FREE Mental Health Screening
Child or Adolescent Forms
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The Child or Adolescent Comprehensive History

    A complete history is necessary for professionals to make an accurate assessment of any problem. The screening form helps your provider assess developmental concerns, early childhood problems, physical and sexual abuse, school difficulties, and environmental stressors. The history of previous treatment for mental health issues is essential.

        The family history is an extremely important section of the comprehensive history. We now know that depression, anxiety, bipolar disorder, attention deficit disorder, and drug and alcohol abuse are to some extent hereditary. In other words, they can be passed on from one generation to the next, much like diabetes or heart disease. This makes obtaining a good family history essential for appropriate mental health diagnosis and treatment.

    If you are unsure about the presence of conditions like depression or drug and alcohol abuse in the family, talk to your relatives. Dig a little. While it may be hard for some relatives to discuss, it is important for your child's treatment. At the same time it may enable them to recognize a treatable mental health condition in themselves or another family member.

    Medical problems can also affect your child's mental health, so that information is needed.

    Adolescents and even pre-teens can start having problems with authorities, which may be related to mental health concerns. A family history of problems with the law may indicate the presence of mental health difficulties in relatives.

The Child, Adolescent, and Parent Questionnaires

    These forms are very comprehensive. They will take time to download and complete. Some questions are asked several times. This is purposeful; please answer them accurately each time they come up.

    By completing the forms prior to a visit to a professional, you become part of the evaluation and treatment process. It will demonstrate to the clinician that you take your evaluation seriously and that you expect the same thoroughness in return.
    In providing this information up front, you not only ensure completeness but may shorten the evaluation process allowing more time to have your questions answered about diagnosis and treatment options.

Please Note: No one under the age of 18 should fill out the forms without a parent or guardian present. Parents and guardians may ask the adolescent or child to fill out the  appropriate information on the Child or Adolescent Questionnaire.
If you are under the age of 18, and are experiencing mental health symptoms, you should talk to your parents or guardian. Decisions concerning the appropriate course of action is a family matter.

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"Many mental health conditions can be passed from one generation to the next."