In this situation, the ASQ developers would recommend that the child be referred for further evaluation based on the parents concerns, as well as scores close to the cutoff.
Information about interpreting ASQ:SE-2 scores and providing follow-up is provided on pages 96-107 of ASQ:SE-2 User's Guide. If concerns exist, referral to early intervention/early childhood special education or mental health evaluation may be appropriate. The following resources may also be helpful: Interpreting …
In this situation, providers need to be sensitive to parents' concerns and feelings, especially if it is likely that ASQ-3 items will be difficult for the child. Asking parents about the strengths of their child and starting there is a good idea. You could even ask parents to complete the ASQ-3 areas out of order to …