1. Ages & Stages: How to Use the Results and Across Classrooms
Penny Stoss, Assistant Superintendent
Sheila Berridge, NES Kindergarten Teacher

2. What we will do Quick ASQ Overview Explore the Website How to Use Data
Parent conferences
PLC’s
MTSS
Setting goals
How to take a report to a useable charts
Goals
Entering profiles
Resources
Practice scoring
How to read the scores
Quick ASQ Overview
Explore the Website
How to Use Data
How to Create

3. How to read the scores
What does the ASQ screen for
Quick ASQ Overview

4. Social-Emotional, Second Edition (ASQ:SE-2™)
An Introduction to
ASQ-3™ & ASQ:SE-2™
Ages & Stages Questionnaires®, Third Edition (ASQ-3™) and Ages & Stages Questionnaires®:
Social-Emotional, Second Edition (ASQ:SE-2™)
This Power Point presentation covers both the ASQ-3 and ASQ:SE-2. The presenter will find guidance on facilitating exercises in the NOTES section, as well as information that expands on many of the slides.
Presenters can customize this presentation to meet the needs of their audience. It is encouraged to add to and/or delete sections depending on the needs of your training groups. For example, presenters can add local resources to the What’s Next/Resources section of the presentation.
In the Trainer’s Section of your binder, you will also find guidance on facilitating scoring exercises and family studies. Presenters are encouraged to customize these family studies to reflect characteristics of your local community (or create your own family studies).
The presentation can also be enhanced with video. It is recommended that the trainer utilize the ASQ-3 Scoring and Referral DVD. Scoring ASQ-3 and interpreting the results is easier with this updated training DVD, which shows professionals how to use the ASQ-3 system accurately and sensitively.
Two other training videos are also available to enhance your training: The Ages & Stages Questionnaires® on a Home Visit and The ASQ:SE-2 In Practice.
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

5. What are ASQ-3 and ASQ:SE-2?
Parent- or caregiver-completed screening tools that encourage parent/caregiver involvement
Series of questionnaires for children ages 1 month to 5 ½ years (ASQ-3) and 6 years (ASQ:SE-2)
Tools to accurately identify children at risk for developmental or social-emotional delay
Parent/Caregiver completed. All of the research on ASQ was conducted with a primary caregiver completing the form, so we know little about how accurate results are if, for example, a childcare provider completes the tool.  For ASQ:SE-2, caregivers need to have at least hours of contact with the child during the week to administer.
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

6. Adapted from Macias, M. (2006) D-PIP Training Workshop
WHY SCREEN?
To prevent us from missing children
Under Detected
Clearly
Typical
Clearly
Atypical ?
Adapted from Macias, M. (2006) D-PIP Training Workshop
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

7. Keep in mind: Results of screening will inform you that….
Most children are on-schedule and doing great!
Some children will benefit from practice in specific areas (e.g., Fine Motor) or other family supports
A Few children will need referral for SIT/SAT, further screening, observations, & assessments.
Review Slide.
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

8. Detection Rates of Children with Existing Delays
Without Screening Tools
With Screening Tools
Developmental Disabilities
14-54% identified
Sheldrick et al, 2011
70-80% identified
Squires et al, 1996
Mental Health Problems
20% identified
Lavigne et al, 1993
80-90% identified
Sturner, 1991
Research mentioned in this slide emphasizes the importance of using screening measures - even the "experts" i.e., pediatricians, miss many children if they do not use a high-quality screening tool. The AAP recommends screening all young children at 9, 18, and 24 (or 30) months. (American Academy of Pediatrics: Developmental Surveillance and Screening of Infants and Young Children, Pediatrics, (2011), 108, 1, )
Screening rates have doubled over the past 15 years. According to AAP surveys, 23% or pediatricians self reported always/almost always using 1 or more standardized screening tools in 2002 and 48% used them in Quality incentives are now offered in many states. (Marks, K (2015) The Importance of Social and Emotional Screening. Urban Child Institute. Downloaded from childinstitute.org/articles/theimportanceofsocialemotionalscreening.)
References:
Sheldrick, R.C., Merchant, S. & Perrin, E.C. (2011) Identification of developmental and behavioral problems in primary care: A systematic review. Pediatrics, July 4, downloaded 7/18/2011 from:
Palfrey, J. S., Singer, J.D., Walker, D.K. & Butler, J.A. (1994). Early identification of children’s special needs: A study in five metropolitan communities. Journal of Pediatrics, 111, Squires, J., Nickel, R.E., & Eisert, D. (1996). Early detection of developmental problems: Strategies for monitoring young children in the practice setting. Journal of Developmental and Behavioral Pediatrics, 17(6), Lavigne, J., Binns, H., Christoffel, K., Rosenbaum, D., Arend, R., Smith, K., et al. (1993). Behavior and emotional problems among preschool children in pediatric primary care: Prevalence and pediatricians' recognition. Pediatrics, 91, Sturner, R.A. (1991). Parent questionnaires: Basic office equipment? Journal of Developmental and Behavioral Pediatrics, 12,
Courtesy of START
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

9. New method to Calculate Age at Administration!
Enter Date of Completion and Date of Birth for correct interval to use.
Correct for prematurity when the child is born 3 or more weeks early, until 24 months.
Download ASQ Calculator App on phone or tablet
The Age Calculator found on will provide the most accurate age for selecting the correct questionnaire by age interval.

10. Ratio Score for Omitted Item
Create a new total area score so child is not penalized
1: Divide total area score by the number of items answered in that domain
45 (domain score)  5 (items) = 9 points
2: Add this average item score to the total domain score to get a new total score
points = new total of 54 points
EASY METHOD!
Download ASQ Calculator App on phone or tablet
Calculate Missing item
Remind participants of the importance of being culturally sensitive. If an item is confusing or inappropriate for cultural reasons, the child has probably not had the opportunity to practice that skill. Ask parents what they think about the item, try to reframe question, while staying true to the intent of the skill.
Emphasize that when an item is inappropriate, you can sensitively talk about skills expected in school that may not be culturally relevant at home. Attempt to come to agreement about how to approach skill building in these circumstances. If the item is inappropriate, omit the item and follow ratio scoring method either by dividing total score by number of items competed or using the ASQ calculator.
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

11. 60 Month ASQ-3 Scoring Chart Peter’s Scores Compared to Mean Scores from ASQ Data
Again, the monitor zone (lightly shaded) is 1SD to 2SD below the mean. The darkly shaded area begins at 2SD below the mean.
The stars on this scoring chart illustrate where the average (mean) scores are located for the 60m
Based on approximately m children:
Mean scores: Communication=52 GM=52 FM= 52 PS=52 Personal Social=54
Recent ASQ-3 Data:
% of kids 1 or more areas below cut off is 15.7%
Per domain: Comm=4% GM=6.5% FM=5.4 Prob Solv=4.6% Pers Social=3.9%
% of kids 2 areas below cut = 5% (of 15.7%) super risk.
32% of children in 60m interval subset (app 400) had one or more areas in the monitoring range. This is same rate as overall % (all intervals combined)
Were there areas that children tended to have scores in monitoring range? Range from 9-11% with exception of gross motor
Comm=9% GM=6% FM=7% Prob Solv=11% Pers Social=9%
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

12. Review Slide and State:
Each ASQ:SE-2 interval has unique summary sheets; the summary sheet, along with the optional “Item response sheet” provides a summary of the entire ASQ:SE-2, as well as follow-up actions that are needed.
Each Summary sheet has 6 sections:
Child/family information
Score total
Bar graph with cutoffs
Overall section
Follow-up considerations
Follow-up action taken
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

13. ASQ-3 and ASQ:SE-2 Starter Kits
Available in English and Spanish
Each Starter Kit includes:
User’s Guide
Questionnaires on paper
Questionnaires on CD-ROM
Quick Start Guide
ASQ Online keycode (to be used after purchase of a subscription to ASQ Online)
There are other translations of ASQ available through the publisher. If participants are interested in finding out about a specific language, they can contact the Subsidiary Rights department at Brookes Publishing Co. for more information. Other products are available as well, see for more information.
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

14. Available in English and Spanish
Learning Activities
Available in English and Spanish
ASQ-3 Learning Activities
Over 400 fun, fast, and easy-to-use activities
Developed to complement ASQ-3
ASQ:SE-2 Learning Activities
Coming in Winter 2016!
Similar format to ASQ-3 Learning Activities (book with CD-ROM)
Activities and tip sheets on eating, sleeping, toileting, and other topics
ASQ-3™ Learning Activities contains more than 400 fun, fast, and easy-to-use learning activities, specially developed to complement ASQ-3.
Book with CD-ROM in back. Printable, photocopiable.
ASQ-3™ and ASQ:SE-2™ Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter
Copyright © 2015 Brookes Publishing Co. All rights reserved.

17. Entering profiles
Resources
Explore the Website

20. Neat feature

22. Watch where you put your codes
Codes are found inside of your box

24. * Must be filled in
Time consuming

29. How to take a report to a useable charts
Goals
How to Create

30. ASQ-3 Screening Scores PDF View

31. ASQ-3 Screening Scores CSV. View

32. ASQ-3 Screening Scores PDF View Taking out unnecessary info.

34. ASQ-SE Screening Scores CSV. View

35. ASQ-3 Screening Results by program- csv.

36. Charts used during PLC’s

37. Charts used during PLC’s

38. Charts used during PLC’s

39. Sample of Communication chart: cutoff vs. scores

40. Great for district data:

41. District Snapshot data
CSV. format

42. Great for district data:
Students not cognitively ready by class
Created from csv. Off snapshot

43. ASQ Data Kindergarten Readiness BOE Report

44. Parent conferences
PLC’s
MTSS
Setting goals
How to Use Data

45. -Individual student goal setting -Targeted intervention
-Parent Conferences
-Individual student goal setting
-Targeted intervention
-Student Intervention Teams
-Referral for further assessments
-Professional Learning Communities
-MTSS planning
-BOE reports
-Goal planning
-District Kindergarten Readiness goals
-Curriculum planning
-Seating arrangements
Sheila

47. Know Your Options Rescreen sooner than you normally would.
Provide the family with activities they can do at home.
Work on skills at school.
Personalize a plan.
Refer for further assessment

48. Handling scores in the monitoring zone
Not all behavioral or social-emotional concerns will necessitate further evaluation or mental health services. But it’s important that children who score in the monitoring zone are rescreened and supported.
ASQ:SE-2 developers recommend that you rescreen the child in 2–4 months
Share the social - emotional activity sheets found in the back of the ASQ:SE-2

49. When an ASQ:2 score raises concern
Share results with PLC or MTSS team
Share results with the primary health care provider
Provide parent with educational materials
Have another caregiver complete ASQ:SE-2
Refer to early intervention/early childhood special education
Follow up items of concern.