8.1.1.14
Mental Health (ASQ-SE)
Complete within 45 days of entry into each program option.
Enter within 3 days of completion.
Event Date: Enter date the screening was completed
Status: Enter the appropriate status code
Colors refer to the chart on summary page of the ASQ-SE
Passed: Scores within the White area on the ASQ-SE results page- Enter Closed Date using the same date as the Event Date
Needs Re-Screening: Scores within the Gray area on the ASQ-SE results page-Follow the instructions for Mental Health (ASQ-SE) Follow Up to add a scheduled Follow Up action 30 days after initial screening date.
Failed 1st: Scores within the Black area on the ASQ-SE results page, Follow the Referral for Observation/Consultation steps regardless of the child having an existing IFSP, IEP or IPP and/or receiving services. Add Event Notes stating the date the referral was scanned to Disabilities. Disabilities Department will enter the “closed date” upon receiving the referral.
Description: Enter the type of screener (Ex: 2mos)
Results: Enter total score/cutoff score (10/50)
Agency Worker: Ensure the Family Service Worker’s name is displayed