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Adolescence Infancy - early childhood Prenatal - early childhood Prenatal Cortex Limbic Mid-brain Brain Stem Rational thinking Emotions Survival 19
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Nurturing early relationships Traumatic histories 21
Impact of Maltreatment on the Brain Image from Bruce D. Perry, MD, PhD, The Child Trauma Academy Victim Judge Passive bystander Rescuer 22
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Director Access to Health Care Unit Clinical Services Environmental Services Health Education And Promotion North County Public Health Emergency Preparedness Medical Examiner Operations HIV Programs Reproductive Health Environmental Health Nutrition Programs Nutrition Program Strategic Planning Finance and Administration Prescription Drug Discount Program Immunizations Smoke Free AZ Injury Prevention WIC Maternal and Child Health Communicable Disease Environmental Quality WIC Breastfeeding Neonatal Intensive Care Home Health Animal Management Breastfeeding Heartbeat Guardianship Invesitgations Dental Clinic Food Plus Healthy Families Birth Certificates Juvenile Services Heartbeat Health Start Healthy Families Tobacco Prevention Common Ground Injury Prevention Tobacco Education Environmental Health Smoke Free AZ Smoke Free AZ 35
Senior Manager Healthy Families Program Manager Assessment Worker Program Coodinator Administrative Specialist Caseworker Caseworker Caseworker Caseworker Caseworker Caseworker Caseworker Caseworker Caseworker 36
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4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 97
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ID T F U T F U T F U T F U T F U T F U T F U12 T F U T F U T F U 10T F U 11T F U 12T F U 13T F U 14T F U 15T F U T 1,9,12 T U FSC FSC 133
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Parent Survey Summary Worksheet PRC Sample Parent Surveys I. PERSONS PRESENT AT THE VISIT: II. PARENT SURVEY INFORMATION: MOM DAD 1. Parent s Childhood Experience: 2. Lifestyle Behaviors and Mental Health: a) Alcohol b) Drugs c) Mental Health d) Involvement with Law Enforcement 141
MOM DAD 3. Parenting Experience: 4. Coping Skills and Support System: 5. Current Stresses: a) Relationship b) Housing c) Finances d) Other(s) 142
MOM DAD 6. Anger Management Skills: a) In Current Relationship b) In Other Situations/Relationships 7. Expectations of Infant s Developmental Milestones and Behavior: a) Walking b) Toilet Training c) Crying Baby d) Spoiling 143
MOM DAD 8. Plans for Discipline: a) How b) When to Begin 9. Perception of New Infant: () 10. Bonding and Attachment: a) How felt when first found out about pregnancy b) How feel about baby now TOTAL SCORES: MOM DAD PARENT S STRENGTHS: 4 Great Kids, Inc. Rev. 1/2005 1-800-906-5581 www.greatkidsinc.org 144
Great Kids Inc. #1: (0) a) b) (6 ) c) (5) 5 ): a) 7 b) () c) () d) e) () (10) ( 10 ) a) b) c) () d) e) () f) () g) ( ) h) i) () j) k) #2: (0) a) () b) 1 145
c) d) ( 5 ) e) ( 5 ) f) (5) ( 5 ) a) () b) c) ( 10 ) d) e) () (1) (2) () (3) (4) (5) (6) (10) ( 10 ) a) b) ( 2 ) c) d) ( ) e) f) g) h) i) ( ) j) ) k) #3: (0) a) b) () (5) ( 5 ) a) b) 2 146
(10) ( 10 ) a) b) c) d) e) f) () #4: (0) a) ( ) b) c) () d) () e) f) g) h) (12 ) (5) ( 5 ) a) b) c) d) e) f) g) h) ( 5 ) i) () (10) ( 10 ) a) b) c) d) e) f) g) ( ) h) 3 147
i) () j) (6 ) k) #5: (0) a) () b) c) ( 5 ) d) e) (5) (10 5 ) a) 10 b) c) d) ( 1 ) e) f) g) h) (10) ( 10 ) a) b) c) d) e) () f) g) h) i) ( ) j) #6: (0) a) b) 4 148
c) (5) ( 5 ) a) b) c) (10) ( 10 ) a) b) () c) () d) e) () f) #7: (0) a) () b) 9 15 15 c) 1 1 2 d) 5 10 e) (5) ( 5 ) a) ( ) b) () c) ( 4 ) d) e) 30 f) (10) ( 10 ) a) ( ) b) () c) 5 149
d) e) 30 f) () g) #8: (0) a) 12 ( ) b) () (5) ( 5 ) a) b) (10) ( 10 ) a) b) () c) d) e) #9: (0) a) b) () (5) ( 5 ) a) b) (10) ( 10 ) a) ( ) b) c) d) 6 150
#10: (0) a) b) c) d) (5) 5 a) b) () c) d) (10) ( 10 ) a) ( ) b) ( ) c) d) e) f) g) 7 151
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1. 2. 3. 4. 5. 6. ASQ,ASQ-SE,HFIP,CRAFFT 7.? 8. 9. 10. 11. 12. 13. 14. 15. 16. 48 2 154
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 63 155
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