Adolescent Psychosocial Asessment Page 10
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14EMPLOYMENT:
Is your child currently employed? Yes No
If employed, where are they working? _____________________ How long? ______________________
Does your child enjoy their current job? Yes No
HOUSING:
Would you consider your housing to be: stable unstable
If unstable, please describe: _________
___________________________________________________________________________________________
Please choose the one that best describes the current housing arrangement for this child:
Parent/Guardian owns home
Parent/Guardian rents home
Child and family live with relatives/friends (temporary)
Child and family live with relatives/friends (permanent)
Homeless Transitional Housing Emergency Shelter
How long has this child lived in the current living situation? _________________________________________
How many times has the child moved in the past two years? ________________________________________
What else do you think is important for us to understand about your housing/living situation?
___________________________________________________________________________________________
FOSTER CARE INVOLVEMENT:
Has your child ever been in foster care? Yes No Unknown
From ______ age to ______ age
Reason: ________________________________
Type of Placement: Familial Placement Non‐Familial Placement
Out of Care
Current Status: In‐Care
Adopted
Returned to Home Emancipated
If Out of Care, reason for leaving:
Ran away from care
Other: __________________
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