Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Tracer information
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Do you know the name of your child's primary therapist at the clinic?
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Do you feel welcome to actively participate in your child's treatment?
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Have you had information and/or observations concerning your child's that you thought should be communicated to the therapist?
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When you speak to clinic staff, how well are you listened to?
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Did you and your child have opportunity to participate in the creation of treatment goals?
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Do you feel free to discuss what you hope your child will achieve from treatment and to ask questions about treament?
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If you child is receiving medication treatment, were you fully informed of the risks and benefits of the medication?
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Has the clinic therapist indicated how you can assist your child meet his/her treatment goals?
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Do you feel respected by clinic staff?
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If you had concerns about the services being provided at this clinic, do you know who to contact?
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Have you ever communicated a concern to the clinic?
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Do you know who to contact at the clinic during a time of crisis?
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During times of emerging stress or crisis in your child's condition, does he/she have a safety plan?
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do you plan any role in the safety plan?