Attachment B: Suggested Outline For Child's Summary
Suggested Outline For Child's Summary:- Identifying Data: Name, birth date, race, sex, religion.
- Child's Personality and History:
- Appearance: Height, weight, coloring, facial and body characteristics. Be specific about unusual characteristics;
- Current emotional adjustment: Current generalized emotional responses; i.e., crying, or contented, demanding, exploring, passive;
- Child's life experience;
- Describe child's life experience in his/her natural home, including description of abuse and neglect.
- Describe child's life experience outside his own home if placed in out-of-home care. Include the age of the child at placement, child's reaction to separation from parents, significant happenings with each out-of-home care placement, reason for changes, child's reaction to change.
- School progress.
- Child's understanding, if appropriate to age, of reasons for placements;
- Present living situation of the child;
- Inter-relationships with people:
- Attitudes of others to child: Birth parents, foster or adoptive family, children in the home or institution, Children's Services Workers, playmates outside home, teachers, etc.
- Attitudes of child to parents and others who have provided care.
- Relationship with siblings, if applicable.
- Relationships, if any, with intended family in receiving county.
- Development History:
- Prenatal, including mother's physical and emotional health during pregnancy;
- Mother's medical care during pregnancy; serology results and treatment, if administered;
- Father's health history;
- Details of delivery and neonatal history;
- Health history, including current medical information;
- Illnesses and hospitalizations; diagnosis and treatment; age at onset, duration, prognosis;
- Growth and development;
- Professional observations of development. (Include results of psychological test, if done and school reports.)
- Natural Family:
- Composition of family;
- Mother: Age at delivery, physical appearance, religion, physical and mental health, (discuss in detail if significant for child's placement and future adjustment) general personality, including interests and talents; observation of adequacy of mother's functioning with reasons for this; school and employment history;
- Father: (Same as mother);
- Siblings of child, if any, and extended family (Significant information affecting the child's placement and future adjustment.);
- Child's legal status;
- Court of jurisdiction and date court assumed jurisdiction;
- Date(s) of termination of parental rights and/or legal/putative parents consented to adoption; and
- Present permanency plan including date of last administrative review and recommendation.
- Evaluation of child's present needs and type of home desired for the child. Reason for desired placement in another county.