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Social data report

This report contains identifying information such as name, DOB, age, gender, address, and phone of parent or guardian. It also includes the presenting problem, current offense or referral reason, prior record, and functional analysis. Additionally, it provides family data, socioeconomic environment, physical and psychiatric history, and results of psychological testing.

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Social data report

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  1. Social data report Identifying information: name, DOB, age, gender, address and phone of parent or guardian Physical description: height, weight, handedness, eye and hair color, race

  2. Social data • Presenting problem • Current offense or referral reason (date and type, events) • Arresting officer or petitioner • Prior record • Functional analysis: onset, any precipitating factors, frequency, severity • Maintenance factors

  3. Social data • Methods used to deal with the problem • School data • Schools attended, current school, current grade in school, failed any grades • Grades, attendance, behavior in school (fights) • Involvement in school activities • Special ed: MR, LD, ADD, ADHD, ED

  4. Family data • Father, stepfather, guardian (might have more than one of these) • Address, phone number, occupation, age • Educational level, health, court record • Nature of relationship of youth to this (these) person(s) • Physical or sexual abuse • Alcohol and drug use

  5. Family • Mother, stepmother, guardian • Address, phone number occupation, age • Educational level, health, court record • Nature of relationship of youth to this (these) person(s) • Physical or sexual abuse • Alcohol and drug use

  6. Family data • Family income, status of welfare and other • Current living arrangement, marital status • If parents are separated or divorced, when • If father abandoned family, when • Nature of relationship between parents, step-parents

  7. Family data • Children in family and/or stepfamily, ages, whether they are living in the same home • Birth order • Discipline in home: by male, female, both, neither • Nature of discipline used • Level of supervision • Level of violence • Running away from home

  8. Socioeconomic environment • Number of people in the home • Number of rooms (number of bedrooms) • Type of area: high crime, low crime, rural urban, isolated, slum, housing project • Modern conveniences • Housekeeping standards • Own home, rent, living with other relatives or non-relatives

  9. Physical history of youth • Current state of health, any physical problems • Past problems (hospitalizations, diseases, injuries: lead poisoning, head injuries) • Diagnoses, medications • Other health problems in parents, family • Pregnancy/birth difficulties

  10. Psychiatric history • DSM-IV diagnoses • Inpatient, outpatient, medication • Psychiatric history of family members • Suicide attempts (number, nature, when) • Self-mutilation • Alcohol and drug use (amount, frequency, duration, starting age)

  11. History • History of residences • Vocational history: jobs, length, problems with employers and employees • Sexually active (age) • Hetero/homosexual, children • Contraceptive knowledge/use

  12. History • Number of acquaintances, friends • Close friends, boy friends, girl friends • Enjoy peer interactions? • Nature of interactions • Delinquent friends • Dating

  13. History • Leisure/recreational activities • Organized activities • Hobbies • Special skills, talents • Religious affiliation, church attendance, influence

  14. Future plans • Further education • Jobs • Marriage and children • Description of self

  15. Testing • Mental status exam • Appearance, attitude, behaviors • Speech (rate, production) • Appetite, sleep • Mood: anxiety, crying • Orientation: person, place time

  16. Language • Name (use two common objects, such as pencil, and a watch) • Repeat a phrase (no ifs, ands or buts) • 3 stage command (take this paper in your right hand, fold it in half and put in on the floor) • Memory: digit span (average 7 digits)

  17. Mental status • Serial numbers • Fund of general information (50 x 5, capital of Missouri) • Abstract reasoning: how are a cat and a mouse alike, explain a proverb) • Unusual experiences: obsessions, hallucinations, compulsions, delusions, depersonalization • Insight

  18. Psychological tests • Intelligence test (Peabody Picture Vocabulary Test (PPVT-R), Wais Intelligence Scale for Children (WISC), Stanford Binet—individualized. Also a variety of group tests that vary in quality • Bender Visual Motor Gestalt Test (can look at planning ability, impulsivity)

  19. Psychological tests • Academic achievement test: some given by schools, Metropolitan, SAT, etc.), Wide Range Achievement Test (WRAT) • Personality test (MMPI, CPI) • Projective tests (Draw-a-person, the House Tree Person, the Thematic Apperception Test (TAT)

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