PART 3: What information is needed for GP/ CAMHS assessment?
評估會面時，相關團隊會根據下例框架提出問題，家長或當時人若能據此作出準備，並向團隊提供相關 資料，有助於取得適切的服務。
- 當前家長或學童關注/問題
- 最近有沒有發生什麼事情讓您的孩子/您此時尋求幫助？
- 存在問題的持續時間
- 問題的嚴重性（超出個別兒童/青少年的正常發展和當前情況）
A. 有什麼風險嗎？
- 自殘行為（頻率增加、方法、有傷害意圖、缺乏應對策略、缺乏抗逆力）(Self-harm behaviour (increasing frequency, unsafe methods, intent to harm, few coping strategies, lack of resilience))
- 傷害他人 (Harm to others)
- 自殺意念； 結束生命的意圖，有自殺計劃，很少或缺乏保護因素，有執行計劃的方式，曾有自殺經驗 (Suicide ideation; intent to end life, plan in place, little or no protective factors, means to carry out plan, previous attempts)
- 濫用藥物 (Misuse of substances impacting on safety and functioning of the child / young person)
- 從事危險/有害的性活動 (Engaging with risky/harmful sexual activities)
- 有害使用對情緒/心理健康產生負面影響的社交媒體 (Harmful use of social media which is negatively impacting on emotional/mental health)
B. 有任何健康問題嗎？
- 食慾增加或減少 (Increased or reduced appetite)
- 睡眠模式的改變 (Concerning changes in sleep pattern)
- 體重變化 (Concerning changes in weight)
- 飲食習慣 (Concerning eating habits)
- 過度運動 (Excessive exercise)
- Increased physical symptoms which may be psychosomatic (headaches, stomach aches etc with no other explanation)
- 長期健康狀況出現惡化（沒有其他解釋）(Worsening of diagnosed chronic health conditions (with no other explanation))
- 急性身體疾病 (Onset of acute physical illness)
- Co-morbidities e.g autism spectrum disorder/attention deficit hyperactivity disorder/tics/tourettes/intellectual disability
C. 有什麼負面想法嗎？
- 扭曲的思維模式 (Distorted thought patterns)
- 強迫思想/不受控制的重覆思想 (Acting on intrusive thoughts)
- 壓力的累積 (Increasing level of distress from intrusive thoughts)
- 負面想法 (Unhelpful thoughts which impact on the ability to function)
- 「回閃」事發現場的經過 (Flashbacks)
D. 有任何情緒問題嗎？
- 易怒 (Irritability)
- 侵略性 (Aggression)
- 退縮 (Withdrawn)
- 隔離 (Isolating)
- 狂躁 (Manic)
- 情緒低落 (Feeling low)
- 哭泣 (Tearful)
- 過度敏感 (Over-sensitive)
- 難以控制情緒 (Difficulty in controlling emotions)
E. 對兒童/青少年的家庭、教育和社交生活的影響
對家庭生活的影響
- 從家庭成員自我抽離 (Withdrawing from family members)
- 需要比以前更多地與家人聯繫 (Needing to have more contact with family members than before)
- 爭執/衝突增加 (Increased arguments / conflict)
- 缺乏合適的管教和支持 (Concerns regarding parenting ability / lack of parent support / comfort)
- 過度尋求兒童/青少年的安慰 (Excessive reassurance seeking from child/young person)
- 家庭活動的變化 (Change in family activities)
- 家庭互動的變化 (Change in family set up/dynamics)
- 失去或喪親 (Loss or bereavement)失去或喪親 (Loss or bereavement)
- 家庭成員的身心健康情況 (Mental and physical health of family members which may impact on the young person)
對教育和學習的影響
- 出席率下降 (Attendance dropping)
- 長期缺勤/逃學 (Persistent absences / truanting)
- 成績改變 (Attainment changing)
- 動機改變/缺乏參與 (Change in motivation / lack of engagement)
- 專注力下降 (Change of concentration level)
- 行為模式改變（退縮/挑戰等） (Behaviour pattern changing (withdrawal / challenging etc))
對社交關係的影響
- 朋友圈的變化 (Changes in friendship groups)
- 欺凌行為或欺凌對象 (Bullying behaviour or Subject of bullying)
- 友誼質量的變化，例如他們還在和朋友交流嗎？ (Change in quality of friendships such as are they still communicating with friends?)
- 失去或喪親 (Loss or bereavement)失去或喪親 (Loss or bereavement)
- 結交損友 (Engaging with inappropriate relationships)
對生活效能的影響
- 失去對事物、活動的興趣 (Decreased enjoyment of previously enjoyed activities and/or interests)
- 退出活動 (Withdrawal from activities)
- 缺乏參與 (Lack of engagement)
- 自我照顧技能的改變（改變他們的著裝/展示方式 (Change in self-care skills (change in how they dress/present themselves))
- 冒犯行為/持續的反社會行為 (Offending behaviour/persistent anti-social behaviour)
- 過於熟悉/過於友好 (Over-familiar/over-friendly)
社會心理和家庭問題，包括家庭成員或親屬系統中的重要人物
- 大型家庭活動 (Big family events)
- 疾病 (Illnesses)
過往支援的成效 / 問題改善程度？
- 學校心理健康服務 (School health service involvement)
- 校內支援 (Student support within school)
- 家庭服務 (Family service intervention)
- 私人輔導 (Private/voluntary counselling)
- 學校輔導 (School counselling)
- 家庭暴力/保護服務 (Domestic abuse services)
- 喪親服務 (Bereavement services)
- 相關志願機構 (Relevant voluntary agencies)
- 自助網站 (self-help websites)
