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Reasons for Concern

"Reasons for Concern that your child or a child in your care may need special help" offers a brief summary of general risk factors and specific red flags for behavior, hearing, vision, movement, communication, and thinking. Created by the California Department of Education along with the Department of Developmental Services and targeting families and caregivers of children birth to age five, this easy to understand brochure provides words families can use to discuss their concerns with doctors and words childcare providers can use with families. It also offers contact information for "next steps," including referral to the local regional center or school district and assessment of the child, when needed. The 2015 version of Reasons for Concern is currently available in both English and Spanish, and both versions are posted here for your convenience. 

This resource is related to one or more competencies in the ICC-Recommended Early Start Personnel Manual (ESPM). To find out more, visit

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