Page 9 - Parenting Assessments

#7 – Kids and Divorce – 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 common types of custody.  Identify how changes from a divorce affect
 Describe what kids of all ages are looking your child and family.
for from their divorced parents.  Identify how children react to divorce at
 Identify techniques for working with your different ages and how you can help.
ex.  Identify how boys and girls react differently
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 Describe specific ways to co-parent with to divorce.
your ex.  Explore ways to release your anger at your
ex-spouse.
 Identify ways to help your kids stay kids.  Explore ways to stay connected to your child
For Evaluation Only
Skill Level Assessment when you are not the primary caregiver.
Directions: Circle the appropriate column to indicate what skill level the parent has reached.
Awareness (A)
Practicing (P)
Mastery (M)
“Expert at this skill”
“Trying this skill”
“Practicing this skill”
From Pamphlet: Skill List Skill Level
Identify what is currently working or not working in your home as a divorced
parent. A / P / M
Set up a new routine in my home. A / P / M
Additional Content in Instructor’s Manual:
Identify things I can control and not control related to communication in my
home. A / P / M
Identify your own feelings about your divorce and ways to feel better. A / P / M
Track your current custody situation and how your children are reacting. A / P / M
Manage your anger with your ex-spouse in a positive way. 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 Kids and Divorce. The case manager and I have reviewed
all the above items that required discussion.

___________________________ ___________________________
Parent’s Signature Case Manager’s Signature

Kids and Divorce – P7 Parenting Pamphlet Series
®
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