Evaluation of 6 Steps to Family Wellness Programme

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Six Steps to Family Wellness

Six Steps to Family Wellness

Evaluating effectiveness of the short and long versions

13Questions

1
Thank you for supporting EHCAP develop this Six Step to Family Wellness Programme. The questions below are straight forward and should only take a few moments of your time. Please complete this form whether you have used the short version (first two steps) or long version. You will need to complete a separate form for each family you work with.
2
Date you met with family
Date
Year
Month
Day
3
Your role with the family
Parent Family Support Advisor
Health Professional
Family Support Worker
Family, friend or colleague
Education Professional
Social Worker
Other (please write in free text below the next question)
4
Referral from
Early Years
First School
Junior School
Primary School
Secondary School
College
G.P.
Health Visitor
Other (use text box below)
Criminal Justice System
5
If you answered Other please give details below
6
Thinking of the two key adult caregivers - do either of them have a mental health difficulty?
Yes - both
No
Yes - one of them
Type option 4
7
Thinking of the parent or carer with mental health difficulties, is he or she
under the care of the Adult Mental Health Services as well as their GP
accessing regular visits by a CPN or Community Psychiatric Nurse
taking medication eg anti depressants
receiving support with parenting
8
Do you feel confident asking questions about parent and carer mental health difficulties?
YESNO
9
Is either of the parents or carers away from home for extended periods either through work, choice or involvement with the criminal justice system?
YESNO
10
Has either of the parents or carers been in an abusive relationship as an adult or witnessed or been in an abusive relationship as a child
Yes- as an adult
No
Yes as a child
Type option 4
11
Are either of the parents or carers addicted to alcohol, drugs, gambling or online gaming?
YESNO
12
Do either of the parents or carers give a history of significant adversity in their childhood?
Yes
No
I'm not sure
13
Please describe how you feel about using this structured Wellness Programme and whether you feel it will support building skills and capabilities in Emotion Intelligence and Executive Function. If you are using our learning resources or Whats App Group are they helpful for you?
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Ok
Ok
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