The Brief Doc-F

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The Brief Doc-F

A Measure of Fidelity to ESFT As Reflected in the Case Conceptualization.

Please enter email address of person completing the form.

Email *

Role of Person Completing the Form: *

Team Lead

Trainer Mentor

Client ID (initials and intake date ex: AB010120) *

Name of Trainer Mentor *

Name of Team Lead: *

Name of QP: *

Name of AP:

Agency *

Child's Birthday *

YYYY

Which of the following behavioral and emotional issues does this child have? *

PTSD and/or Complex Developmental Trauma Stress

Problems with mood or depression

Problems related to anxiety

Oppositional behavior, inflexibility

Conduct problems, delinquency

Impulsivity, hyperactivity, under-organization of behavior

Anger and aggression

Risks to self (self-injurious behavior, suicidality, recklessness)

Required

Based on a review of both the ESFT Case Conceptualization Worksheet and an in-depth discussion of this case, I am confident the team … *

1 - Minimally

2 - Partially

3 - Mostly

4 - Fully

1. Has equal empathy for the child and the caregivers

2. Understands how the gap between caregivers’ expectations and the child’s abilities

3. Understands the communicative intent (underlying emotional needs) behind the child’s misbehavior

4. Sees how the caregiver misreads the child’s frustration and escalates negative behavior

5. Understands how the caregivers’ life experiences or personal vulnerabilities shape their perspective and reaction to the child

6. Understands how current stresses and strains on the family unit impacts caregiving

7. Understands the caregiving structure in the family (e.g. enmeshed, high-conflict, under-organized, authoritarian), and its implications for the NIC

8. Appreciates everyone’s roles in the NIC (including siblings)

9. Knows which caregiver actions are likely to be soothing or de-escalating for this child given his/her vulnerabilities (antidote to NIC)