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NAME: ___ DOB: ___ DATE: ___BRIGHT FUTURESTOOL FOR PROFESSIONALSPediatric Symptom ChecklistYouth Report (YPSC) Please mark under the heading that best fits you: NeverSometimesOften1. Complain of aches
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Provide the pediatric symptom checklist-youth report form to the appropriate individual.
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The Pediatric Symptom Checklist-Youth Report (PSC-Y) is a screening tool used to identify emotional, behavioral, and developmental issues in children and adolescents. It consists of a questionnaire that parents or guardians fill out, which helps in assessing the child's psychosocial functioning.
Parents, guardians, or legal caregivers of children and adolescents typically complete the Pediatric Symptom Checklist-Youth Report in clinical or educational settings when requested by healthcare providers or educational institutions.
To fill out the Pediatric Symptom Checklist-Youth Report, the respondent needs to read each statement carefully and indicate how often the child experiences each symptom, selecting options such as 'Not True', 'Somewhat True', or 'Very True' based on their observations over the past month.
The purpose of the Pediatric Symptom Checklist-Youth Report is to identify potential emotional or behavioral problems in children, facilitate early intervention, and guide parents and clinicians in addressing the child's needs.
Information required on the PSC-Y includes the child's personal details, responses to symptom-related questions, and any additional comments regarding the child's behavior or emotional health as observed by the parent or guardian.
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