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The graph above is modified from ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, and Elizabeth Twombly. Copyright © 2009 Paul H. Brookes Publishing Co. All rights reserved.
This illustration above shows how screening with the ASQ and ASQ:SE fits into a system to help identify children with potential developmental delays. The process starts at the top by screening all children, and then children fall into 3 categories:
Children who fall beyond the cutoff should be immediately referred to the appropriate community resource agency for further evaluation. Children ages zero up until their third birthday should be referred to Early Intervention Colorado. Children who have had their third birthday should be immediately referred to Child Find. Access the steps in the referral process by clicking here.
Children who fall near the cutoffs should be referred to the appropriate community agency for further evaluation or monitored closely. Children who are not near cutoffs are exactly where they are expected to be for children of their age. Parents should be encouraged to continue looking for expected developmental milestones and practicing age-appropriate skills with their children. Children who are not near the cutoffs are also monitored. In some programs (e.g., Early Head Start), children may also be assessed with a curriculum-based assessment tool to determine potential goals.
Important Point! Note that children who are eligible for services are no longer screened. These children may be assessed with a curriculum-based assessment to determine functional goals to work on-but at this point the screening tool is not needed anymore (and in most cases would be inappropriate to continue using!)
Standardized Developmental Screening results should always be shared with the child’s pediatric health care provider. Please refer to the Toolkit for the Release Form and Letter to Primary Health Care Provider.