title: Strengthening families of children with developmental concerns: parent perceptions of developmental screening and services in Head Start.
abstract: OBJECTIVE
  The authors investigated perceptions of parents with children in the Head Start program about the processes of detection and intervention for developmental concerns.
  
  
  METHODS
  Descriptive, qualitative study.
  
  
  METHODS
  A large, urban Head Start agency, operating 14 centers and annually serving more than 1200 predominantly Latino children. During 2008-2009, a collaborative partnership with academicians from UCLA was created to evaluate their model of developmental screening and referrals. PARTICIPANTS AND PROCEDURES: We conducted 5 focus groups with a total of 30 parents of Head Start children with developmental concerns. Parents were asked about where they go for information when they have concerns, how they perceived the developmental screening process and services, and how children and families have changed after being in the Head Start program. Focus groups were recorded, transcribed and translated into English, then coded in ATLAS.ti using the domains above and sorted into themes for analysis.
  
  
  RESULTS
  Parents perceived the screening process as both diagnostically and therapeutically important, with multiple benefits ranging from closer parent-teacher relationships to improved parenting and understanding of developmental interventions. Families focused their discussion on the importance of social-emotional and behavioral development, with school readiness and improved expressive language as important but secondary outcomes.
  
  
  CONCLUSIONS
  For families of children with developmental and behavioral risks or concerns, a structured developmental screening process in a preschool setting, such as that provided by Head Start, may serve as a vital gateway for identifying and addressing concerns and promoting social-emotional learning, parent engagement, language development and school readiness.
authors.affiliation: Robert Wood Johnson Foundation Clinical Scholars Program, University of California, Los Angeles, USA. bnelson@mednet.ucla.edu
authors.forename: Bergen B
authors.initials: BB
authors.lastname: Nelson
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Chung
authors.forename: Helen M
authors.initials: HM
authors.lastname: DuPlessis
authors.forename: Lilia
authors.initials: L
authors.lastname: Flores
authors.forename: Gery W
authors.initials: GW
authors.lastname: Ryan
authors.forename: Sheryl H
authors.initials: SH
authors.lastname: Kataoka
mesh_terms: D000328:Adult; D002648:Child; D002657:Child Development; D055812:Community-Based Participatory Research; D002658:Developmental Disabilities / Q000628:therapy; D018479:Early Intervention, Educational / Q000458:organization & administration; D005192:Family Health; D017144:Focus Groups; D006630:Hispanic or Latino; D006801:Humans; D015141:Los Angeles; D010290:Parents