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 Form Template For Ages 1.5-5 Scoring In Middlesex
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State:
Multi-State
County:
Middlesex
Control #:
US-00458BG
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Word;
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FAQ
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.
'Clinically significant' elevations are indicated by T-scores ≥ 64 on the broadband scales, and ≥ 70 on the syndrome scales. 'Borderline' elevations range from 60–63 and 65–69 on the broadband and syndrome scales, respectively.
CBCL/1.5-5 - Child Behavior Checklist for Ages 1.5-5. The CBCL/1.5-5 obtains caregivers' ratings of 99 problem items. Items are scored on the following syndrome scales: Emotionally Reactive, Anxious/Depressed, Somatic Complaints, Withdrawn, Attention Problems, Aggressive Behavior, and Sleep Problems.
There are two "broadband" scales that combine several of the syndrome scales: Internalizing problems sums the Anxious/depressed, Withdrawn-depressed, and Somatic complaints scores; Externalizing problems combines Rule-breaking and Aggressive behavior.
ï‚´ 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).