Psychosocial Assessment

1. Demographic Information

   - Name, age, gender, ethnicity, living situation, and primary language spoken at home.

   - Family composition and significant caregivers/guardians.

2. Presenting Concerns

   - The reason for seeking assessment or intervention. This could include behavioral issues, academic struggles, emotional concerns, etc.

   - Information on the duration and frequency of the concern.

3. Developmental History

   - Milestones achieved in areas such as language, motor skills, social interactions, and cognitive abilities.

   - Any history of developmental delays or milestones reached earlier or later than expected.

4. Medical History

   - Any significant medical conditions, chronic illnesses, allergies, or recent illnesses/injuries.

   - History of hospitalizations, surgeries, or ongoing treatments.

5. Educational History

   - Grade level, school attendance, performance, and any special education services or accommodations received.

   - Information on extracurricular activities, interests, and strengths.

6. Social History

   - Information about the child's social environment, including family dynamics, relationships with siblings, peers, and significant adults.

   - Any significant life changes or stressors (e.g., divorce, relocation, loss of a loved one).

7. Emotional and Behavioral Functioning

   - Mood and affect: Assess the child's general mood, and expressions of happiness, sadness, anxiety, or anger.

   - Behavioral observations: Note any behaviors that are age-appropriate or concerning (e.g., aggression, withdrawal).

   - Sleep patterns and any sleep disturbances.

8. Family History and Dynamics

   - Family structure, including information about parents/guardians, siblings, and extended family members.

   - History of mental health issues, substance use, or other significant family stressors.

9. Safety and Risk Assessment

   - Evaluate the child's safety and well-being at home, school, and in the community.

   - Assess for any signs of abuse, neglect, or exposure to domestic violence.

10. Cultural Considerations

   - Understanding the cultural background and values of the child and their family, which can influence their perceptions, beliefs, and behaviors.

11. Strengths and Resilience

   - Identify the child's areas of strength, talents, and positive coping mechanisms.

   - Acknowledge any support systems, hobbies, or activities that contribute to the child's well-being.

12. Parent/Guardian Input

   - Obtain insights from parents/guardians about their perceptions of the child's behavior, emotions, and overall functioning.

   - Inquire about any concerns or specific goals they have for their child.