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 Maricopa
Category:
State:
Multi-State
County:
Maricopa
Control #:
US-00458BG
Format:
Word;
Rich Text
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The CBCL consists of 113 questions, scored on a three-point Likert scale (0=absent, 1= occurs sometimes, 2=occurs often). Youth 6 to 18 years of age.
The Child Behaviour Checklist (CBCL/6–18) is a 113-item parent report measure designed to assess behavioural and emotional problems in children and young people aged 6–18 years.
The CBCL provides information on six scales: affective problems, attention-deficit/hyperactivity, anxiety, oppositional defiance, somatic problems, and conduct problems.
The findings showed that the Child Behavior Checklist 1.5-5 performed well in identifying autism spectrum disorder, with high reliability and consistency in the results.
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 BASC-3 includes Teacher Rating Scales (TRS) and Parent Rating Scales (PRS), each of which has three levels: preschool (2–5 years), child (6–11 years), and adolescent (12–21 years). Items are scored on a 0 (never) to 3 (almost always) scale.