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#12 – Finding Help in Your Community– ASSESSMENT

                      Parent’s Name: _______________________                Today’s Date:
                      Case Manager: _______________________                 _________________



               Assessment Checklist
                   Check the box for each of the following knowledge, skills, and/or abilities (KSAs) the parent has
                   successfully demonstrated.

                From Pamphlet:                                 Additional Content in Instructor’s Manual:

                 Identify places to find assistance when I     Identify services and assistance available to
                    need help.                                     children at different ages.
                 Describe basic government services            List specific programs I can use in my
                    available to me and my child.                  community to help my child right now.
                 List specific food programs my child may      Identify ways I can build a support service for
               From Pamphlet: ©2022 Learnovation®, LLC
                                                                   my family.
                    qualify for.
                 List possible options for finding childcare.
                                                                Review strategies for managing my anger.
                 Identify tips for making the most of your
                                                                Identify ways the non-custodial parent can
                                                                   provide support to my child and get
                    money.
                                           For Evaluation Only
                                                                   assistance.
               Skill Level Assessment
                   Directions: Circle the appropriate column to indicate what skill level the parent has reached.
                                                                              Mastery (M)
                                 Awareness (A)
                                                       Practicing (P)
                                “Trying this skill”
                                                                           “Expert at this skill”
                                                    “Practicing this skill”
                                                  Skill List

                                                                                                 A / P / M
               Review the current needs of my family.                                           Skill Level
               Create a list of places I can turn to for assistance in my community.             A / P / M
               Create a list of actions I can take to get help now.                              A / P / M
               As a family, make a list of low-cost or free things we can do together, and do one   A / P / M
               activity.
                Additional Content in Instructor’s Manual:
               Identify the needs of my child and resources I can use to help them now.          A / P / M
               Identify things I can control/ I don’t control when it comes to finding help for my   A / P / M
               family.
               Identify my personal support system and services I use now.                       A / P / M
               Create my personal anger management plan.                                         A / P / M
               Write a personal parenting rule related to the topic in this pamphlet.            A / P / M
               Set and accomplish a parenting goal for this pamphlet.                            A / P / M


               I, _________________________ have completed all necessary reading and exercises related
               to the Parenting Series pamphlet Finding Help in Your Community. The case manager and
               I have reviewed all the above items that required discussion.



               ___________________________                           ___________________________
                           Parent’s Signature                                    Case Manager’s Signature
               Finding Help in Your Community–  P12                                      Parenting Pamphlet Series
                               ®
               ©2022 Learnovation , LLC
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