PCN-672-R-T6SafetyPlanScoringGuide.docx
PCN-672 Safety Plan
Scoring Guide
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Grading Category
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Points
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Comments
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The safety plan includes the actions that will be taken to establish and maintain safety, both physically and mentally.
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0/___
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The safety plan indicates if an order of protection will need to be filed.
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0/___
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Safety plan lists any alternative routes the child can take to avoid the other child.
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0/___
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The safety plan includes that law enforcement and school officials are involved in the child’s protection.
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0/___
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Safety plan includes safe person(s) the child can go to if bullying continues on or off school grounds.
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0/___
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The safety plan includes the child support group (family, teachers, friends)
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0/___
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Safety plan follows industry best practices and adheres to latest version of DSM/ICD.
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0/___
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Safety plan follows a logical order, little to no grammatical errors present.
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0/___
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Total
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0/
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