Documenting What You See

In addition to gathering detailed information from others, it is helpful for you to document your own observations about a child of concern. Being prepared with this information will ultimately assist with accurate identification of potential problems and eliminate unnecessary delays. When you notice signs or symptoms that concern or puzzle you, document them in detail. Write down specifically what you see, how often it occurs, when, where and in what context you notice it, any triggers or factors that seem to make the problem better or worse, how the child responds to intervention, etc. This information will be of tremendous help when making a mental health referral or when tracking the effectiveness of interventions or treatment over time.

An Observation/Recording of Symptoms Chart (opens in PDF format) is one tool for organizing information you observe about a child’s presenting symptoms. A filled out example and a printable blank chart are included for your use.

 

 

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