From the developers of the renowned ASQ, the Environmental Screening Questionnaire (ESQ™) can provide a fuller picture of each family’s strengths and needs—and help professionals guide their decision-making processes for next steps. This presentation will familiarize you with this exciting new screening tool.

1. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Your Guide to the
Environmental Screening
Questionnaire (ESQ™)
A New, Free Screener for Social Determinants of Health
Jane Squires, Ph.D.
Diane Bricker, Ph.D.
AGES & STAGES INTERNATIONAL RESEARCH

2. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Your Presenters
Jane Squires, Ph.D.
Professor, Early Intervention Program,
Center of Human Development,
University of Oregon
Diane Bricker, Ph.D.
Professor Emerita, Early Intervention
Program, Center of Human Development,
University of Oregon

3. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Background
• ACES study
• Adverse Childhood Experiences (Anda et al.,
2006)
• Depression, unemployment, and substance
abuse have lifelong affects on children’s
health and development
• Risks mitigated for families and children
if identified early
• Early identification = better outcomes

4. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Background
• Child within family environment determines outcomes
• Ecological lens
• Social Determinants of Health (SDOH)
• Conditions in which people are born, grow, and live, and
systems shaping conditions of daily life
• World Health Organization
• Meets recommendations for SDOH screening by the American
Academy of Pediatrics

5. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Background
Social Determinants of Health
Economic stability
• Poverty
• Food sufficiency
• Education
• Social and community
• Social supports
• Immigration status
• Health and health care
• Insurance, provider
• Neighborhood and environment
• Crime
• Housing
Environmental Screening Questionnaire
Education and Employment
Housing
Child and Family Health
Economics and Finances
Family Life
Community

6. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
SDOH Screening
• Gathers information on factors known to
impact development
• Looks at protective and risk factors
• Social supports
• Employment
• Health insurance
• Healthy food
• Together with developmental and
behavioral screening, results in timely
identification of risk factors and strengths
in children’s lives

7. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Overview
• Created by developers of ASQ®
• Quick, parent‐completed screening
tool
• Gathers vital information about a
child’s home environment
• Used with children from birth
through 6 years
• Free, digital download from Brookes
website

8. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Overview
• 6 areas, each with 5 questions
• Education and Employment
• Housing
• Child and Family Health
• Economics and Finances
• Family Life
• Community
• Takes 10–15 minutes to complete
• Available in English and Spanish

9. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Overview
• Score in 2–3 minutes
• Scoring is similar to scoring
for ASQ:SE-2
• Risk = 10, Concern = 5
• Higher scores indicate that
family would benefit from
support

10. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Components
ESQ: Research Edition ESQ Referral Summary
ESQ Guide

11. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
ESQ Guide Contents
• What Is ESQ
• What Does ESQ Assess
• What Training is Needed
• Administering ESQ
• Introducing ESQ to Caregivers

12. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
ESQ Guide Contents
• Scoring ESQ
• Interpreting ESQ Results
• Using the ESQ Referral
Summary
• Following Up with Caregivers
and Rescreening

13. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
ESQ Form
• Response choices: Yes, No
• Parent marks if item is a Concern and
fills out open-ended item
• Professionals use lines in right margin
to score

14. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
ESQ Form

15. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
ESQ Referral Summary
• Professionals record
area scores
• Circle resources
needed
• Add actions taken

16. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
ESQ Referral Summary

17. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Research
• Sample of 344 parents (online and agency samples)
• Validity—convergent with Parenting Stress Index
• ESQ scores correlated with PSI-SF scores for online sample
• Validity—ESQ scores predicted ASQ:SE scores for 4 intervals
(6, 18, 24, 36 months)
• Reliability—significant correlations by area for online group
• Utility
• Easy to use
• Informative

18. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Audience
• Home visitors & parent
educators (Parents as Teachers,
Nurse–Family Partnership, Early
Head Start)
• Early interventionists
• Social workers
• Pediatricians
• People working closely with
high-risk/multi-stressed families

19. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
How to Download
• ESQ is available on the Brookes
website
• Users add to shopping cart and
check out (no payment info needed)
• If you do not have an account on the Brookes
site, you will need to create one
• Users accept license agreement and
download zipped folder of files
Access at
bpub.fyi/ESQ

20. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Files Provided
• 17-page PDF with About ESQ,
ESQ Guide, and forms
• Individual PDFs of questionnaire
and Referral Summary in English
for printing
• Individual PDFs of questionnaire
and Referral Summary in Spanish
for printing

21. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
Learn More
•ESQ At-a-Glance
bpub.fyi/ESQ-Glance
•ESQ Samples
English: bpub.fyi/ESQ-Sample-Eng
Spanish: bpub.fyi/ESQ-Sample-Span
•Using ESQ Article
bpub.fyi/ESQ-Article

22. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
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23. ESQ™ is a trademark of and is owned by Paul H. Brookes Publishing Co., Inc. All Rights Reserved.
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