I am with Bright Sparks ... I use developmental screening checklists with ALL my crew regularly as part of the program and they are made aware at the interiew stage that way no client feels singled out when I do it ... I do it for here, they do it for at home and we discuss the overlaps and differences to set goals ... this way it is non threatening and so forth - this has generally always worked for me to at least get them to bring it up to a family Dr now I have been undermined by a dumb Dr a time or two only to have it take until the school got involved but at least my ass was covered as a professional that I had tried with y due diligence and within scope of my training and so forth to get the kid help as early as possible ... we are not the parent and can only advocate and educate so much the rest is up to parent too!!