INTRODUCING ASQ:SE-2 Adapted from ASQ-3 and ASQ:SE-2 Training

INTRODUCING ASQ:SE-2 Adapted from ASQ-3 and ASQ:SE-2 Training

INTRODUCING ASQ:SE-2 Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 1 ASQ Online Training Available ASQ Online Training Series of three sessions April 11 from 11:00-1:00 ASQ Online/Family Access April 20 from 11:00-1:00 ASQ:3 April 24 from 11:00-1:00 ASQ:SE-2

Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com Training Objectives Review benefits of developmental screening Describe features of ASQ:SE-2 Learn to score ASQ:SE-2 Describe and interpret ASQ:SE-2 results Review sensitive communication of results with families and caregivers Discuss appropriate follow-up actions and consider how a developmental snapshot will help in the classroom Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 3

Friendly Reminders Not on our current listserv? Email to [email protected] Please make sure your name and district number are in the email request. Every elementary school will need ASQ:3 and ASQ:SE-2 ASQ is a Parent completed tool for Kindergarten Readiness Snapshot Kindergarten Readiness Factsheet found at www.ksde.org ASQ-3 and ASQ:SE-2 Training Materials by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter Copyright 2017 Brookes Publishing Co. All rights reserved.

www.agesandstages.comRe Why ARE We Doing This for Kindergarten Readiness? Snapshot data ARE: Used for a quick, developmental snapshot of childrens skills and abilities Aligned with Kansas standards and tools used in early childhood and kindergarten settings Helpful for policy makers considering targeted ways to increase readiness for kindergarten Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 5

Why ARENT We Doing This? Snapshot data ARE NOT: A gatekeeper to keep 5-year-old children out of kindergarten Automatic referrals for special education Used for progress monitoring Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 6 What Is ASQ:SE-2? Parent-completed questionnaires that reliably identify young children at risk for social or emotional difficulties Looks at social-emotional development in 7 key behavioral

areas: o o o o o o o Self-regulation Compliance Adaptive functioning Autonomy Affect Social-communication Interaction with people Adapted from ASQ-3 and ASQ:SE-2 Training Materials

created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 7 ASQ:SE-2 Behavioral Areas Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 8 Why Does Social-Emotional Development Matter? Healthy social-emotional development creates a foundation for learning

Social-emotional competence is fundamental to positive interactions, long-term wellness, school and job success This is an area where intervention has a lasting impact: o Most effective when children are young o AND gains in social-emotional development are sustained as children grow Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 9 Why Screen Social-Emotional Development? Early identification of issues is essential to building childrens competence and to reducing likelihood of later serious behavior or mental health problems

Social-emotional issues affect child AND family wellbeing Young childrens ability to successfully regulate emotions and interact with others positively is critical for school readiness Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 10 Improving Social-Emotional Outcomes Has Lasting Benefits Childrens positive outcomes in socialemotional learning improve: o School readiness o Academic achievement o School connectedness o Prosocial behavior

o Positive peer relationships Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 11 Improving Social-Emotional Development Reduces Risk Childrens positive outcomes in socialemotional learning can reduce: o Disruptive behavior o Substance use o Aggression o Violence o Mental health problems Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter.

Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 12 Compelling Statistics Prevalence rates of social-emotional behavioral problems in young children are estimated to approach 13% One in five (20%) children in the U.S. has a diagnosable mental health problem that goes untreated Only 48% of pediatricians use formal developmental screening instruments Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com

13 Video: Early Childhood Mental Health Center on the Developing Child at Harvard University ( www.developingchild.harvard.edu) Running time 3:58 Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 14 Challenges in Assessing SocialEmotional Development

Anti-social behavior is part of typical development. Infants cry to get their wants and needs met. Toddlers cant share. They may bite and have frequent temper tantrums. Preschoolers whine, make demands, grab, push, and hit. Kindergartners may not want to take turns or share. Behavioral experimentation helps children learn consequences, builds working memory for future problem solving, and ultimately helps develop self-regulation. Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 15 Challenges in Assessing SocialEmotional Development Understanding problem behaviors can be complex.

2 crucial features to consider: Frequency of behaviors Intensity of behaviors 2 dimensions to consider: Externalizing behaviors (hitting, lashing out at others) Internalizing behaviors (sadness, loneliness, stomach aches) Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 16 Challenges in Assessing SocialEmotional Development Behavior must be viewed through 3 important lenses:

Childs developmental age or stage Context of setting Family and community values and expectations From Squires & Bricker: SEAM Users Guide Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 17 Social-Emotional Red Flags: What Are Our Concerns? Externalizing: Dysregulation:

Severe outbursts or tantrums Kicking, hitting, biting Throwing things Hard to recognize emotional state Quick shifts to inconsolable crying Difficulty calming self Difficulty with routines: o Falling asleep Difficulty accepting guidance Internalizing:

Withdrawn Unengaged with people or materials Sad, anxious, irritable o Staying awake o Mealtime problems Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 18 Developmental-Organizational Framework

(D. Cicchetti, 1993) Age Stage of Development Behaviors -regulation -recognizable states -attachment -communication 0-12 months Attachment

12-30 months Autonomy & Self -differentiates between self and others; real and Development make believe -use of pronouns exploration -self control; rules 30 Establishing months- Peer Relations 7 years

-empathy -gender differences -identification of friends -interest in other children If problems begin at one stage of development and are not resolved, they compound as the next stages of socialemotional development unfold.

Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 19 Features of ASQ:SE-2 Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 20 ASQ:SE-2 Items Written at 4th- to 6th-grade reading level

39 scored questions for older children Open-ended questions related to: o Eating, sleeping, and toileting concerns o Additional worries o What parents enjoy about their children Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 21 Flexibility of Use with Diverse Families

Same options for use as ASQ-3 Ability to reframe or omit items (up to 3) Balance of strengths and problem behaviors Subjectivity is a critical part of assessment data Adaptations in multiple languages Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 22 ASQ:SE-2 Age Range

Kansas Kindergarten Snapshot uses ASQ:SE-2 60 month questionnaire Age range has been extendedgoes from 54 months 0 days through 77 months 30 days Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 23 ASQ:SE-2 Scoring Scoring competence and problem behaviors Think about how this impacts scoring! Scoring Options Often or Always Sometimes Rarely or Never

Is this a concern? Points 0 or 10 5 10 or 0 Yes = 5 High scores indicate problems (above cutoff) Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 24 Adapted from ASQ-3 and ASQ:SE-2 Training Materials

created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 25 Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 26 Prescreening Activities Explain what screening is Outline schedule/timeframe and tips for completing questionnaire Share Family Access link or copy of correct ASQ-SE-2 questionnaire with

caregivers Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 27 Introducing ASQ:SE-2 to Parents Provides a quick check of your childs socialemotional development Information you share is confidential Answers show your childs social-emotional strengths and if there is information or resources in the community I may be able to share with you Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter.

Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 28 Introducing ASQ:SE-2 to Parents Discuss the response options: Often or Always Child is performing behavior frequently or always Sometimes Child is performing behavior occasionally but not consistently or all the time Rarely or Never Child is not or is rarely performing behavior Concern Check if this is a concern is an option for each item Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter.

Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 29 Introducing ASQ:SE-2 to Parents Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 30 Administering ASQ:SE-2 Have parents complete the questionnaire as independently as possible Some questions on ASQ:SE-2, such as those regarding eating problems and

perseverative behaviors, may require clarification Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 31 Scoring ASQ:SE-2 ASQ Online scores ASQ:SE-2 automatically If scoring manually, use the following process: Step 1: Review responses. If any are missing, try to obtain answers. If inappropriate, mark it as an omitted item. Step 2: Total points for each item (015 points): X = 10; V = 5; Z = 0 Step 3: Total points on page = ____

Step 4: Transfer points on each page to ASQ:SE-2 Information Summary. Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 32 ASQ:SE-2 Omitted Item? Contact parent or omit item if its inappropriate for child or family 12 missing items: No action; adjusting the total score will not change results 3 items missing: Adjust ONLY if within 5 points of cutoff; see ASQ:SE-2 Users Guide

It is not recommended to score if more than 3 items are missing RESOURCES! Use free calculator at www.agesandstages.com Download free ASQ Calculator apps Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 33 Review Questionnaires with Parents

Discuss childrens strengths Discuss items that total 10 or 15 points Discuss answers to open-ended questions Review score and compare to cutoffs Remember that cutoffs on ASQ:SE-2 are very different from those on ASQ-3! ASQ-3 lower score, greater concern. ASQ:SE-2 higher score, greater concern. Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 34

60 Month ASQ:SE-2 Scoring Graphic Monitoring area 65th Percentile Cutoff 90th Percentile Adapted from ASQ-3 and ASQ:SE-2 Training Materials Created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter Copyright 2017 Brookes Publishing Co. All rights reserved. www.agesandstages.com 35 Interpreting ASQ:SE-2 Scores The Sometimes Issue

The Subjectivity Issue Validity of Report o o o o o Teen parents Parents involved with child welfare First time parents/isolated parents Parents involved with drugs/alcohol Parents with mental illness Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com

36 Strategies for Questionable Scores Have another caregiver complete ASQ:SE-2 Gather additional information o Observe the child o Use a professionally administered screening tool o Assess parentchild interactions o Assess the caregiving environment Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 37

Follow-up Recommendations for ASQ:SE2 Below Cutoff o Follow-up on any parent concerns Monitoring Zone o Follow up on concerns o Re-administer ASQ:SE-2 o Provide information, education, and support Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 38 Follow-up Recommendations for ASQ:SE2 Above Cutoff

o o o o Refer for behavioral/mental health evaluation Refer to primary health care provider Refer to SE Refer to local community agencies Faith-based groups Community groups, YMCA Parenting groups Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 39

Using ASQ:SE-2 with Families from Diverse Cultural Backgrounds Measured utility (usefulness, ease, helpfulness) with 141 professionalsmajority indicated satisfaction, some challenges with translation and interpretation (D. Lyman, W. Njoroge, D. Willis, 2007) Cultural variations found most often in areas of: o Self-regulation o Attachment o Feeding/Toileting Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 40

Scoring with ASQ Online As for ASQ-3, ASQ Online will automatically: o Select the appropriate ASQ:SE-2 questionnaire o Score the ASQ:SE-2 questionnaire o Generate the ASQ:SE-2 Information Summary sheet to view or print o Include childrens results in Reports Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 41 Tips for Success Complete questionnaires during parent conferences, parent meetings, or at scheduled PTA or family nights

Send flyer or letter to parents with link to complete questionnaire via Family Access Explain questionnaire to families during parent conferences, and send paper questionnaire home with parent Offer incentives (lunch during meetings, recognition for class with most questionnaires completed or done by certain date, drawing for gift certificate) Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 42 More Tips for Success Host a Kindergarten Parent/Child Kindergarten Snapshot night; try activity stations, light support, snacks, and/or

child care for siblings while parents complete questionnaires in classrooms Use emails, newsletters, and classroom activities to contact families, introduce questionnaires, and encourage participation and follow up Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, *E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 43 In Summary

ASQ results provide good insight about childrens skills and how theyre progressing through key developmental milestones ASQ supports homeschool connection and helps parents and teachers observe childrens skills and come together to discuss them ASQ engages families and can encourage them to provide school readiness activities at home and better understand childrens learning objectives Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 44

In Summary Use available resources to make decisions about what steps to take after screening Teachers can use ASQ results to: o Learn more about childrens skills and behaviors o Facilitate conversations with parents o Focus in classroom on areas where children may need additional opportunities to practice skills o Suggest next steps or ideas for parents in cases that children appear to be lacking some skills Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter.

Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 45 www.agesandstages.com/ks Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com 46 Online Log In Information Each building needs to have designated an ASQ Online Contact person. This is done by completing the following survey link:

https://www.surveymonkey.com/r/ASQContact The building contact person will be able to add other users to the building. ONLY ONE contact person per building is needed. Adapted from ASQ-3 and ASQ:SE-2 Training Materials created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com Contact Information Email [email protected] with any questions. TIFFANY BLEVINS Kindergarten Readiness Lead [email protected] JULIE EWING Kindergarten Readiness Coordinator [email protected] Adapted from ASQ-3 and ASQ:SE-2 Training Materials

created by J Squires, J Farrell, J Clifford, S Yockelson, E Twombly, and L Potter. Copyright 2018 Brookes Publishing Co. All rights reserved. www.agesandstages.com

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