1 - Minimally
2 - Partially
3 - Mostly
4 - Fully
1. Has equal empathy for the child and the caregivers (Overall Tone)
2. Sees the gap between caregivers’ expectations and the child’s abilities and how it is linked to the child’s behavior. (3,4,7,8, 10, NIP1)
3. Understands the communicative intent (underlying frustration, anxiety, and unmet emotional needs) behind the child’s symptoms and behavior. (3,4,10, 24 NIP 2)
4. Sees how the caregiver misreads the child’s frustration and escalates negative behavior (1, NIP 3)
5. Understands how the caregivers’ life experiences, current social context, or personal vulnerabilities shape their perspective and reaction to the child (13-15,, NIP 4)
6. Is sensitive to how social location and current stresses/strains on the family impact functioning (Cover, 11,12)
7. Understands the caregiving structure in the family (e.g. enmeshed, high-conflict, under-organized, authoritarian), and its implications for the NIP (19,21,23)
8. Appreciates everyone’s roles in the NIP (including siblings and others in the ecosystem) (20-23, NIP 5)
9. Knows which caregiver actions are likely to be de-escalating for this child given his/her vulnerabilities (antidote to NIP) (3,4,17,18,24)
10. Identifies meaningful child, caregiver, and family strengths that can be built on in treatment (3,6,17,18)