17-18 Assessments and File Checklist

	A	B	C	D	E	F	G
1	Family File Checklist New Parent

2	Parent						Child
3	Home Visitor	asd					YR 1 2 3
4	Notes	Complete	Local	THV	HOPES	A+	2017-18 Assessment X=required; O=Program Strengthening/Recommended
5			x	x	x	x	UNT IRB Consent
6						x	A+Consent
7				x	x		THV Consent
8			x	x	x	x	Family File Checklist
9			x	x	x	x	Family Application
10			x	x	x	x	Pretest - Bracken School Readiness Assessment
11						x	Pretest - Parent Knowledge of ASD
12				x		x	Pretest - Parenting Check In
13				x			Pretest - DECA
14						x	Pretest - GARS
15			x	x	x	x	Pretest - Parent Inv. Interview - New Parents Only
16					x	x	Pretest - PFS/HIPPY Parent Surv. - New Parents Only
17			0	x	0	x	Pretest - PICCOLO
18			0	0	0	x	Pretest - HIPPY Parent Child Observation or A+ version
19			x	0	0	x	ASQ3/SE
20				x			Mid - Edinburgh Depression Screening
21				x			Mid - DECA - within 4 months
22				x		x	Mid - Parenting Check In
23				x			Mid - Domestic Violence Screener - within 6 months
24			0	x	0		Post - PICCOLO
25			0	0	0	x	Post - HIPPY Parent Child Observation or A+ version
26			x	x	x	x	Post - Family Update/Exit
27			x	x	x	x	Post - Bracken School Readiness Assessment
28			x	x	x	x	Post - Parent Involvement Int. - New Parents Only
29					x	x	Post - PFS/HIPPY Parent Survey - New Parents Only
30						x	Post - Parent Knowledge of ASD
31				x		x	Post - Parenting Check In
32		sadfg		x			Post - DECA
33						x	Post - GARS
34	Date & Notes	Date					Home Visits Records complete through pkt #
35	Notes						Home Visits Records complete through pkt #
36	asdlkjfasd						Home Visits Records complete through pkt #
37	asdlkjfasdf						Final Check - HV Records complete through pkt 30
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