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

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