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Scores greater than 20 indicate a need for further investigation by a qualifed professional. Low scores (below 20) can still be consistent with serious eating problems, as denial of symptoms can be a problem with eating disorders. Positive responses to the eating disorder behavior questions (questions A through E) may indicate a need for referral in their own right. Think about comorbidity: 2/3 of teens with a substance use disorder have comorbid psychiatric difculties. Depression, anxiety, and conduct disorder can be associated with substance use disorders. Recommend individual therapy to build skills toward self-efcacy, problem solving, and relapse prevention. Use anything else to get high (like other illegal drugs, prescription or over-the-counter medications, and things that you snif, huf, or vape)fl Show your patient his/her score on this graph and discuss level of risk for a substance use disorder. Please take it home and discuss it with your parents/ guardians to create a plan for safe rides home. Adults might see childrenfls fears as silly, whenever there is a spider in the house, other children but they are very real to the children. Other fears could develop this publication is to help you understand the fears because of experiences such as a hospitalization of children. Stressful experiences such as divorce or help your children deal with their fears. Your child may outgrow many of their fears, but you can help make need extra help to work through fears that result from the process quicker and more pleasant. All children have fears Ways to help children cope with Fear is common among children and can be seen their fears as a good thing. Fears are things to be afraid of, such as traffc on busy streets or real to children, so donflt laugh or say their fears hot stoves. A child with too much fear may First, they need to learn skills to deal with fears.

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The use of electronic devices while driving, such as talking on hand-held cell phones and text Tens of thousands of people in the United States die in messaging, causes thousands of collisions and highway motor-vehicle crashes each year. Other distractions while driving include eating nearly 5 million emergency department visits annually. If you are going to consume have enacted laws restricting the use of hand-held cell alcohol, plan ahead to flnd a ride, or take a cab or public phones and electronic devices. Choosing the proper child safety seat to flt the weight Although cars more often are equipped with airbags than and age of your child is only the flrst step. Another not, wearing a safety belt is the easiest and best way to important child-safety-seat issue is making sure that prevent injury in a motor-vehicle collision. Every manufacturer of child safety seats provides speciflc instructions about Although airbags have saved many lives, they pose how to use and install its seat. The amount of force during installed your child safety seat correctly in your vehicle, airbag deployment can kill or severely injure children you can have it checked by professionals. Always have children younger than Fire Safety 13 years sit in the back seat, away from airbags. You should learn how to prevent flres but also know what to Child Safety Seats do in case a flre does occur. Motor-vehicle crashes are the leading cause of injury-related deaths for children. All 50 states and the Home Fire Safety Prevention District of Columbia require the use of child safety seats and Preparation and child safety belts. Approximately four of 10 deaths from flres occurring in the home occurred in homes without smoke alarms. Regardless of the cause of flres, everyone needs to know how to respond in case of flre. Remember and use the following guidelines to escape Hotel Fire Safety from flre: In addition to flre safety at home, knowing how to exit If smoke is present, crawl low to escape. Locate the flre smoke rises in a flre, breathable air is often close to exits on your floor. If the hall is relatively smoke-free, down a ladder and lower themselves to the ground. If you cannot get to the exit, return to ground flrst before you go out of a window. Turn off the ventilation system, stuff door Get out quickly and do not, under any circumstances, cracks and vents with wet towels and call the front desk or return to a burning building. You can get a good start on this Prevention: Make Your Home Safe for Kids in this by making a list of the needed improvements.

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While the nonworking mother is staying at home to better her child academically and emotionally, the amount of actual quality time is not always as sufficient as that of a working mother. The time spent at home is usually full of completing household chores that do not include time with the child. Working Mothers 9 the connection of children with their mothers at a young age will allow a close bond. This will make the communication between parent and child easier especially during the middle school and high years. The attention and moral values the child receives will help guide the child in a positive direction as they get older (Essortment, 2002). Working Mother Stress Working mothers not only bare the burden of leaving the children to work, but also the stresses of what in many cases equals two full time jobs. The mother has her job that she must leave her family for and then she has her job of taking care of the family she had to leave during the day. Some houses may say chores are egalitarian, shared equally, however this is not seen in surveys conducted by the Wall Street Journal. In executives polled 52% of women were found to complete laundry duties compared to 7% of the men. Other stresses that working mothers are running into include when one of the children are sick. The responsibility of caring for the sick child still falls predominantly on the mother. The mother feels guilty about missing work or they feel guilt for having to leave the child with someone else when they are sick (2001, September). Working Mothers 10 Finally, working mothers are also feeling stressed about their sex lives. The working mother may also hold resentment toward her spouse for not sharing in the housework duties more equally (2001, September). Working Mothers 11 Chapter 3 Method this study was a qualitative study using open-ended questions. The surveys were given to mothers who work outside of the home, as well as mothers who are considered stay at home moms. Through the use of these surveys, themes were developed and validated to show how working mothers impact their children academically and emotionally versus mothers who do not work outside the home. Working and non-working mothers who currently reside in the Mid-Ohio Valley were used.

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The In the event of a fre, staff members and children should be requirement for door swing may be addressed in local buildable to get at least ffty feet away from the building or strucing codes. Children should remain there until their parents/ In facilities that include children who have physical disabiliguardians can pick them up, if reentry into the facility is not ties or other developmental disabilities, all exits and steps possible. Children who have ambulatory diffculty, mobility limitathe actual exit is the enclosed stair or the actual door to the tions or impairments, use wheelchairs or other equipment outside; doors from most rooms and the travel along a corthat must be transported with the child (such as an oxygen ridor are considered exit access or the path of egress. Children who have minimum to be reduced to a clear opening of thirty-two special medical or dietary needs should have their medical inches for doors (1). This is consistent with Americans with equipment brought along during an evacuation. All children must be able to exit the building Family Child Care Home quickly in case of emergency. Architectural and Transportation Barriers Compliance Board where the ground foor cannot be used for such children, (Access Board). In centers, no door should have a lock or fastening device that prevents free egress from the interior. An exception is that doors should provide a staff in case a child attempts to leave. The width of system should also be in place in the case of a child with doors should accommodate wheelchairs and the needs of special behavior support needs who poses a risk for running individuals with physical disabilities. Nevertheless, the caregiver/teacher must assure be arranged to provide access for each occupant to at least security from intruders and from unsupervised use of the two exits by separate ways of travel. Locks that prevent opening must be wide enough to permit easy exit in an emergency. Double cylinder deadbolt locks should not be especially in an emergency situation where groups of people used on interior doors, such as closets, bathrooms, storage may be exiting together. Infants and young toddlers may crawl or play close In centers, required exits should be clearly identifed and to railings around stairs. Because they may have access to visible at all times during operation of the child care facility. Adults who come recommendations for intervals less than three and a half into the building as visitors need these markings to direct inches. The outside diameter of handrails should be between one No obstructions should be placed in the corridors or pasand one-quarter inches and two inches. Such handrails are equally usable by stairways should be shut off from the main foor level by a children. This door should be self-closing and should be children effectively using handrails mounted as high as kept locked to entry when the basement is not in use.