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Meridian Youth Psychiatric Center CHILD AND ADOLESCENT SYMPTOM CHECKLIST Name of child adolescent: Date Name of person completing checklist: Relationship: Instructions: Please read each item carefully.

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How to fill out the CHILD AND ADOLESCENT PROBLEM SYMPTOM CHECKLIST online

Filling out the Child and Adolescent Problem Symptom Checklist is an essential step in assessing the behavioral, academic, thinking, feelings, family, social, and physical conditions of children and adolescents. This guide will walk you through each section of the checklist to ensure comprehensive and accurate completion.

Follow the steps to fill out and submit the checklist correctly.

  1. Click ‘Get Form’ button to obtain the checklist and open it in the online editor.
  2. Begin filling out the top section of the form. Enter the name of the child or adolescent, the date, and your name as the person completing the checklist, along with your relationship to the individual.
  3. Carefully read each item in the behavioral section. If the behavior was observed in the last month, circle the corresponding number. If there were previous issues or if you wish to discuss it further, mark a check by that item.
  4. Move on to the academic section. Similarly, review each item. Circle the numbers that apply to the academic performance and classroom behavior, and place a check mark next to any items that are relevant to past issues.
  5. Proceed to the thinking section. Assess the thoughts and concentration challenges the individual may face. Circle the corresponding numbers for recent occurrences and check any past issues.
  6. Continue with the feelings section. Reflect on emotional states and patterns over the past month, marking responses accordingly.
  7. In the family section, evaluate the dynamics and relationships within the household. Indicate any concerns by circling or checking items as required.
  8. Next, review the social section and evaluate the individual's interactions with peers. Circle applicable items and check important past issues.
  9. Finally, examine the physical section. Document any physical concerns or complaints by marking the checklist correctly.
  10. Once you have completed the checklist, review your entries for accuracy. You may then save changes, download, print, or share the completed form as needed.

Empower your documentation process — complete the checklist online today!

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Examinees rate each of 90 items on a five-point scale from 0 (Not at All) to 4 (Extremely) specifying how much each has bothered them during the past 7 days.

Symptom Checklists "O" and "S" (KO "O" and KO "S") are self-report questionnaires used for determining the presence of neurotic disorders, assessment of changes of symptom intensity, and evaluation of effectiveness of treatment in terms of symptom reduction or intensification.

The Pediatric Symptom Checklist-17 (PSC-17) is a psychosocial screen designed to facilitate the recognition of cognitive, emotional, and behavioral problems so that appropriate interventions can be initiated as early as possible.

The PSC-35 is a 35-item assessment of cognitive, emotional, and behavioral problems that reflect caregiver perception of their child's psychosocial functioning. It can be used to screen, inform treatment planning, and measure change over time.

The Symptom Checklist-90-R (SCL-90-R) is a relatively brief self-report psychometric instrument (questionnaire) published by the Clinical Assessment division of the Pearson Assessment & Information group. It is designed to evaluate a broad range of psychological problems and symptoms of psychopathology.

any self-report inventory used to assess the severity of symptoms of a given disorder, as in the Beck Depression Inventory, or across a range of disorders, as in the Symptom Checklist-90–Revised.

The Symptom Checklist-90-Revised instrument helps evaluate a broad range of psychological problems and symptoms of psychopathology. The SCL-90-R® is also useful in measuring patient progress or treatment outcomes. Guidance on using this test in your telepractice.

The Pediatric Symptom Checklist (PSC) is a brief questionnaire that helps identify and assess changes in emotional and behavioral problems in children. The PSC covers a broad range of emotional and behavioral problems and is meant to provide an assessment of psychosocial functioning.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232