Parent Coach Plan Discipline Tips
Parent Coach Discipline Program


CHECKLIST OF CONCERNS
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  Frequently steals  Is frequently angry or loses temper often
  Frequently lies or is deceitful  Frequently argues with adults
  Has run away from home  Is easily annoyed by others, highly irritable
  Has deliberately set fires  Often blames others for his/her mistakes
  Is truant from school  Often defies or ignores adult requests
  Has broken into a car or dwelling  Refuses to follow directions or rules
  Has deliberately destroyed another's property  Has a low frustration tolerance
  Is physically cruel to others  Deliberately annoys or provokes others
  Is physically cruel to animals  Avoids taking responsibility for behavior
  Often initiates physical fights  Frequently swear or uses foul language
  Has forced another into sexual activity  Is overly disrespectful to authority
  Carries (or has carried) a weapon  Has no concern for consequences
  Has used a weapon to hurt someone  Becomes destructive when angry
  Has legal problems  Becomes aggressive/assaultive when angry
  Has a history of drug, tobacco, or alcohol use  Is overly controlling of others
  Appears to be influences by gangs  Has threatened to harm/kill others
  Participates in gang activity  Doesn't get along well with others
  Displays inappropriate/inconsistent emotions  Becomes vindictive when angry
  Complains of "seeing things"
     (visual hallucinations)
  Engages in self-harming or self-mutilation
  Complains of "hearing voices"
     (auditory hallucinations)
  Often attempts to manipulate others
  Has bizarre thought processes  Often appears sad or depressed
  Has homicidal thoughts/ideation  Withdraws or isolates from others
  Has suicidal thoughts/ideation  Has feelings of worthlessness
  Acts immaturely  Has a complete lack of motivation
  Seeks negative attention  Often fidgets or squirms, can't sit still
  Is overly preoccupied with sex  Is easily distracted
  Acts out sexually  Has a difficult time following directions
  Urinates or defecates in unusual places  Talks excessively at innapropriate times
  Wets or soils self during the day   Has a difficult time following directions
  Has problems at school  Often interrupts or intrudes on others
  Has excessive anxiety and worry  Has a difficult time focusing on a task
  Has a fear which disrupts daily life  Often acts impulsively (without thinking)
  Often impedes on the rights of others  Has a difficult time playing quietly
  Participates in dangerous/reckless behaviors  Often fails to complete chores or tasks

OTHER: _____________________________________________________

OTHER: _____________________________________________________

OTHER: _____________________________________________________


If your child is receiving therapy, then this checklist may provide insight to the mental health professional that is caring for your child.




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