✓ | ✓ | ✓ | ✓ | | | Getting Ready for Kindergarten | | | | | | | | | ✓ | | Learning to Use the Toilet | | | | ✓ | ✓ | ✓ | ✓ | ✓ | | | Media and Technology | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | | Positive Discipline | | | | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | | Routines and Your Child | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | | Safety and Your Little Explorer | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | | Stress and Your Child | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | | Welcoming a New Sibling | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | --- ## A Few Favorite Follow-up Resources ### National Center for Pyramid Model Innovations (NCPMI) Find free resources: webinars, family engagement materials, tip sheets, podcasts, etc. ### Resources: - Videos - Briefs - Infographics - Handouts - Podcasts - Smartphone apps - Presentations - Training modules --- ### Resources for Professionals - Adjusted scoring calculator—calculates score with omitted items (up to 3 items can be omitted) Available free on ASQ website or app --- ### Resources for Families Available at **bpub.fyi/ASQVirtualEnv** --- ### Certificate - Download a blank certificate at **bpub.fyi/ASQSE2-Web-Cert** --- ### Questions? Brookes Publishing aclause@brookespublishing.com