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How To Score and Use The Mental Health Checklist:
Add the pluses and minuses for all questions that apply to your child. If your child scores more than 45, we suggest mental health consultation from your pediatrician or one of the services listed in the Mental Health Services section of your local resources’ directory . Take this book with you to the consultation. A child who becomes preoccupied with death or is unusually accident prone, or who makes suicidal threats, should be taken for immediate consultation. We also recommend that any child who has lost a parent, sibling, or caregiver by death in this war receive preventative brief therapy as soon as it is possible.
WHAT’S MY “ ACE ” SCORE • “Adverse Childhood Experiences” Assessment (To be used by an adult about himself or herself) (Permission to reprint as part of Guided Activity Workbook in progress )
Prior to your eighteenth birthday:
1. Did a parent or other adult in the household often …
Swear at you, insult you, put you down, or humiliate you? or Act in a way that made you afraid you might be physically, hurt? Yes No If yes enter 1 ___
2. Did a parent or other adult in the household often … Push, grab, slap, or throw something at you? or
Ever hit you so hard that you had marks or were injured? Yes. No If yes enter 1 ___
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