International Forum of Special Education and Child Development


Volume 2, 2021

Screening for Social Determinants of Health: Environmental Screening Questionnaire

 Jane Squires,  Diane Bricker,

Published November 12, 2020; pp. 1–11;  PDF download 

The landmark Study of Adverse Childhood Experiences (ACES) underscores the critical importance of the timely identification of risk factors in children’s lives that may seriously impact their current and later health and wellbeing. These factors include experiencing abuse and neglect as well as living in extreme poverty. The development and use of a screening instrument that can reliably identify environmental risk and resilience factors in young children’s lives is an effective first step to eliminating or reducing the potential negative impact of such factors. The development and use of environmental screening measures that accurately identify situational factors that are known to have a deleterious effect on children’s health and welfare would make an important contribution. 
The Environmental Screening Questionnaire-Research Edition (ESQ-RE) is designed to address this important need by gathering information on factors known to adversely affect the welfare of young children. The ESQ-RE also obtains information that can assist in targeting family needs that might lead to the elimination or attenuation of ACES in children’s lives. Initial study on the ESQ-RE are promising. Preliminary evidence supports the validity of the measure. Further professionals working in the fields of human services and early childhood education report results to be helpful by: identifying family strengths and needs; making referrals for further services; and assisting in follow-up.


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