2. Learning Objectives
Identify the steps for eliciting concerns and conducting developmental surveillance and screening with families from culturally and linguistically diverse (CLD) backgrounds.
Know how to discuss the outcomes of developmental and/or autism screening with CLD families.
Understand cultural & linguistic considerations when discussing developmental delays and autism with CLD families.
A key part of the screening process includes communicating results of the screening tool to parents. This can be a highly emotional experience, particularly if the screener has detected concerns.
Good communication skills are essential to help parents understand concerns and ensure their child sees appropriate specialists.
It is important for clinicians to understand how different childrearing practices and cultural norms may influence key decisions that parents make regarding their child including obtaining evaluations and treatment, future planning, and acceptance of the child’s diagnosis.

3. Part I
Your next patient is François who comes with his mother who is originally from Haiti. She has brought her firstborn two-year-old son to visit you today at the suggestion of her local daycare provider...

4. What stands out to you about this situation….?
Follow up with audience responses to encourage more discussion:
What in the case supports that?
Why do you think that?
What makes you say that?

5. Cultural Barriers: Maternal Blame & Stigma

6. Part II
François’ aunt has suggested that his condition may be due to supernatural causes…

7. Upon learning the family members’ advice to François’ mother, what should you do next?
Follow up with audience responses to encourage more discussion:
What in the case supports that?
Why do you think that?
What makes you say that?

8. Part III
After you hear François’ mother’s story about his development, you ask the Haitian-Creole cultural liaison to help her fill out the M-CHAT screening tool…

9. …Knowing the influence that family plays in Francois’ mother’s decision-making, what should you do next?
Follow up with audience responses to encourage more discussion:
What in the case supports that?
Why do you think that?
What makes you say that?

10. Cultural Barriers: Family & Community

11. Part IV
…Francois’ mother expresses a sudden and strong hesitation and resistance to proceeding further…

12. What are the issues behind François’ mother’s fears
What are the issues behind François’ mother’s fears? How would you approach this concern?
Follow up with audience responses to encourage more discussion:
What in the case supports that?
Why do you think that?
What makes you say that?

13. Cultural Barriers: Immigrant Status

14. Part V: Epilogue
…You are glad that his daycare provider had the training and the insight to encourage his mother to see you for his check-up…

15. How would you apply the information in this case
How would you apply the information in this case? What did you learn through this case?
Follow up with audience responses to encourage more discussion:
What in the case supports that?
Why do you think that?
What makes you say that?

16. Community Partners: Early Ed & E.I.