Delays in development compared to other children their age - (physical, language, cognitive/learning, social)
Emotional/Behavioral - (Fussiness/irritability; hard to comfort or calm; cries a lot; difficulty falling or staying asleep; has a hard time with new people, places or changes; hard to keep on a schedule or routine; high level of aggression with or avoids other children; concerns about behavior from daycare/preschool)
Yes
No
Mild - Child exhibits a few of those behaviors, some of the time.
Moderate - Child shows several of those behaviors or some of the behaviors seem extreme.
Severe - ****DO WE want to add something for "SEVERE"...e.g. "I have consulted with my child's pediatrician but remain very concerned that my child needs further evaluation...ALSO*** do we want to capture his parent distress/multiple stressors...e.g.: I am finding it very difficult to meet my childs needs and or because of trauma that I and/or my child have experienced"
ADD Descriptors for Headstart, Child First, Birth to Three and Healthy Families America
