Parent Caregiver Forms


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Overview of 3 commonly administered caregiver surveys.

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Parent Caregiver Forms

  1. 1. Parent/Caregiver Forms The Child Behavior Checklist (6-18 yrs) Child Sexual Behavior Inventory (CSBI) (2-12 yrs) The Sensory Profile (SP)
  2. 2. The CBCL <ul><li>Child Behavior Checklist </li></ul><ul><li>For Boys 6-18 </li></ul><ul><li>Parent Survey </li></ul><ul><li>Teacher Survey </li></ul>
  3. 3. Order From: <ul><li>Achenbach System of Empirically Based Assessment </li></ul><ul><li> </li></ul>
  4. 15. The Child Sexual Behavior Inventory (2-12 years)
  5. 16. Order From: <ul><li>Psychological Assessment Resources </li></ul><ul><li> </li></ul>
  6. 17. General Information <ul><li>Caregiver report of sexual behavior </li></ul><ul><li>Intended for children with history of or suspicion of sexual abuse </li></ul><ul><li>Generates 3 clinical scales </li></ul>
  7. 18. Representative Domains in CSBI <ul><li>Boundary Problems </li></ul><ul><li>Exhibitionism </li></ul><ul><li>Gender Role Behavior </li></ul><ul><li>Self Stimulation </li></ul><ul><li>Sexual Anxiety </li></ul><ul><li>Sexual Interest </li></ul>
  8. 19. …Domains <ul><li>Sexual Intrusiveness </li></ul><ul><li>Sexual Knowledge </li></ul><ul><li>Voyeuristic Behavior </li></ul>
  9. 20. CSBI Clinical Scales <ul><li>Child Sexual Behavior Inventory Total (CSBI) </li></ul><ul><li>Developmentally Related Sexual Behavior (DRSB) </li></ul><ul><li>Sexual Abuse Specific Items (SASI) </li></ul>
  10. 24. <ul><li>Sensory Profile </li></ul><ul><li>Wide age range </li></ul><ul><li>Caregiver and Teacher </li></ul><ul><li>Sensory Processing Measure </li></ul><ul><li>Standardized K-6 </li></ul><ul><li>Multiple Context </li></ul>
  11. 25. Purpose of SP <ul><li>Identify possible areas of sensory processing problems </li></ul><ul><li>Obtain context-dependent picture of sensory processing behaviors </li></ul><ul><li>Determine need for further observation, assessment, and intervention plan </li></ul>
  12. 26. Versions from Birth to Adult <ul><li>Infant and Toddler Version </li></ul><ul><li>School Version </li></ul><ul><li>Adolescent and Adult Version </li></ul>
  13. 27. Infant Toddler <ul><li>Identifies sensory processing patterns in children from birth to 36 months who are at risk or have specific disabilities related to sensory processing abilities </li></ul><ul><li>Low registration </li></ul><ul><li>Sensation Seeking </li></ul><ul><li>Sensory sensitivity </li></ul><ul><li>Sensation avoiding </li></ul>
  14. 28. Infant Toddler <ul><li>Caregiver ratings yield a profile of typical sensory behaviors in response to stimuli in: </li></ul><ul><ul><li>Auditory </li></ul></ul><ul><ul><li>Visual </li></ul></ul><ul><ul><li>Tactile </li></ul></ul><ul><ul><li>Vestibular </li></ul></ul>
  15. 29. A=Almost Never S=Seldom O=Occasionally F=Frequently AA=Almost Always Sample of Sensory Profile Behaviors Rated:
  16. 30. School Age Ages: 3-10 Completed by caregivers 125-question profile Frequency of responses to various sensory experiences Short Sensory Profile includes 38 items
  17. 31. <ul><li>Includes 9 factor groupings that characterize children by their responsiveness to sensory input </li></ul><ul><li>Factors 1-5: </li></ul>
  18. 32. Factors 6-9
  19. 33. Sample of Sensory Profile Behaviors Rated: A=Always F=Frequently O=Occasionally S=Seldom N=Never
  20. 34. Sample of Sensory Profile Behaviors Rated:
  21. 35. Adolescent and Adult <ul><li>Self Evaluation (or can be read to if illiterate </li></ul><ul><li>Six Sensory Processing Areas </li></ul><ul><li>Taste/smell processing </li></ul><ul><li>Movement processing </li></ul><ul><li>Visual processing </li></ul><ul><li>Touch processing </li></ul><ul><li>Activity level </li></ul><ul><li>Auditory processing </li></ul>
  22. 36. Adolescent and Adult Profile.. <ul><li>Generates an individualized profile of sensory processing across four quadrants: </li></ul><ul><ul><li>Low registration </li></ul></ul><ul><ul><li>Sensation seeking </li></ul></ul><ul><ul><li>Sensory sensitivity </li></ul></ul><ul><ul><li>Sensation avoiding. </li></ul></ul>
  23. 37. Sample of Sensory Profile Behaviors Rated: A=Almost Never S=Seldom O=Occasionally F=Frequently AA=Almost Always
  24. 38. Order From.. <ul><li>Western Psychological Services </li></ul><ul><li> </li></ul>
  25. 39. Sensory Processing Measure <ul><li>Limited to age range of 5-12 </li></ul><ul><li>Is context-rich, allowing comparisons across multiple environments </li></ul>
  26. 40. Purpose <ul><li>To identify sensory concerns – both sensory systems and sensory processing difficulties </li></ul><ul><li>To determine if sensory processing difficulties influence a child's behaviors in school, at home, and in the community </li></ul><ul><li>To identify if and how the sensory qualities of an environment affects the child's functioning in terms of barriers and faciliators </li></ul>
  27. 41. SPM Protocols <ul><li>The SPM consists of three forms </li></ul><ul><ul><li>Home Form </li></ul></ul><ul><ul><li>Main Classroom Form </li></ul></ul><ul><ul><li>School Environments Form </li></ul></ul>
  28. 42. Home and Classroom Forms <ul><li>Caregiver and teacher responses to sensory based behaviors in the following areas </li></ul><ul><ul><li>Social Participation </li></ul></ul><ul><ul><li>Vision </li></ul></ul><ul><ul><li>Hearing </li></ul></ul><ul><ul><li>Touch </li></ul></ul><ul><ul><li>Body Awareness (proprioception) </li></ul></ul><ul><ul><li>Balance and Motion (vestibular function) </li></ul></ul><ul><ul><li>Planning and Ideas (praxis ) </li></ul></ul>
  29. 43. School Environment Forms <ul><li>Art </li></ul><ul><li>Music </li></ul><ul><li>PE </li></ul><ul><li>Playground </li></ul><ul><li>Cafeteria </li></ul><ul><li>Bus </li></ul>Allows for comparison of observed sensory processing behaviors across multiple contexts
  30. 44. Sensory Processing Measure <ul><li>Target Respondents include: </li></ul><ul><ul><li>Parent </li></ul></ul><ul><ul><li>Teacher </li></ul></ul><ul><ul><li>Bus Driver </li></ul></ul><ul><ul><li>Cafeteria Worker </li></ul></ul><ul><ul><li>Music and Art Teachers </li></ul></ul>
  31. 45. Order From: <ul><li>Pearson Clinical Assessment Products </li></ul><ul><li> </li></ul>
  32. 46. This presentation is part of a comprehensive professional education and training project created by the SW Michigan Children’s Trauma Assessment Center funded by a grant from the Substance Abuse and Mental Health Services, Department of Health and Human Services which funds the National Children’s Trauma Stress Network