Get the free Pediatric Symptom Checklist- 17 (PSC-17)

PSC17 Internalizing score is sum of column I PSC17 Attention score is sum of column A PSC17 Total Score is sum of I A and E columns Suggested Screen Cutoff PSC17 I 5 PSC17 A 7 Total Score 15 Effective 4/23/2014 Page 1 of 1 E. Pediatric Symptom Checklist- 17 PSC-17 Caregiver Completing this Form Date Name of Child Fidgety unable to sit still Feels sad unhappy Daydreams too much Refuses to share Does not understand other people s feelings Feels hopeless Has trouble concentrating Fights...

How to fill out pediatric symptom checklist- 17

How to fill out pediatric symptom checklist- 17

1. Gather a copy of the Pediatric Symptom Checklist-17 form.
2. Read and understand the instructions provided with the form.
3. Prepare a quiet and comfortable environment to fill out the checklist.
4. Have a pen or pencil ready to mark the checklist.
5. Start by providing the necessary demographic information at the top of the form.
6. Go through each item on the checklist and evaluate the child's behavior based on the provided scale.
7. Mark an 'X' for each item that is a concern or issue for the child.
8. Continue this process until you have completed all the items on the checklist.
9. Review your responses and ensure they accurately reflect your observations.
10. If you have any doubts or questions, consult a healthcare professional.
11. Once you are satisfied with your responses, keep the checklist in a safe place for future reference or follow-up.

Who needs pediatric symptom checklist- 17?

1. Parents or caregivers of children aged 4-18 years can use the Pediatric Symptom Checklist-17.
2. Healthcare professionals may also administer the checklist to assess a child's emotional and behavioral well-being.
3. The checklist can be used in various settings such as schools, clinics, and mental health facilities.
4. Anyone who wants to monitor or identify potential emotional or behavioral problems in a child can benefit from using the checklist.

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What is pediatric symptom checklist- 17?

The pediatric symptom checklist- 17 is a tool used to screen for emotional and behavior problems in children and adolescents.

Who is required to file pediatric symptom checklist- 17?

Healthcare providers, therapists, and caregivers are required to fill out the pediatric symptom checklist- 17 for children and adolescents.

How to fill out pediatric symptom checklist- 17?

To fill out the pediatric symptom checklist- 17, providers need to answer questions about the child's behavior and emotions based on their observations.

What is the purpose of pediatric symptom checklist- 17?

The purpose of the pediatric symptom checklist- 17 is to identify potential emotional and behavior problems in children and adolescents for early intervention.

What information must be reported on pediatric symptom checklist- 17?

The pediatric symptom checklist- 17 requires information about the child's behavior, emotions, and any potential issues that may need further evaluation.