After reviewing ASQ results, the next steps depend on the child’s score and developmental needs. Follow-up actions help ensure children receive the right level of support at the right time.

Table of Contents

1. When to Rescreen
2. When to Refer
3. Communicating with Families
4. Supporting Next Steps

When to Rescreen

Rescreening may be recommended when:

• A child scores in the monitoring zone
• Skills are emerging but not yet consistent
• Additional time and support may help the development progress

Typical approach:

• Rescreen sooner than the next standard interval (often within a few months)
• Provide targeted activities between screenings

When to Refer

A referral may be appropriate when:

• A child scores in the “below the cut-off” range
• Multiple developmental areas show concern
• Progress is not observed over time

Next steps may include:

• Connecting families with early intervention services
• Recommending further developmental evaluation
• Collaborating with specialists

Communicating with Families

Clear, supportive communication is key when sharing ASQ results.

Best practices:

• Be collaborative
  Frame the conversation as a partnership focused on the child’s success
• Use clear, simple language
  Avoid technical terms and focus on what was observed
• Highlight strengths first
  Share what the child is doing well before discussing concerns
• Provide actionable next steps
  Offer suggestions, resources, or referrals when needed

Supporting Next Steps

Programs can support children and families by:

• Offering developmentally appropriate learning activities
• Monitoring progress over time
• Maintaining open communication with families