Pathways for Children CFCE Cape Ann Coordinator- Amy Larsen
978 281-2400 x 5320
alarsen@pw4c.org
29 Emerson Ave.
Gloucester, MA 01930
www.pw4c.org

Welcome to our ASQ Online screening program!

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Because your child's first 5 years of life are so important, we want to help you provide the best start for your child. You've been invited to participate in the Ages & Stages Questionnaires, Third Edition (ASQ-3), to help you keep track of your child's development. The questionnaire may be provided every 2-, 4- or 6-month period. You will be asked to answer questions about some things your child can and cannot do. The questionnaire includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills.

Please enter your child's birth date and the number of weeks he or she was born premature below to start the screening. Please note that the information you enter into this website is secure and cannot be seen or accessed by anyone other than the program employees who have invited you to participate in this screening.

We look forward to your participation in ASQ-3!



(put "0" if not premature)

I have read the provided information about the Ages & Stages questionnaires, and I wish to have my child participate in the online screening program. I will fill out the questionnaire about my child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system.

 

Appendix J: FY 2021 CFCE Ages and Stages Questionnaire and Parental Consent

EEC is focused on ensuring that all children in Massachusetts have access to developmental learning opportunities, and that parents and families are provided with knowledge and resources to be their child's first teacher. Coordinated Family and Community Engagement (CFCE) grantees work directly with parents and families to provide these learning opportunities for young children in the communities that they serve. One of the developmental learning activities used by CFCE grantees is the Ages and Stages Questionnaire (ASQ) developmental screening tool. Additionally, CFCE grantees that have the Parent Child Home Program (PCHPs) as part of their program offer the ASQ through PCHP as well.

 The ASQ is used for children between birth and five years old, with a total of 21 different age intervals. For example, there are questionnaires that focus on tasks that children should be able to do at 6 months, 9 months, 12 months, etc. While there are numerous age intervals where children can be screened, CFCE grantees are not expected to screen children at every age interval. Families may choose to participate in the ASQ screening at one age interval or several. The ASQ is available in English, Spanish, and French.

 The ASQ looks at child development progress across five domains: fine motor, gross motor, communication, problem-solving, and social-emotional skills. Each domain has six questions that correlate to developmental activities that are typical of children for a specific age range. Each question asks the child's caregiver if the child is able to perform the described activity, and the parent/family can choose "yes", "sometimes", or "not yet" as their response. The child's scores then inform the family of one of three things for each of the five domains: the child is developmentally on track; the child's progress needs monitoring and possible supportive activities; or the child needs further assessment by a pediatrician or early intervention.

 This validated and researched tool is used by CFCE grantees to begin meaningful conversations with parents and families about their child's development and progress. As the ASQ is a screening tool, it a good way to discuss developmental milestones, engage the family in supporting their child's growth, and providing information for families. Additionally, it allows for early detection of potential developmental delays and for the referrals for necessary resources. As CFCE grantees are required to refer families to comprehensive services, developmentally appropriate activities, and if necessary, their pediatrician, early intervention or early childhood special education, the ASQ aligns with the goals of the CFCE grant while providing families more information about their child's developmental progress.

 The developers of the ASQ have created an online data system, where CFCE grantees are able to enter the child's ASQ screening information and are able to schedule follow up screenings with the child's family. Each CFCE grantee has their own ASQ online account within an umbrella account that is maintained and exclusively used by EEC policy staff members. EEC uses aggregate screening information for policy and programmatic purposes. For example, aggregate information can tell EEC how many children have been screened within a specific time frame, which age interval is most often used with children, and the number of children who have received follow up screenings. EEC staff are available to assist CFCE grantees in establishing accounts and using the online system. Online training and technical assistance on the ASQ tool is available through the Brookes Publishing website. http://agesandstages.com/

 CFCE grantees are allowed to allocate part of their renewal grant towards purchasing a tablet/iPad to do ASQ screenings in community-based environments[1]. CFCE grantees now have the capability to use tablets/iPads to enter the child's information and scores directly into the ASQ Online system. To ensure that parents and families are aware that their child's aggregate information will be used by EEC, there is a consent form that pertains to the ASQ Online. If the child's caregiver gives consent, the information can be entered directly online via the tablet or by entering the paper copy scores in by hand. If consent is not given, the CFCE can still conduct the screening with the family using the paper copy of the ASQ without entering the information online.

 CFCE grantees are required to report their implementation of the ASQ in their quarterly reports. To ensure that screening numbers are unduplicated, the quarterly report will ask for:

·        The number of ASQ screenings conducted where the parent did NOT give consent to have the screening data entered into the online system. 

·        The number of ASQ screenings that were completed with families using a tablet/iPad, without using the paper tool.

·        The number of screenings that were completed on paper with the family, then entered into the online system.

The Department of Early Education and Care (EEC) is focused on ensuring that all children in Massachusetts have access to developmental learning opportunities, and that parents and families are provided with knowledge and resources to support their role as their child's first teacher. EEC's Coordinated Family and Community Engagement (CFCE) grantees work directly with parents and families to provide these learning opportunities for young children. One of the developmental learning activities used by CFCE grantees is the Ages and Stages Questionnaire (ASQ) developmental screening tool. This tool allows for families to learn more about their child's progress along five developmental domains, as well as what they can do to support their child's growth at home. CFCE staff are available to assist families with ASQ screening and can provide information, resources, and referrals based on the child's scores. 

 To ensure that EEC's policies and programs reflect the needs of programs and families, CFCE staff may enter your child's screening information into the ASQ Online database. EEC staff uses aggregate, or totaled, information to determine screening trends, future trainings for CFCE providers, and policies. Aggregate scores tell EEC how many children have been screened within a certain time period, the average age of when Massachusetts children are screened, or if the ASQ English or ASQ Spanish was used. Your child's information and screening scores will never be analyzed or shared at the individual level. If you do not wish to have this information entered online, you may decline this option and still have you child screened with the ASQ tool. 

 By clicking on the submit button ,I give my consent.



[1] Any tablet/iPad purchased by Coordinated Family and Community Engagement grantees (CFCEs) to conduct ASQ screenings with families will be maintained solely by the grantees from the time of purchase. EEC and the Executive Office of Education has and will not provide any troubleshooting, repairs, monetary assistance, or maintenance for any tablets/iPads purchased through the CFCE grant.

Note: By clicking "Submit", you are agreeing to both our Family Access End User License Agreement and any other consent or authorization information outlined on this page.