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Measures: Eliza Petrova

Action Required: Administer Measures

The following measures need to be administered by the therapist in session for this age group:

  • Mood & Feelings (MFQ - Child)
  • Anxiety (Spence - Child)

Refer to the guide on Administering Measures in Session for procedures.

Completed Measures Summary

Family Mental Health Check-Up

Source: Elena Petrova

Child Domains

Emotional

: Elevated

17 / 20

Normal
At-Risk
Elevated

Behavior

: Normal

2 / 8

Normal
At-Risk
Elevated

Peer

: Elevated

7 / 10

Normal
At-Risk
Elevated

Impact

: Elevated

15 / 15

Normal
At-Risk
Elevated

Parent & Co-parenting

Anxiety

: Elevated

5 / 7

Normal
At-Risk
Elevated

Mood

: Normal

2 / 7

Normal
At-Risk
Elevated

Co-parenting

: Elevated

5 / 7

Normal
At-Risk
Elevated

Family Environment

Stress

: Elevated

3 / 5

Normal
At-Risk
Elevated
Highlights clinical concerns across child & family domains at intake.

Anxiety (Spence)

Source: Elena Petrova

Overall Score:

Elevated

64/114

Normal
At-Risk
Elevated

Elevated Subscales:

Separation Anxiety
Social Phobia
Obsessive Compulsive
Panic/agoraphobia
Physical Injury Fears
Generalized Anxiety
Indicates significant anxiety across multiple domains at intake.

Notable Responses by Elevated Subscale

Separation Anxiety:

  • 3. When my child has a problem, they complain of having a funny feeling in their stomach::Always
  • 8. My child worries about being away from us / me::Often
  • 11. My child worries that something awful will happen to someone in our family::Always
  • 13. My child has to keep checking that they have done things right (like the switch is off, or the door is locked)::Often
  • 27. My child is afraid of being in crowded places (e.g., shopping centers, the movies, buses, busy playgrounds)::Often
  • 32. My child's complains of their heart suddenly starting to beat too quickly for no reason::Often
  • 33. My child worries that they will suddenly get a scared feeling when there is nothing to be afraid of::Always
  • 36. My child gets bothered by bad or silly thoughts or pictures in their head::Often
  • 37. My child has to do certain things in just the right way to stop bad things from happening::Often
  • 38. My child would feel scared if they had to stay away from home overnight.::Always

Social Phobia:

  • 9. My child feels afraid that they will make a fool of themself in front of people::Often
  • 26. My child worries what other people think of them::Often

Obsessive Compulsive:

  • 17. My child can't seem to get bad or silly thoughts out of their head::Often
  • 35. My child has to do some things over and over again (like washing their hands, cleaning or putting things in a certain order).::Always

Panic/agoraphobia:

  • 18. When my child has a problem, they complain of their heart beating really fast::Often
  • 22. When my child has a problem, they feel shaky::Often
  • 28. All of a sudden my child feels really scared for no reason at all::Often

Physical Injury Fears:

  • 7. My child is afraid when they have to use public toilets or bathrooms::Always
  • 20. My child worries that something bad will happen to them::Always
  • 21. My child is scared of going to the doctor or dentist::Always

Generalized Anxiety:

  • 1. My child worries about things::Always
  • 4. My child complains of feeling afraid::Often
  • 15. My child has trouble going to school in the mornings because they feel nervous or afraid::Often

Mood & Feelings (MFQ)

Source: Elena Petrova

Score:

Normal Range

4/26

Normal
At-Risk
Elevated
Parent report indicates mood symptoms within normal limits at intake.

Notable Responses:

  • They felt miserable or unhappy.::Sometimes True
  • They didn't enjoy anything at all.::Sometimes True
  • They felt so tired s/he just sat around and did nothing.::Sometimes True
  • They were very restless.::Sometimes True
  • They cried a lot.::Sometimes True
  • They found it hard to think properly or concentrate.::Sometimes True
  • They felt lonely.::Sometimes True