.
Children's Mental Health Screening Checklist
For Parents to Consider Several Weeks After the War or A Terror Attack Started -- To Help Decide If A Child is In Need Of Mental Health Services
For each 'yes' answer c i rc l e the score
SCORE
QUESTION
+5
1. Has the child had more than one major stress within a year beforethe war, such as a death in the family, a divorce, or a major physical illness?
-10
2. Does the child have a network of supportive, caring persons whocontinue to relate to him daily?
+5
3. Does the child have a family who was in the war zone?
+5
4. Is the child showing increasingly severe disobedience ordelinquency?
HAS THE CHILD SHOWN ANY OF THE FOLLOWING AS NEW BEHAVIORS FOR MORE THAN THREE WEEKS AFTER THE STRESSFUL WAR OR TERROR EVENTS BEGAN?
+5
5. nightly states of terror?
+5
6. waking from dreams confused or in a sweat?
+5
7. difficulty concentrating?
8. extreme irritability?
+5
9. loss of previous achievements in toilet training or speech?
+5
+5
10. onset of stuttering or lisping?
11. persistent severe anxiety or phobias?
+5
+5
12. obstinacy?
13. new or exaggerated fears?
+5
14. rituals or compulsions?
+5
88
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