Oregon Online Screening Project · 2017-11-02 · Early Developmental Screening in Oregon ......

Oregon Online Screening Project Increasing Opportunities for

Early Developmental Screening in Oregon

Ages & Stages Questionnaires® is a registered trademark of Paul H. Brookes Publishing Co., Inc.

Presented by:

Jane Squires, PhD.

Director, Center on Human Development

Professor, Early Intervention/Special Ed.

University of Oregon

Purpose of early developmental screening

Introduce and describe the ASQ-3

and ASQ:SE

Introduce asqoregon.com

What we’ve learned

Future plans

Objectives Objectives

What is Screening?

• A brief, valid tool administered at regular intervals:

– Identifies children developing on-schedule.

– Identifies areas that need practice/ support.

– Identifies children at risk for developmental delays (DD)

• When given to all children at a

set time (entry into a childcare)

it is called “universal” screening

Clearly Typical

Under Detected

?

Adapted from Macias, M. (2006) D-PIP Training Workshop

Clearly Atypical

Copyright © 2011 Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com

WHY SCREEN?

ASQ-3 training materials adapted with permission for use in the Oregon Screening Project. Copyright © 2014 by Paul H. Brookes Publishing

Co., Inc. All rights reserved. www.agesandstages.com

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

Courtesy of START

Incidence of children identified as having a disability by age (2007)

2.79 % 10.76 % 5.99%

http://www.ideadata.org,

http://www.ideadata.org/

• Parent/Caregiver completed screening tool

to identify children at risk

for developmental delay

• Series of questionnaires for children ages 1 month up to 6 years

Ages & Stages Questionnaires ASQ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, and Elizabeth Twombly Copyright © 2008 by Paul H. Brookes Publishing Co. All rights reserved. For more information about the ASQ and ASQ:SE, see http://www.agesandstages.com

What is the ASQ-3

• Parent / Caregiver completed screening tool to

accurately identify children

at risk for Social Emotional delay

• Series of questionnaires for children ages 1 month to 5 ½ years

Ages & Stages Questionnaires : Social Emotional

What is the ASQ:SE

Domains Screened by the ASQ-3

ASQ-3

Communication

Gross motor

Fine motor

Problem solving

Personal-social

ASQ:SE:

Social-emotional development

ASQ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, and Elizabeth Twombly Copyright © 2008 by Paul H. Brookes Publishing Co. All rights reserved. For more information about the ASQ and ASQ:SE, see http://www.agesandstages.com

Features: ASQ-3 Areas & Questions

5 developmental areas

6 questions in each area

Response options: Yes, Sometimes, Not Yet

Written at 4th to 5th grade level

ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, and Elizabeth Twombly

Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved.

For more information on ASQ-3™ and ASQ:SE, see www.agesandstages.com

Features: ASQ-3 Areas & Questions

Questions ordered in a hierarchy

Questions #5, #6 are average skills for child of that age




More Difficult

ASQ-3 Information Summary Sheet (Sections 1 & 2)




ASQ-3 Information Summary (Sections 3 & 4 )




Standard Bell Curve

68% of

population

scores in this

“average” range

13.5% 13.5 %

+ 1 SD -2 SD +2 SD - 1 SD

2.5% 2.5%

Nu

mb

er

of

Peo

ple

Average (Mean) Performance on Test


Screening Results


Parents have concerns “Is my child ok?”

How to increase opportunities for developmental screening?

How to inform parents,

alleviate concerns?

How to empower parents,

to take Next Steps?

How can parents access reliable information?

Parents Have Concerns Is my child ok?

Launched in late 2009 with part funding from

Oregon Dept. of Education

To explore use of parent-completed,

online method to enhance statewide efforts

of Child Find in Oregon.

Identify children at risk for developmental

delay or disability in the birth to 5 age range

Provide Parent/Caregiver awareness of

resources and referral to services if needed

History

By Age Group

By Income

PEWResearch Internet Project http://www.pewinternet.org/2014/02/27/about-this-report-4/

Oregon Parents are Online

Parent driven-- free easy to use, confidential

Interactive— automated results available to all

Results -- help parents decide and take Next Steps

Personal follow up --for parent concerns or at-risk results

Parent resources and EI/ECSE contacts delivered directly to users

How Does it Work?

ASQ , ASQ:SE Results by email or download

Completed ASQ, ASQ:SE, pdfs

Next Steps guide

Play/Learning activities

Parent education links, resources

Personal follow up on request

Referral contacts, if needed

What Do Parents Receive?

• Eager for information about early development

• Online venue meets a larger population, not served by social services

• Oregon participants

89 % parent completed

72% are mid income or above

61% have AA/College education or above

Oregon Parents

Parent comments

“….appreciate this opportunity to find out

if my child is on track and if I am

too worried about things.”

“The web site was easy to use

and follow.

I emailed a link to my Birth to 3

friends.”

Parent Comments

data

Oregon families in 34 counties have participated

11,792 screens as of June 2014 256 avg/month

24% in Washington co 23% in Lane co 16 % Multnomah co

data

0

500

1000

1500

2000

2500

3000

2010-2011 2011-2012 2012-2013 2013-2014

Total Screenings Completed ASQOregon

Who Are Partners?

Early Intervention/Early Childhood Special

Education providers in

Lane, Marion, Washington counties Respond to at-risk cases

Encourage self referral if needed

Track self referrals

Who Are Partners?

Birth

to 3

%of

sample

3 to

5yrs

%of

sample

Total

7453

63 % 4339 37 % 11792

Catching Kids Early

• Total known referrals 1270:

Results of Screenings and Known Referrals

• 28.6% had 1 or more areas below cutoff:

• Of those, 14% show 2 or > areas

below cutoff

49.6% Early Intervention

43.5% Early Childhood Special Education

(6.9% age missing)

It’s a wonderful service, I’m proud to be part of it!

Partner Comments…

Families have an instant screening in hand for kinder registration to share with teachers and staff.

Self-refer parents send copies prior to appointment or call back to report ASQ online has been completed.

Many families provide information online that we don’t hear over the phone during the intake call.

…Partner Comments

I presented ASQOnline to PreK and Daycare teachers. Since that time our preschool referral rate has increased

• Many complete ASQ, ASQSE several times

• before taking self-refer step

• Parents/caregivers need help with Next Steps

…..What We’ve Learned

• Self monitoring benefits parent, child

and screening goals

(EI/ECSE and PEDS)

• Parents/caregivers appreciate self screen opportunity

“ Great resource for parents who do not get out, great community service.”

“This is the second time I have done it”

“I was able to get my child scheduled for an EI evaluation THANKS!!!!”

Parents Say…

72% said it takes < 20 mins to complete 90% said they would complete another ASQ online 90% said they would recommend to others

Future Plans

• New Results messaging

• Options to identify self or keep confidential

• Increase tracking of Referrals

• Smart phones / tablet use enable

• Update site to meet needs of Universal Screening in Oregon

• Webinars on Developmental Screening, training

• Child Care Providers as partners

• Options to send results direct to providers

Follow up asqoregon.com

Share the site with parents

Share site with childcare providers …See CCP toolkit

Support parents when there are concerns

• referrals for further evaluation and/or services

Parent /Caregiver Resources Early Development

Zero to Three Age based handouts

Center for Social Emotional Foundations and Learning Behavior guides , family tools

211 family info Warm line, local help

Parent/Caregiver Resources Services

“Do You Have Concerns ?” OR Dept. of Education handout

Reliable Parent – Education Links

Oregon 211 Family Info

Parent Support groups , Child Care Resource & Referral

All EI/ECSE websites and contacts by county

Oregon Online Screening Project · 2017-11-02 · Early Developmental Screening in Oregon ......

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