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