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

Jellinek J.M. Murphy Massachusetts General Hospital 17-item version created by W. Gardner K. Kelleher. FORM A Child s Name Date of Birth Filled out by Today s Date Pediatric Symptom Checklist 17 PSC-17 Emotional and physical health go together in children. Because parents are often the first to notice a problem with their child s behavior emotions or learning you may help your child get the best care possible by answering these questions. Please indicate which statement best describes your...

How to fill out pediatric symptom checklist 17

How to fill out pediatric symptom checklist 17

1. Gather the pediatric symptom checklist 17 form
2. Begin by filling out the demographic information section such as the child's name, age, and date of birth
3. Next, move on to the first section of the checklist which focuses on emotional symptoms
4. For each statement in the emotional symptoms section, mark whether it is 'not true,' 'somewhat or sometimes true,' or 'very true or often true' for the child
5. Repeat the same process for the remaining sections which cover behavioral, somatic complaints, and social/cognitive symptoms
6. When you have completed all the sections, review your answers to ensure accuracy
7. Finally, sign and date the form to complete the pediatric symptom checklist 17

Who needs pediatric symptom checklist 17?

1. Pediatricians and healthcare professionals who are assessing the mental health of children
2. Parents or caregivers who may have concerns about their child's emotional and behavioral well-being
3. School counselors and educators who work closely with children and want to identify potential symptoms or issues
4. Researchers or clinicians conducting studies or assessments related to childhood mental health

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What is pediatric symptom checklist 17?

Pediatric Symptom Checklist 17 is a screening tool used to assess behavioral and emotional problems in children and adolescents.

Who is required to file pediatric symptom checklist 17?

Healthcare professionals such as pediatricians, psychologists, and counselors are required to administer and file the Pediatric Symptom Checklist 17.

How to fill out pediatric symptom checklist 17?

The Pediatric Symptom Checklist 17 can be filled out by parents, caregivers, or the child's healthcare provider by answering a series of questions about the child's behavior and emotions.

What is the purpose of pediatric symptom checklist 17?

The purpose of the Pediatric Symptom Checklist 17 is to identify behavioral and emotional problems in children and adolescents early on, so that appropriate interventions can be implemented.

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 symptoms they may be experiencing.