1. CHOICE POINT 1: How do you begin the conversation?
1.1. **Scene 2** Option DIRECT: "I've noticed Jackson isn't speaking as clearly as the other children his age, and I'm concerned he might have a developmental delay".
1.1.1. **Scene 2** Branch DIRECT (Incorrect) [Emily looks taken aback and defensive] Emily: Are you saying there's something wrong with Jackson? He's just a bit shy, that's all. His dad was a late talker too.
1.1.1.1. CHOICE POINT DIRECT-1: How do you respond?
1.1.1.1.1. **Scene 3** Option DIRECT-1a: "I'm sorry, I shouldn’t have put it that way. You’re right, every child develops at their own pace. Maybe we could talk about ways to support Jackson's communication at home or in the classroom?".
1.1.1.1.2. **Scene 4** Option DIRECT-1b: "That may be all it is, but I've documented several instances where Jackson struggles to follow simple instructions and doesn't respond when other children try to play with him. Here's a checklist of typical 3-year-old milestones”.
1.2. **Scene 5** Option RAPPORT: "Thanks for making time to chat today, Emily. How are things going at home with Jackson? What kinds of things are you enjoying doing together lately?".
1.2.1. **Scene 5** Branch RAPPORT: Build rapport first (Correct approach) [Emily relaxes slightly, sits down] Emily: Things are good, Isabella. Jackson loves playing with his toy cars at home, and he's really into dinosaurs right now. We read dinosaur books every night. Feedback: Great decision! Beginning with rapport-building and open-ended questions makes the parents comfortable in sharing their observations prior to addressing any concerns. It indicates that you respect the opinion and judgment of the parent regarding their child.
1.2.1.1. CHOICE POINT RAPPORT-1: How do you continue?
1.2.1.1.1. **Scene 6** Option RAPPORT-1a: "That's wonderful. I've noticed he loves dinosaurs here too. I did want to talk about some concerns I have about Jackson's development, particularly his speech. I've noticed he's not speaking as clearly as most children his age".
1.2.1.1.2. **Scene 9** Option RAPPORT-1b: That's great, Emily! I notice he loves dinosaurs here too. Does he talk a lot about them at home? I'm curious about what you've noticed about Jackson's speech and his play with other children.
1.3. **Scene 12** Option INQUIRY: "Thanks for coming in, Emily. I wanted to check in with you about Jackson. Have you noticed anything about his speech or how he plays with other children that you'd like to discuss?".
1.3.1. **Scene 12** Branch INQUIRY: Ask about parent observations first (Correct approach) [Emily appears thoughtful] Emily: Well, now that you mention it, I have wondered about his speech. He doesn't use as many words as his cousin who's the same age. And he seems more interested in playing by himself than with other kids. Have you noticed that too?
1.3.1.1. CHOICE POINT INQUIRY-1: How do you respond?
1.3.1.1.1. **Scene 13** Option INQUIRY-1a: "Thank you for sharing that with me, Emily. It's clear you know Jackson really well. Before we talk more about development, I'd love to hear about the things Jackson enjoys most. What makes him light up at home?".
1.3.1.1.2. **Scene 16** Option INQUIRY-1b: "Yes, I've noticed those same patterns here. I think we should look at getting Jackson assessed by a speech pathologist as soon as possible to see what's going on."