Title: ASQ-SE2labestbabies.org/downloads/training/training-binders/TAB R2 - ASQ-SE2... · the problems stem from the poor job Miranda is doing as a mother. She believes Miranda went

Title: ASQ-SE2

OBJECTIVES:

Participants will be able to:

1. Participants will increase their skills related to sharing screening results with parents. 2. Participants will add on to their skills related to the administration and scoring of the ASQ-SE2 screening

tool. 3. Demonstrate ability to administer the ASQ-SE2 and engage with parents during a parent conference.

AGENDA:

TIME PRESENTATION FACILITATORS/ SPEAKERS

8:00-8:30 am BREAKFAST AND REGISTRATION

8:30-8:35 am Announcements and Logistics/Speaker Introductions Terrie Anciano, BS

8:35-8:45 am

Questions & Comments for ASQ-3 Richard Cohen, PhD

8:45-9:30 am

Introduction to the ASQ-SE

Richard Cohen, PhD

9:30-10:00 am Practice with the Summary Sheet

Richard Cohen, PhD

10:00-10:30 am Planning for a Parent Conference Richard Cohen, PhD

10:30-10:40 am BREAK

10:40-11:50 am Role-Play a Parent Conference

Richard Cohen, PhD

11:50am -12:00pm WRAP UP AND EVALUATION Terrie Anciano, BS

Title: ASQ-SE2

OBJECTIVES:

Participants will be able to:

1. Participants will increase their skills related to sharing screening results with parents. 2. Participants will add on to their skills related to the administration and scoring of the ASQ-SE2 screening

tool. 3. Demonstrate ability to administer the ASQ-SE2 and engage with parents during a parent conference.

AGENDA:

TIME PRESENTATION FACILITATORS/ SPEAKERS

12:00-12:30 pm BREAKFAST AND REGISTRATION

12:30-12:35 pm Announcements and Logistics/Speaker Introductions Terrie Anciano, BS

12:35-12:45 pm

Questions & Comments for ASQ-3 Richard Cohen, PhD

12:45-1:30 pm


Richard Cohen, PhD

1:30-2:00 pm Practice with the Summary Sheet

Richard Cohen, PhD

2:00-2:30 pm Planning for a Parent Conference Richard Cohen, PhD

2:30-2:40 pm BREAK

2:40-3:50 pm Role-Play a Parent Conference

Richard Cohen, PhD

3:50 pm-4:00pm WRAP UP AND EVALUATION Terrie Anciano, BS

ASQ-SE2 SPEAKER BIO

Richard Cohen has worked to create early identification and intervention systems for young children with special and mental health needs, particularly those in child welfare. In his previous position, Dr. Cohen was the Director of Project ABC at Children’s Institute, Inc., a SAMHSA funded early childhood mental health system of care program in Los Angeles. Dr. Cohen holds a doctorate in Educational Psychology and is a fellow in the UMass Boston Infant-Parent Mental Health Post-Graduate Certificate Program as well as a Touchpoints trainer.

The ASQ-SE: Screening for Social and Emotional Development

8/22/16 1

The ASQ-SE

Screening for Social and Emotional Development

November 7, 2017

Questions & Comments for ASQ-3


Practice with the Summary Sheet

Planning for a parent conference

Role-play a parent conference.

A Plan for the Day

Early intervention is critical

Continue to build the relationshipBetween parent & child

With the parents

Why use the ASQ - SE


8/22/16 2

Developing the capacity to experience, regulate and express emotions;

Developing the ability to form close, secure attachments; and

Developing the capacity to explore the environment and learn.

*http://www.zerotothree.org/child-development/early-childhood-mental-health/

Social-emotional development*: A broad, 3-part definition

Social Competence andEmotional Competence overlap

Social CompetenceAn array of behaviorsthat permits one to develop and engage inpositive interactions with peers, siblings, parents and other adults (Raver & Zigler, 1997).

Emotional CompetenceThe ability to effectively regulate emotions to accomplish one’s goals (Campos, Mumme, Kermoina & Campos, 1994).

Squires,J, Bricker, D. & Twombly, E., 2002

Self-regulation

Compliance

Communication

Adaptive Functioning

ASQ – SE’s 7 Behavioral Areas


8/22/16 3

Autonomy

Affect

Interaction with People

ASQ-SE’s 7 Behavioral Areas (Cont.)

For children 1 – 72 months

Set of 9 questionnaires

Available in Spanish

& English

ASQ – SE Basics

Choosing the Right Questionnaire

Calculate the child’s age

Use the ASQ – 3 Calculator on line:

http://agesandstages.com/free-resources/asq-calculator/

Now available as an APP!

If < 24 months, adjust for prematurity


8/22/16 4

Working with the Questionnaire

The opposite of the ASQ-3

Three possible scores:Z = 0

V = 5

X = 10

Scoring the Responses

Check if this is a concernChecked circle = 5 points

Transfer checked points to Summary sheet.

Be sure to count the response as well.

Scoring the Responses: That 4th

Column


8/22/16 5

Similar to ASQ – 3

Find the average score and add it to the total.

Take the total for all responses given.

Divide by the number of responses.

Add that number to the total.

Or just look on the Calculator page or APP.

Missing items: What was that again?

Transfer scores from each page.

Add scores for checked circles.

Total the score.

Compare to the cut-off points.

The Summary Sheet

Referral ConsiderationsSetting/Time factors

Development factors

Health factors

Family/Cultural factors

Considering recommendations for next steps


8/22/16 6

Be prepared with recommendations

Be open to “coming alongside” parents

Decide jointly on next stepsDo we make a referral?

When should we rescreen?

What can we do

in the meantime?

Talking with Parents

ASQ – SE

Discussing the Results A Parent’s Perspective

Miranda is the 21 year old mother of 20 month old Miguelito. Her husband, Miguel lives with them. Both parents work during the day, so Miguel’s mother, who lives nearby, cares for Miguelito Monday through Friday. Miranda had a normal pregnancy, and Miguelito was born healthy at full term. He has developed normally. He has not had any serious medical problems. Miranda is very concerned about Miguelito’s behavior. He is not a warm, cuddly child. He gets overstimulated easily and then is difficult to soothe. He eats heartily, but only foods he likes. If he doesn’t like the flavor or the texture, he simply won’t eat. Miranda has been reading about autism; and she’s very concerned that this may be Miguelito’s problem. Miranda’s mother-in-law is also concerned about Miguelito. However, her belief is that the problems stem from the poor job Miranda is doing as a mother. She believes Miranda went back to work too soon, and Miguelito didn’t get enough close time with his mother. That’s why he’s not cuddly. She also believes that Miguelito is a picky eater because Miranda, feeling guilty about leaving him so early, won’t enforce any standards. When grandma was raising her children, mothers stayed home with their children. And children ate what mothers put on the table. Miranda does not agree with her mother-in-law. But it’s hard for her to say much, since she needs her mother-in-law to care for Miguelito. She is very stressed and worried.

ASQ – SE Discussing the Results

The Home Visitor Prepares for a Meeting

In preparing for the meeting, first look at the results. Is the score above the cut-off point? Consider the four variables:

• Setting/Time • Development • Health • Family/Cultural

Could any of them be affecting the score? Is there anything in the responses that concerns you? What are your thoughts? Would you consider a referral? If so, to whom? What do you want to know from the mother? How will you begin the meeting? What will your general approach be? Do you have an idea for rescreening?

ASQ – SE

Casandra and Keisha

Casandra is the 19-year old mother of 5 month old Keisha. Keisha was born full-term and healthy. They were referred to the Select Home Visitation program in their community because Casandra is a young, first-time mother who is relatively isolated. At the time of Keisha’s birth, Casandra was working and living at home with her parents. However, her parents were disappointed in her pregnancy and disapproving of her boyfriend. Initially the pair lived with Casandra’s boyfriend, but that did not work out. They currently rent a bedroom in an apartment with two other young women. Despite support from a lactation consultant, Casandra was unable to breast-feed successfully. When she gave up and switched to formula, she felt she had failed and let down both Keisha and the consultant. And this sense of failure to connect extends to other parts of her relationship with Keisha. She just doesn’t feel they’ve “clicked.” Casandra was expecting more of the relationship. And, while things are fine, Keisha just doesn’t seem as responsive and connected as Casandra had expected. Casandra is also under quite a bit of stress: she wants to work but is having trouble finding someone to take care of Keisha. So she’s home alone a lot with Keisha and stretched financially. Keisha’s father is sometimes in the picture, but not consistently.

ASQ – SE

Discussing the Results Observer Role

The observer has two roles: first to watch the conference between the parent and the provider; and second to facilitate a discussion about how the conference went. Questions to guide observation How did the relationship develop during the meeting? What did the participants say that supports that conclusion? What other cues support that conclusion (e.g. postures, distance, facial expressions, etc)? How did you feel during the meeting? What does that tell you? To what degree did the mother feel heard during the meeting? On what is your conclusion based? To what degree do you think the mother heard the provider’s feedback? What did the provider do that helped? How satisfied do you think the mother was with the results of the conference? On what is your conclusion based?

Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2™), Squires, Bricker, & Twombly. © 2015 Paul H. Brookes Publishing Co., Inc. All rights reserved.P201060000

2

SECON D E DITION

2

◯ Child care provider

◯ Foster parent

◯ Grandparent/other relative

◯ Other:◯ Teacher◯ Guardian◯ ParentRelationship to baby:

People assisting in questionnaire completion:

Program information (For program use only.)

Baby’s ID #:Age at administration in months and days:

Program ID #:If premature, adjusted age in months and days:

Program name:

E- mail address:

Other telephone number:

Home telephone number:Country:

ZIP/postal code:State/province:City:

Street address:

Last name:Middle initial:First name:

6 Month Questionnaire3 months 0 days through 8 months 30 days

Date asQ:se- 2 completed: _____________________________________________________

Baby’s information

Baby’s fi rst name: Baby’s middle initial: Baby’s last name:

Baby’s date of birth:If baby was born 3 or more weeks premature, please enter the number of weeks:

Baby’s gender: ◯ Male ◯ Female

Person fi lling out questionnaire

Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2™), Squires, Bricker, & Twombly. © 2015 Paul H. Brookes Publishing Co., Inc. All rights reserved.P201060100 page 1 of 4

2

❏ Please return this questionnaire by: __________________

❏ If you have any questions or concerns about your baby or about this questionnaire, contact: _________________

❏ Thank you and please look forward to filling out another ASQ:SE- 2 in _________ months.❏ Caregivers who know the baby well and spend more than

15– 20 hours per week with the baby should complete ASQ:SE- 2.

❏ Answer questions based on what you know about your baby’s behavior.

❏ Answer questions based on your baby’s usual behavior, not behavior when your baby is sick, very tired, or hungry.

6 Month Questionnaire 3 months 0 days through 8 months 30 days

Questions about behaviors babies may have are listed on the following pages. Please read each question carefully and check the box that best describes your baby’s behavior. Also, check the circle if the behavior is a concern.

Important Points to Remember:

Often Or always

sOMe-tiMes

rarely Or never

CheCk if this is a

COnCern

1. When upset, can your baby calm down within a half hour? ☐ z ☐ v ☐ x ◯ v _____

2. Does your baby smile at you and other family members?

☐ z ☐ v ☐ x ◯ v _____

3. Does your baby like to be picked up and held? ☐ z ☐ v ☐ x ◯ v _____

4. Does your baby stiffen and arch her back when picked up? ☐ x ☐ v ☐ z ◯ v _____

5. When you talk to your baby, does he look at you and seem to listen?

☐ z ☐ v ☐ x ◯ v _____

6. Does your baby let you know when she is hungry or sick? ☐ z ☐ v ☐ x ◯ v _____

7. Does your baby seem to enjoy watching or listening to people? For example, does he turn his head to look at someone talking?

☐ z ☐ v ☐ x ◯ v _____

TOTAL POINTS ON PAGE _____


26 Month Questionnaire Check the box that best describes your child’s behavior. Also, check the circle if the behavior is a concern.

Often Or always

sOMe-tiMes

rarely Or never

CheCk if this is a

COnCern

8. Is your baby able to calm herself down (for example, by sucking her hand or pacifier)?

☐ z ☐ v ☐ x ◯ v _____

9. Does your baby cry for long periods of time? ☐ x ☐ v ☐ z ◯ v _____

10. Is your baby’s body relaxed? ☐ z ☐ v ☐ x ◯ v _____

11. Does your baby have trouble sucking from a breast or bottle? ☐ x ☐ v ☐ z ◯ v _____

12. Does it take longer than 30 minutes to feed your baby? ☐ x ☐ v ☐ z ◯ v _____

13. Do you and your baby enjoy feeding times together? ☐ z ☐ v ☐ x ◯ v _____

14. Does your baby have any eating problems, such as gagging, vomiting, or ________? (Please describe.)

___________________________________________________________

___________________________________________________________

☐ x ☐ v ☐ z ◯ v _____

15. During the day, does your baby stay awake for an hour or longer at one time?

☐ z ☐ v ☐ x ◯ v _____

16. Does your baby have trouble falling asleep at naptime or at night? ☐ x ☐ v ☐ z ◯ v _____




Often Or always

sOMe-tiMes

rarely Or never

CheCk if this is a

COnCern

17. Does your baby sleep at least 10 hours in a 24- hour period?

☐ z ☐ v ☐ x ◯ v _____

18. Does your baby get constipated or have diarrhea? ☐ x ☐ v ☐ z ◯ v _____

19. Does your baby make sounds and look at you while playing with you?

☐ z ☐ v ☐ x ◯ v _____

20. Does your baby make sounds or use gestures to get your attention?

☐ z ☐ v ☐ x ◯ v _____

21. When you smile at your baby, does he smile back at you? ☐ z ☐ v ☐ x ◯ v _____

22. When you talk or make sounds to your baby, does she make sounds back?

☐ z ☐ v ☐ x ◯ v _____

23. Has anyone shared concerns about your baby’s behaviors? If “sometimes” or “often or always,” please explain:

___________________________________________________________

___________________________________________________________

___________________________________________________________

☐ x ☐ v ☐ z ◯ v _____



26 Month Questionnaire

Overall Use the space below for additional comments.

24. Do you have concerns about your baby’s eating or sleeping behaviors? If yes, please explain: ◯ YES ◯ NO

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

25. Does anything about your baby worry you? If yes, please explain: ◯ YES ◯ NO

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

26. What do you enjoy about your baby?

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________


2

no or low risk monitor refer30 45 (90%ile)

____ The baby’s total score is in the area. It is below the cutoff. Social- emotional development appears to be on schedule.____ The baby’s total score is in the area. It is close to the cutoff. Review behaviors of concern and monitor.____ The baby’s total score is in the area. It is above the cutoff. Further assessment with a professional may be needed.

3. Overall resPOnses anD COnCerns: Record responses and transfer parent/caregiver comments. YES responses require follow- up.

1– 23. Any Concerns marked on scored items? yes no Comments:

24. Eating/sleeping concerns? yes no Comments:

25. Other worries? yes no Comments:

4. fOllOw- UP referral COnsiDeratiOns: Mark all as Yes, No, or Unsure (Y, N, U). See pages 98–103 in the ASQ:SE- 2 User’s Guide.____ setting/time factors (e.g., Is the baby’s behavior the same at home as at 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? Have there been any stressful events in the baby’s life recently?)

____ Parent concerns (e.g., Did the parent/caregiver express any concerns about the baby’s behavior?)

5. fOllOw- UP aCtiOn: Check all that apply.____ Provide activities and rescreen in ____ months.

____ Share results with primary health care provider.

____ Provide parent education materials.

____ Provide information about available parenting classes or support groups.

____ Have another caregiver complete ASQ:SE- 2. List caregiver here (e.g., grandparent, teacher): _____________________________

____ Administer developmental screening (e.g., ASQ-3).

____ Refer to early intervention/early childhood special education.

____ Refer for social- emotional, behavioral, or mental health evaluation.

____ Other: ___________________________________________________________________________________________________________

55+

2. asQ:se- 2 sCOre interPretatiOn: Review the approximate location of the baby’s total score on the scoring graphic. Then, check off the area for the score results below.

Cutoff total score

45

TOTAL POINTS ON PAGE 1



total score

1. asQ:se- 2 sCOrinG Chart:

• Scoreitems(Z = 0, V = 5, X = 10, Concern = 5).• Transferthepagetotalsandaddthemforthetotalscore.• Recordthebaby’stotalscorenexttothecutoff.

Baby’s name: ______________________________________________ Date ASQ:SE- 2 completed: _________________________________

Baby’s ID #: _______________________________________________ Baby’s date of birth: ________________________________________

Person who completed ASQ:SE- 2: ___________________________ Baby’s age/adjusted age in months and days: _________________

Administering program/provider: ____________________________ Baby’s gender: ◯ Male ◯ Female

6 Month information summary 3 months 0 days through 8 months 30 days


2

SECON D E DITION

2

◯ Child care provider

◯ Foster parent

◯ Grandparent/other relative

◯ Other:◯ Teacher◯ Guardian◯ ParentRelationship to child:

People assisting in questionnaire completion:

Program information (For program use only.)

Child’s ID #:Age at administration in months and days:

Program ID #:If premature, adjusted age in months and days:

Program name:

E- mail address:

Other telephone number:

Home telephone number:Country:

ZIP/postal code:State/province:City:

Street address:

Last name:Middle initial:First name:

18 Month Questionnaire15 months 0 days through 20 months 30 days

Date ASQ:SE- 2 completed: _____________________________________________________

Child’s information

Child’s fi rst name: Child’s middle initial: Child’s last name:

Child’s date of birth:If child was born 3 or more weeks premature, please enter the number of weeks:

Child’s gender: ◯ Male ◯ Female

Person filling out questionnaire


2

❏ Please return this questionnaire by: __________________

❏ If you have any questions or concerns about your child or about this questionnaire, contact: ____________________

❏ Thank you and please look forward to filling out another ASQ:SE- 2 in _________ months.❏ Caregivers who know the child well and spend more than

15– 20 hours per week with the child should complete ASQ:SE- 2.

❏ Answer questions based on what you know about your child’s behavior.

❏ Answer questions based on your child’s usual behavior, not behavior when your child is sick, very tired, or hungry.

18 Month Questionnaire 15 months 0 days through 20 months 30 days

Questions about behaviors children may have are listed on the following pages. Please read each question carefully and check the box that best describes your child’s behavior. Also, check the circle if the behavior is a concern.

Important Points to Remember:

OFTEN OR ALWAYS

SOME-TIMES

RARELY OR NEVER

CHECK IF THIS IS A

CONCERN

1. Does your child look at you when you talk to him? ☐ z ☐ v ☐ x ◯ v _____

2. When you leave, does your child stay upset and cry for more than an hour?

☐ x ☐ v ☐ z ◯ v _____

3. Does your child laugh or smile when you play with her?

☐ z ☐ v ☐ x ◯ v _____

4. Does your child look for you when a stranger comes near? ☐ z ☐ v ☐ x ◯ v _____

5. Is your child’s body relaxed? ☐ z ☐ v ☐ x ◯ v _____

6. Does your child like to be hugged or cuddled? ☐ z ☐ v ☐ x ◯ v _____

7. When upset, can your child calm down within 15 minutes? ☐ z ☐ v ☐ x ◯ v _____




OFTEN OR ALWAYS

SOME-TIMES

RARELY OR NEVER

CHECK IF THIS IS A

CONCERN

8. Does your child stiffen and arch his back when picked up? ☐ x ☐ v ☐ z ◯ v _____

9. Does your child cry, scream, or have tantrums for long periods of time?

☐ x ☐ v ☐ z ◯ v _____

10. Is your child interested in things around her, such as people, toys, and foods?

☐ z ☐ v ☐ x ◯ v _____

11. Does your child do things over and over and get upset when you try to stop him? For example, does he rock, flap his hands, spin, or ________? (Please describe.)

___________________________________________________________

___________________________________________________________

☐ x ☐ v ☐ z ◯ v _____

12. Does your child have eating problems? For example, does she stuff food, vomit, eat things that are not food, or ________? (Please describe.)

___________________________________________________________

___________________________________________________________

☐ x ☐ v ☐ z ◯ v _____

13. Does your child have trouble falling asleep at naptime or at night? ☐ x ☐ v ☐ z ◯ v _____

14. Do you and your child enjoy mealtimes together? ☐ z ☐ v ☐ x ◯ v _____

15. Does your child sleep at least 10 hours in a 24- hour period? ☐ z ☐ v ☐ x ◯ v _____

16. When you point at something, does your child look in the direction you are pointing?

☐ z ☐ v ☐ x ◯ v _____




OFTEN OR ALWAYS

SOME-TIMES

RARELY OR NEVER

CHECK IF THIS IS A

CONCERN

17. Does your child get constipated or have diarrhea? ☐ x ☐ v ☐ z ◯ v _____

18. Does your child let you know how he is feeling with gestures or words? For example, does he let you know when he is hungry, hurt, or tired?

☐ z ☐ v ☐ x ◯ v _____

19. Does your child follow simple directions? For example, does she sit down when asked?

☐ z ☐ v ☐ x ◯ v _____

20. Does your child like to play near or be with family and friends? ☐ z ☐ v ☐ x ◯ v _____

21. Does your child check to make sure you are near when exploring new places, such as a park or a friend’s home?

☐ z ☐ v ☐ x ◯ v _____

22. Does your child like to hear stories or sing songs? ☐ z ☐ v ☐ x ◯ v _____

23. Does your child hurt himself on purpose? ☐ x ☐ v ☐ z ◯ v _____

24. Does your child like to be around other children? For example, does she move close to or look at other children?

☐ z ☐ v ☐ x ◯ v _____

25. Does your child try to hurt other children, adults, or animals (for example, by kicking or biting)?

☐ x ☐ v ☐ z ◯ v _____




OFTEN OR ALWAYS

SOME-TIMES

RARELY OR NEVER

CHECK IF THIS IS A

CONCERN

26. Does your child try to show you things by pointing at them and looking back at you?

☐ z ☐ v ☐ x ◯ v _____

27. Does your child make sounds or use words or gestures to let you know he wants something (for example, by reaching)?

☐ z ☐ v ☐ x ◯ v _____

28. Does your child play with objects by pretending? For example, does your child pretend to talk on the phone, feed a doll, or fly a toy airplane?

☐ z ☐ v ☐ x ◯ v _____

29. Does your child wake three or more times during the night? ☐ x ☐ v ☐ z ◯ v _____

30. Does your child respond to her name when you call her? For example, does she turn her head and look at you?

☐ z ☐ v ☐ x ◯ v _____

31. Has anyone shared concerns about your child’s behaviors? If “sometimes” or “often or always,” please explain:

___________________________________________________________

___________________________________________________________

___________________________________________________________

☐ x ☐ v ☐ z ◯ v _____



218 Month Questionnaire

OVERALL Use the space below for additional comments.

32. Do you have concerns about your child’s eating or sleeping behaviors? If yes, please explain: ◯ YES ◯ NO

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

33. Does anything about your child worry you? If yes, please explain: ◯ YES ◯ NO

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

34. What do you enjoy about your child?

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

Documents

Title: ASQ-SE2labestbabies.org/downloads/training/training-binders/TAB R2 - ASQ-SE2... · the problems stem from the poor job Miranda is doing as a mother. She believes Miranda went