Discussion DB #2 – Risk Assessment Activity – Directions for this board are embedded in the audio clip for Powerpoint #8 (slide 11).

Discussion DB #2 – Risk Assessment Activity – Directions for this board are embedded in the audio clip for Powerpoint #8 (slide 11).
Child’s Name or ID#:_______________ Date: ____________ (First name SURNAME) (YYYY-MM-DD) Assessor: _________________ Child’s DOB: ___________ Age: _____________ (YYYY-MM-DD) Family Items Rating (0-1-2) Critical Risk F1 Household Circumstances (5 family members living in 2 bedroom apartment, finances very tight) 2 X F2 Caregiver Continuity (always lived with mom, parents separated, still maintains contact with dad) 1 F3 Supports (extended family, few close friends, child welfare worker, not connected to community ) 1 F4 Stressors (marital problems & family violence issues, school problems, seems to feel in control) 1 X F5 Parenting (ineffective limits, lack of patience, punitive discipline – cut hair) 2 X F6 Caregiver-Daughter Interaction (lots of maternal & daughter warmth & love, + contact with dad) 0 F7 Antisocial Values and Conduct (family violence – dad spent night in jail) 2 X Child Items Rating (0-1-2) Critical Risk C1 Developmental Problems (none noted) 0 C2 Onset of Behavioral Difficulties (aggressive behaviors identified at 4.5 yrs) 2 C3 Abuse/Neglect/Trauma (witnessed domestic violence) 2 X C4 HIA (Hyperactivity/Impulsivity/Attention Deficits) (“energetic” but able to concentrate and focus 0 C5 Likeability (‘somewhat’ likeable according to teachers & mom’s friends, creative, stubborn) 1 C6 Peer Socialization (hard time making and keeping friends – hits kids) 2 X C7 Academic Performance (functioning at grade level – reading 1 year behind – special reading program) 1 C8 Neighborhood (unsafe, gang presence, lacking community connection) 2 C9 Sexual Development (engaging in sexual exploration with her female cousin) 1 X C10 Antisocial Attitudes (difficulty apologizing, taking responsibility, or feeling badly) 2 C11 Antisocial Behavior (school suspensions, violent, threatening, aggression, oppositional, bullies) 2 C12 Coping Ability (problems noted at school, issues with uncontrollable anger) 1 Responsivity Items Rating (0-1-2) Critical Risk R1 Family Responsivity (mom enthusiastic about participating in treatment, no noted concerns) 0 R2 Child Responsivity (positive – looking forward to the SNAP® Girls Connection) 0 Total Score: 25 Overall Clinical Judgment HIGH MOD LOW
Discussion DB #2 – Risk Assessment Activity – Directions for this board are embedded in the audio clip for Powerpoint #8 (slide 11).
Child’s Name or ID#:_______________ Date: ____________ (First name SURNAME) (YYYY-MM-DD) Assessor: _________________ Child’s DOB: ___________ Age: _____________ (YYYY-MM-DD) Family Items Rating (0-1-2) Critical Risk F1 Household Circumstances (5 family members living in 2 bedroom apartment, finances very tight) 2 X F2 Caregiver Continuity (always lived with mom, parents separated, still maintains contact with dad) 1 F3 Supports (extended family, few close friends, child welfare worker, not connected to community ) 1 F4 Stressors (marital problems & family violence issues, school problems, seems to feel in control) 1 X F5 Parenting (ineffective limits, lack of patience, punitive discipline – cut hair) 2 X F6 Caregiver-Daughter Interaction (lots of maternal & daughter warmth & love, + contact with dad) 0 F7 Antisocial Values and Conduct (family violence – dad spent night in jail) 2 X Child Items Rating (0-1-2) Critical Risk C1 Developmental Problems (none noted) 0 C2 Onset of Behavioral Difficulties (aggressive behaviors identified at 4.5 yrs) 2 C3 Abuse/Neglect/Trauma (witnessed domestic violence) 2 X C4 HIA (Hyperactivity/Impulsivity/Attention Deficits) (“energetic” but able to concentrate and focus 0 C5 Likeability (‘somewhat’ likeable according to teachers & mom’s friends, creative, stubborn) 1 C6 Peer Socialization (hard time making and keeping friends – hits kids) 2 X C7 Academic Performance (functioning at grade level – reading 1 year behind – special reading program) 1 C8 Neighborhood (unsafe, gang presence, lacking community connection) 2 C9 Sexual Development (engaging in sexual exploration with her female cousin) 1 X C10 Antisocial Attitudes (difficulty apologizing, taking responsibility, or feeling badly) 2 C11 Antisocial Behavior (school suspensions, violent, threatening, aggression, oppositional, bullies) 2 C12 Coping Ability (problems noted at school, issues with uncontrollable anger) 1 Responsivity Items Rating (0-1-2) Critical Risk R1 Family Responsivity (mom enthusiastic about participating in treatment, no noted concerns) 0 R2 Child Responsivity (positive – looking forward to the SNAP® Girls Connection) 0 Total Score: 25 Overall Clinical Judgment HIGH MOD LOW