CAREGIVER RESOURCES

CAREGIVER RESOURCES & NEEDS DOMAIN Supervision: ( level of monitoring and discipline to promote positive behavior )  Does the caregiver set appropriate limits on the individual?  Does the caregiver provide appropriate support to the individual to meet the caregiver’s expectations?  Does the caregiver think they need some help with these issues?  Rate 0: caregiver has good monitoring and discipline skills  Rate 1: generally provides adequate supervision, but is inconsistent; may need occasional help  Rate 2: very inconsistent and frequently absent; needs assistance to improve supervision skills  Rate 3: unable to monitor or discipline the individual; requires immediate and continuing assistance; individual is at risk of harm Involvement with Care: ( participation level and ability to advocate )  How involved are the caregivers in services for the individual?  Is the caregiver an advocate for the individual?  Would they like any help to become more involved?  Rate 0: an effective advocate for the individual  Rate 1: consistently involved but not an active advocate on behalf of the individual; open to receiving support, education, and information  Rate 2: does not actively involve themselves in services  Rate 3: wishes for individual to be removed from their care Knowledge: ( knowledge of the individual’s strengths and needs; problem experienced by the individual, rationale for the treatment )  How does the caregiver understand the individual’s needs?  Does the caregiver have the necessary information to meet the individual’s needs?  Rate 0: fully knowledgeable  Rate 1: generally knowledgeable; mild deficits in understanding psychological condition, talents, skills and assets  Rate 2: does not know well; significant deficits exist in the ability to relate to the individual’s problems and strengths  Rate 3: little or no understanding; places the individual at risk of significant negative outcomes Social Resources: ( social assets, extended family )  Does family have extended family or friends who provide emotional support?  Can they call on social support to watch the individual occasionally?  Rate 0: significant social and family networks; actively help with caregiving  Rate 1: some family, friends or social network; actively help  Rate 2: work needs to be done to engage family, friends, social network  Rate 3: no family or social network to help

Financial Resources:  Does the family have sufficient funds to raise or care for the individual?  Rate 0: sufficient financial resources  Rate 1: some financial resources; history of struggles  Rate 2: limited financial resources  Rate 3: no financial resources Residential Stability: ( current and future housing circumstances )  Is the family’s current housing situation stable?  Are there concerns that they might have to move in the near future?  Rate 0: stable housing  Rate 1: relatively stable; moved in the recent past OR might force housing disruption  Rate 2: unstable; moved multiple times in the past year  Rate 3: homeless; periods of homelessness in the recent past Medical/Physical: ( prevent or limit ability to parent or care )  How is the caregiver’s health?  Do they have any health problems that limit their ability to care for the family?  Rate 0: generally healthy  Rate 1: history OR suspicion; in recovery from medical/physical problems  Rate 2: interfere with their capacity to provide care  Rate 3: impossible Mental Health: ( not including substance abuse )  Do caregivers have any mental health needs that make parenting difficult?  Does anyone else in the family have serious mental health needs that the caregiver is taking care of?  Rate 0: No  Rate 1: History OR suspicion; in recovery from  Rate 2: interfere  Rate 3: impossible Substance Use:  Do caregivers have any substance use needs that make parenting difficult?  Does anyone else in the family have a serious substance use need that is impacting the resources of caregiving?  Rate 0: No  Rate 1: History; suspicion of mild use; in recovery not interference in their ability to provide care  Rate 2: current use; interferes with caregiving capacity  Rate 3: impossible to provide care at this time Developmental: ( limited cognitive capacity OR developmental disabilities )

 Rate 2: frequent arguments; escalate to verbal aggression; significant destruction of property which individual often witnesses  Rate 3: often escalates to violence and use of physical aggression; episodes may exacerbate individual’s difficulties OR put the individual at greater risk Military Transitions: ( impact of transitions )  Is the caregiver involved in a transition experience related to military service?  How does it affect their role as caregivers?  Rate 0: Not experiencing any transitions; Not involved in military services  Rate 1: anticipating a transition in the near future; in the past that was challenging  Rate 2: is experiencing a transition  Rate 3: major impact on their caregiving roles Self-Care/Daily Living Skills: ( Self-care activities OR basic activities of daily living )  Does the caregiver have the basic activities of daily living skills needed to provide care for the individual?  What level of support with daily living skills does the caregiver need to provide care for the individual?  Rate 0: possesses the basic activities of daily living  Rate 1: has had difficulties in the past OR needs verbal prompting to complete  Rate 2: needs assistance (physical prompting); interferes with their ability to care for the individual  Rate 3: unable to complete; impossible to; needs immediate intervention Employment/ Educational Functioning: ( school OR work settings )  Does the caregiver have any problems at school or work?  What level of support does the caregiver need to address their problems at work or school?  Does the caregiver need support in funding employment or attending school?  Rate 0: gainfully employed/ in school  Rate 1: mild problems with functioning; needs to be monitored and assessed further  Rate 2: moderate problems; difficulties with learning; history of frequent job loss; recently unemployed; need an intervention  Rate 3: severe degree of problems; chronically unemployed and not attending any education program; immediate intervention Legal Involvement: ( justice system; legal issues related to immigration )  Has the caregiver been arrested?  Is one or more of the caregivers incarcerated or on probation?  Is one or more of the caregivers struggling with immigration or legal documentation issues?  Rate 0: No known legal difficulties  Rate 1: History of legal problem but currently is not involved  Rate 2: has some legal problems; currently involved in legal system  Rate 3: serious current or pending legal difficulties at risk for incarceration; needs immediate comprehensive and community-based intervention; is incarcerated

Family Relationship to the System (0-21): ( family’s apprehension to engage with the formal health care system creates a barrier to receipt of care; over-prescribed; understand its impact on the family’s choices; reconsider their approach )  Does the caregiver express any hesitancy in engaging in formal services?  How does the caregiver’s hesitancy impact their engagement in care for the individual?  Rate 0: no concerns about engaging with the formal helping system  Rate 1: some hesitancy; is easily rectified with clear communication about intentions  Rate 2: expresses hesitancy; requires significant discussions and possible revisions to the treatment plan  Rate 3: prohibits the family’s engagement with the present treatment team; development of an alternate treatment plan may be required Accessibility to Child Care (0-21): ( access to appropriate childcare for young children OR older youth with developmental delays )  Does the caregiver have access to daycare/childcare services?  What other services are needed?  Rate 0: has access to sufficient childcare services  Rate 1: limited access; needs are met minimally  Rate 2: does not meet the caregiver’s needs  Rate 3: has no access Empathy with Children (0-21): ( ability to understand and respond to the joys, sorrows, anxieties, and other feelings of children with helpful, supportive emotional responses )  Is the caregiver able to empathize with the child?  Are there situations in which the caregiver is unable to empathize with the child?  Is the caregiver’s level of empathy impacting the child and their development?  Rate 0: emotionally empathic; attends to child’s emotional needs; consistently demonstrates empathy in interactions with the child  Rate 1: generally emotionally empathic and attends to child’s emotional needs most of the time; can understand child’s feelings in most situations  Rate 2: often not empathic and frequently is not able to attend to child’s emotional needs; only able to be empathic toward the child in some situations; interferes with the child’s growth and development  Rate 3: not empathic and rarely attends to emotional needs; impeding child’s development