AGAPE
  • Parenting Strengths and Needs Checklist

  • Decision Making Scale:

    0= Foster family has demonstrated an ability and willingness to parent children who experience/display this behavior

    1= Foster family has some previous experience or training and is willing to parent children who experience this condition or who display this behavior, but has not demonstrated an ability to do so

    2= Foster family does not have past experience or training but is willing to learn how to parent children who experience this condition or who display this behavior

    3= Foster family is not willing to parent children who experience this condition or who display this behavior

     

    • Age 
    • Infants (0-1 years)
    • Toddlers (1-5 years)
    • Middle childhood (6-12 years)
    • Teens (13 years and older)
    • Language 
    • Does not speak English well
    • Sexuality 
    • Gender confusion
    • Homosexuality
    • Family Situation 
    • Requires stay-at-home parent
    • Is part of a sibling group
    • Frequent visitation with birth parents
    • Birth parent(s) incarcerated
    • Committed to extracurricular activities
    • Medical Needs 
    • Medically needy
    • Needs mental health services
    • Bedwetting
    • Encopretic
    • Enuretic
    • Special diet/dietary restrictions
    • Pregnant
    • Physical Health Needs 
    • Special accommodations for physical disability
    • Hearing impaired or deaf
    • Visually impaired or blind
    • Developmental Needs
    • Autism
    • Intellectual or developmental disability
    • Behavioral or emotional needs 
    • Frequent temper tantrums
    • Impulsivity and/or hyperactivity
    • Psychosis
    • School difficulties (e.g., requiring school meetings due to poor attendance, achievement, or behavior)
    • Emotional control
    • Stool smearing
    • Oppositional
    • Attachment
    • Poor social skills
    • Anxiety
    • Depression
    • Sleep problems
    • Risk behaviors and other behavioral issues 
    • Constant supervision needed
    • Physical aggression
    • Vandalism or destroying property
    • Suicide risk
    • Self-mutilation
    • Runaway
    • Fire setting
    • Sexually reactive behaviors (a history of sexual abuse or reactive behaviors)
    • Substance use (nicotine, alcohol, prescription, illegal)
    • Sexual aggression
    • Cruelty to animals
    • Stealing
    • Delinquent or criminal behavior
    • Intense anger
    • Habitual lying
    • Fear of animals
    • Self-harm
    • Making false accusations
    • Extreme attention seeking
    • Negative peer association
    • History of family criminality
    • Danger to others
    • Activities and interests 
    • Active sports (i.e., football, basketball, soccer, etc.)
    • Spectator of active sports
    • Listening to music
    • Playing musical instrument
    • Outdoor activities (i.e., camping, hiking, biking, etc.)
    • Individual or stay-at-home activities)
    • Small community activities
    • Large community activities
    • Art projects
    • Drawing (or coloring)
    • Minimal physical activities
    • Being around animals (pets)
    • Taking care of animals
    • Riding horses
    • Reading
    • Watching movies
    • Collecting items
    • Computer or video games
    • Watching television
    • Dancing
    • Sewing or knitting
    • Singing
    • Carpentry or building projects
    • Automobiles or car repair
    • Volunteer or community outreach projects
    • Cooking
    • Religion and/or spiritual activities
    • Learning different languages
    • Caring for infants/babysitting
    • Medical needs or medical care
    • Post high school education
    • Working with physical disabilities
    • Attending plays or theatrical events
    • Visiting museums
    • Studying and/or learning
    • Hair stylist and/or barber
    • Swimming
    • Job study
    • Other extracurricular school activities
    • Other
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    • Should be Empty: