Parent's Name (required)

Parent's Email (required)

Parent's Phone (required)

Parent's Address (required)

Therapist's Name (required)

Therapist's Email (required)

Therapist's Phone (required)

Therapist's Address (required)

Child's age at start of therapy (required)

Child Diagnosed with RAD? (required)
YesNo

Length of therapy to date (required)

Please number the therapist's skills 1-5 (one being the least and five the most).

Is this child's primary caregiver expected to actively participate as a vital part of the therapy sessions? ---12345

Has your child's attachment and behavior improved as a result of the work with this therapist? ---12345

Does this therapist physically hold the child or have the parents physically hold the child in order to help the child release their rage in a safe environment? ---12345

Does this therapist schedule more than 50 minutes for an appointment when needed so the session does not end before the child can complete their rage cycle? ---12345

Does this therapist believe the parent's word over the emotionally disturbed child's word? ---12345

Does this therapist share effective parenting techniques that worked for you? ---12345

Is this therapist willing to work with the whole team? ie. The parents, respite provider, the school, psychiatrist, caseworker, etc. ---12345

Is the effectiveness of therapy based on the child’s behavior at home rather than their behavior during therapy? ---12345

Does this therapist recognize when the therapeutic needs of the child have changed, such as the need for different therapy, residential inpatient, respite, etc.? ---12345

Does this therapist work to build the attachment between the parents and the child before any other bonds? ---12345

Does this therapist encourage the parents to take good care of themselves, such as taking regular "breaks", sending the child to their room, using a specially trained babysitter (respite) regularly? ---12345

Has this therapist had training in Attachment Therapy from a trained professional? ---12345

Does this therapist have hands-on experience doing Attachment Therapy, rather than insight/talk based therapies? ---12345

Does this therapist believe in and support the parents; not using hurtful implications, such as "the child isn’t loved enough" or blaming parents for the child's misbehavior? ---12345

Is this therapist in control during sessions, confronting difficult issues promptly, rather than being controlled by the child's pathology? ---12345

Does this therapist support parents by putting directions in writing, when needed, i.e. for legal purposes? ---12345

Does this therapist explore the child's need for chiropractic, nutritional, exercise, Brain Gym, Sensory Integration, etc.? ---12345

Does this therapist do an accurate assessment, such as taking an accurate history and using the RADQ, or CHAFCA? ---12345

Does this therapist take into account parents' concerns about medication? ---12345

Would you recommend this therapist to other parents with an emotionally disturbed child? ---12345

Additional Comments:

Save us from SPAM (required)