Abstract
This chapter describes the objectives and procedures of clinical assessment in clinical behavior analysis for children. It is proposed to expose different assessment tools and how they can be used to define therapeutic goals. It is important to discuss how clinical behavior analysis for children understands that the assessment process is continuous and not limited to the initial period of psychotherapy.
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Appendices
Annex-I
![An initial assessment form with identification details such as date, patient's name, age, address, and so on, and an issue column with reasons for seeking therapy.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Figa_HTML.png)
![An initial assessment form with analysis, and clinical history for pregnancy details. The uncorrected proof is stamped across.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Figb_HTML.png)
![A form of an initial assessment. It contains an identification of patients. It includes the date, patient's name, age, date of birth, questionnaire completed by, address, neighborhood, city, etc.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Figc_HTML.png)
![A form of an initial assessment. It includes financial situations, marital difficulties, difficulties with other children or family members, psychosocial and health conditions, diseases, etc.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Figd_HTML.png)
![A form of an initial assessment. It includes perceived skills, abilities, and potentials, relationships with peers, and acceptance among peers are high, medium, and low, peer relationships, etc.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Fige_HTML.png)
![A form of an initial assessment. It includes which schools he has studied in, the name of the school, the period, the reason for the exchange, the child's current school experience, school schedule, etc.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Figf_HTML.png)
![A form of an initial assessment. It includes does the child have free time to play and at what times, does the child help with a household chore. eating routine, the times of meals are regular? etc.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Figg_HTML.png)
![An initial assessment form with family details such as members, family history, and relationships. The uncorrected proof is stamped across the form.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Figh_HTML.png)
![A form of an initial assessment. It includes family identification with some cultural or religious tradition, cultural or religious practices, final assessment, explaining the difficulties, etc.](https://cdn.statically.io/img/media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-031-12247-7_5/MediaObjects/525575_1_En_5_Figi_HTML.png)
Annex-II
Support material for the child therapist | |||||
---|---|---|---|---|---|
Items to direct observation in session with the child | Does | Does with mediation | Does not | OBS | |
Survey of reinforceers | Appropriately describes preferred activities | ||||
Describes preferred foods | |||||
Names friends, family activities, tv shows, games, preferred sports | |||||
Following rules | Accepts to interrupt ongoing activities during the waiting time at the reception | ||||
Respects the proposed session format | |||||
Follows the rules of activities and games | |||||
Accepts when prompted about session termination | |||||
In fantasy activities, demonstrates knowledge of social rules | |||||
Self-knowledge | Appropriately speaks of lived experiences (those heard, felt, seen, and thought about) | ||||
Describes your behavior patterns | |||||
Orally describes contingencies related to the complaint | |||||
Describes contingencies of your life through playful resources | |||||
Describes characteristics that you consider qualities | |||||
Describes characteristics that you consider difficulties/defects | |||||
Describes characteristics that you consider important to develop/work | |||||
Can understand the relationship between experienced events and their emotions | |||||
Frustration | Accepts when you are denied something you ask/would like to do | ||||
Asks for help/persists when he/she perceives difficulty in performing some activity | |||||
When he loses, he seeks alternative answers to achieve the proposed goal (asks for rematch, tries in other ways, etc.) | |||||
Shows proper competitiveness during the game | |||||
Has a regulated emotional response when losing in the game | |||||
Self-control and emotional expressivity | Knows how to name their own emotions and those of others | ||||
Can you describe your feelings in situations experienced | |||||
Tolerates frustrations | |||||
Demonstrates appropriate anger management | |||||
Demonstrates proper voice modulation | |||||
Expresses other emotions (e.g., fear/joy/sadness) appropriately | |||||
Civility | Greets and says goodbye properly | ||||
Uses expressions of gratitude | |||||
Waits for your turn to speak | |||||
Asks and answers questions | |||||
Gives and accepts compliments | |||||
Respects hierarchy | |||||
Calls the interlocutor by name or nickname (e.g., aunt) | |||||
Empathy | Shows interest in others | ||||
Observes | |||||
Pays attention to each other | |||||
Demonstrates listening to the other, responding to requests | |||||
Shows interest in others | |||||
Infers feelings from the interlocutor and demonstrates putting himself in their place | |||||
Expresses understanding of the other’s feelings | |||||
Shows respect for differences | |||||
Offers help | |||||
Shares something you have | |||||
Assertivity | Expresses negative feelings | ||||
Talks about strengths and weaknesses (of the other and of oneself) | |||||
Can maintain a dialogue initiated by the interlocutor | |||||
Agrees and disagrees opinions | |||||
Makes and declines orders | |||||
Deals with criticism and mockery | |||||
Asks for behavior change | |||||
Negotiates conflicting interests | |||||
Defends your own rights | |||||
Resists peer pressure | |||||
Problem-solving | Remains calm in the face of a problem situation | ||||
Recognizes and names different types of problems | |||||
Thinks before making decisions | |||||
Identifies and evaluates possible solution alternatives, chooses | |||||
Chooses, implements, and evaluates an alternative | |||||
Evaluates the decision-making process | |||||
Academic skills | Follows rules or oral instructions | ||||
Observes and pays attention to what is said | |||||
Ignores peer interruptions | |||||
Imitates socially competent behaviors | |||||
Waits for your turn to speak | |||||
Asks and answers questions | |||||
Offers, requests, and appreciates help | |||||
Seeks approval for performance performed | |||||
Praises and appreciates compliments | |||||
Recognizes the quality of the other’s performance | |||||
Fulfills orders | |||||
Cooperates and participates in discussions | |||||
Items to direct observation of the environments in which the child is part | Observed data | ||||
Parenting practices | What disciplinary techniques do or do not work well? | ||||
Parents converge in parenting opinions and practices | |||||
What is the child’s reaction to the parents’ practices? | |||||
Quality of the commands (topography and what is produced with the commands)*** | |||||
Parents are effective in describing and valuing desirable behaviors | |||||
Physical abuse | |||||
Inconsistent punishment (parents punish or reinforce the child’s behaviors non-contingently) | |||||
Relaxed discipline (non-compliance with rules set by parents) | |||||
Negative monitoring (excessive supervision / large number of repetitive instructions) | |||||
Neglect (not attentive to the needs of their children) | |||||
Positive monitoring (parents’ attention and knowledge about where their child is and the activities carried out) | |||||
Moral behavior (transmit values) | |||||
Parents demonstrate self-knowledge about the parenting practices used | |||||
Social skills of parents | Follow parents’ rules | ||||
Reaction to frustration (in the relationship with the child) | |||||
Self-control and emotional expressiveness | |||||
Civility | |||||
Show empathy with the child | |||||
Assertiveness when expressing yourself | |||||
Family | Relationship with siblings | ||||
Mediation made by parents in the relationship between children | |||||
Relationship with mother | |||||
Relationship with father | |||||
Relationship between parents | |||||
Relationship with another caregiver | |||||
Family dynamics | |||||
Parents’ report on compliance with ADLs | |||||
Does it help with household chores? | |||||
Who gives more attention to the child? Why? | |||||
Do you spend a lot of time away from your parents? | |||||
Who in the family group does the child most identify with? Why? What are the identification points? | |||||
Parental motivation | Parents understand that solving the problem will also depend on changes in their own behavior. | ||||
Parents are available to attend treatment | |||||
Parents are available to be involved in treatment (albeit remotely) | |||||
Parents are willing to learn and apply the guidelines given in the session at home | |||||
Parents are willing to review their parenting practices to help their child | |||||
Complaint | What are the attempts made by the parents to resolve the complaint and what are the results obtained? | ||||
How did the complaint evolve, was there a change in frequency and intensity? | |||||
What are people’s current reactions to complaint behaviors and why? | |||||
Does the child agree or disagree with the parent’s complaint? | |||||
School | Academic achievement | ||||
Relationship with peers | |||||
Is the school aware of the complaint? | |||||
Child self-regulation at school | |||||
Any school adaptation for the child? | |||||
Child’s relationship with teachers | |||||
Friends | Do you make friends easily? | ||||
Who are the child’s friends? | |||||
Is it very requested by the group of friends? | |||||
How are the relationships with colleagues, neighbors, etc.? | |||||
Relevant data from the questionnaire |
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Linares, I.M.P., Rossi, A.S.U., Toscano, M.P., Hermann, V.L. (2022). Clinical Assessment in Clinical Behavior Analysis for Children and Definition of Therapeutic Goals. In: Rossi, A.S.U., Linares, I.M.P., Chagas Brandão, L. (eds) Clinical Behavior Analysis for Children. Springer, Cham. https://doi.org/10.1007/978-3-031-12247-7_5
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