This form is a sample of an agreement between an elderly or disabled client and a Caregiver who operates as an independent contractor and provides personnel to assist Client to live at home and to have as much control over the home environment and life as possible under the circumstances. Caregiver's personnel also assist Client with the activities of daily living, scheduling medication, assistance with mobility, accompanying Client on errands and appointments, and such other services as agreed between Client and Caregiver.
In this agreement, Client waives damages for simple negligence of Caregiver, but not gross negligence or misconduct that is intentional or criminal in nature. Courts generally will not enforce waivers of this type of misconduct since such a waiver would be deemed to be against public policy because it would encourage dangerous and illegal behavior.
Caregiver-teacher Report Form For Ages 1.5-5 Scoring In Dallas
Category:
State:
Multi-State
County:
Dallas
Control #:
US-00458BG
Format:
Word;
Rich Text
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FAQ
Scores between 54 and 67 points are considered with a moderate probability of the disorder, inconclusive scores range between 47 and 53 points, and scores below 47 points discard autism.
Response format 3-point Likert scale (0 = “Absent”, 1 = “Occurs sometimes”, 2 = “Occurs often”). Strengths: The CBCL is a valid and reliable measure which is sensitive to change in short interventions.
The Achenbach System of Empirically Based Assessment (ASEBA) is a tool that can be used to assess behavioral and emotional problems in children. The ASEBA-PC is a computer-based version of the ASEBA that includes the Child Behavior Checklist (CBCL) for children ages 1.5–5.
The Child Behavior Rating Scale (Bronson et al., 1990) is a teacher-report measure used to gather information about “a child's task behavior and social behavior with peers and adults” (Bronson et al., 1995, p. 260).
The CBCL form is self-explanatory and includes biographical and general functioning questions as well as 113 statements that are rated as not true ( score 0), somewhat/sometimes true (score 1), or very true/often true (score 2).
Assessment Tools The Conners 4rd Edition (Conners 4®) Conners 4® is an assessment tool designed to measure a range of behaviours in children aged six to 18. ASEBA Child Behaviour Checklist (CBCL) ... Vineland Adaptive Behaviour Scales (Vineland-3) ... Adaptive Behaviour Assessment System (ABAS-III)