Section A: Your Family With family concurrence, is adequate and clear information on family concerns and resources and these are linked to the child’s participation in family routines. This is a Pass” Section. “Must Check here if the family declined to share information for this area: Review area Needs Improvement Acceptable Exemplary Item A1 not described or is missing information described with limited information related described with detailed information related to related to the following most common to the following most common routines: the following most common routines: With family concurrence, routines: waking up, waking up, information about family routines waking up, diapering/dressing, diapering/dressing, is: diapering/dressing, feeding/meals, feeding/meals, playtime or playful interactions, playtime or playful interactions, Information about family routines playtime or playful interactions, bath time, bath time, should include: bath time, bedtime bedtime Who participates in the routines? bedtime What the child does during the AND includes how family concerns/priorities routine? impact specific routines What is enjoyable or challenging 1 point 3 points 5 points about the routine? Item A2 not adequately described described but not connected to the described and connected to the family’s challenges in the family’s everyday routines challenges in everyday routines and activities. With family concurrence, and activities (How do the family’s concerns their child’s information family prioritized development impact the child’s ability to concerns is: participate in the routine?) 1 point 3 points 5 points Item A3 resources, though does not describe lists resources, and specifies how the lists resources and specifies how the family’s how the family’s resources provide them family’s resources provide them with resources provide them with support AND With family concurrence, with support. support. connects them to challenges in the everyday information about family resources: routines. 1 point 3 points 5 points Comments:
Section A: Your Family With family concurrence, is adequate and clear information on family concerns and resources and these are linked to the child’s participation in family routines. This is a “Must Pass” Section. Check here if the family declined to share information for this area: Review area Needs Improvement Acceptable Exemplary Item A1 With family concurrence, information about family routines is: Information about family routines should include: Who participates in the routines? What the child does during the routine? What is enjoyable or challenging about the routine? not described or is missing information related to the following most common routines: waking up, diapering/dressing, feeding/meals, playtime or playful interactions, bath time, bedtime described with limited information related to the following most common routines: waking up, diapering/dressing, playtime or playful interactions, bath time, bedtime described with detailed information related to the following most common routines: waking up, diapering/dressing, feeding/meals, playtime or playful interactions, bath time, bedtime AND includes how family concerns/priorities impact specific routines 1 point 3 points 5 points Item A2 With family concurrence, information family prioritized concerns is: not adequately described described but not connected to the challenges in the family’s everyday routines and activities described and connected to the family’s challenges in everyday routines and activities. (How do the family’s concerns their child’s development impact the child’s ability to participate in the routine?) 1 point 3 points 5 points Item A3 With family concurrence, information about family resources: resources, though does not describe how the family’s resources provide them with support. lists resources, and specifies how the family’s resources provide them with support. lists resources and specifies how the family’s resources provide them with support AND connects them to challenges in the everyday routines. 1 point 3 points 5 points Comments:
IFSP-Quality-Review-Scale-final-word-version-September-2016.docx