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
You are having a busy clinic day and you see your next patient is Mario, a healthy, two-year-old boy here with his parents for a well-child visit…

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. Using Developmental Surveillance

6. Part II
When she checked in at the front desk, Mario’s mother was given an M-CHAT-R/F…

7. After considering the situation as it currently stands, 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. Cultural Barriers to Screening

9. Part III
After reviewing the M-CHAT-R questions with Mario’s mother and obtaining additional details about Mario’s current communication, social skills and play skills…

10. 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?

11. Role: Cultural Liaison &/or Interpreter

12. Potential Next Case: Special Topics When Considering Culture
Cultural Barriers
Maternal blame and stigma
Family and community
Immigration status
Early Education and Early Intervention
Community Partners