The safety plan includes the actions that will be taken to establish and maintain safety, both physically and mentally.

PCN-672 Safety Plan

Scoring Guide

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

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