PROBLEM SOLVING PLAN

CHILD'S NAME _______________________________________________________________ DATE ________________

UNSOLVED PROBLEM #1

UNSOLVED PROBLEM #2

UNSOLVED PROBLEM #3

Adult taking the lead on Plan B:

Adult taking the lead on Plan B:

Adult taking the lead on Plan B:

Kid concerns identified:

Kid concerns identified:

Kid concerns identified:

DATE____________

DATE____________

DATE____________

Adult concerns identified:

Adult concerns identified:

Adult concerns identified:

(Define the Problem step)

(Define the Problem step)

(Define the Problem step)

DATE____________

DATE____________

DATE____________

Solution agreed upon:

Solution agreed upon:

Solution agreed upon:

(Invitation step)

(Invitation step)

(Invitation step)

DATE____________

DATE____________

DATE____________

Problem Solved?

Problem Solved?

Problem Solved?

YES? _____ DATE___________

YES? _____ DATE___________

YES? _____ DATE___________

NO? _____ COMMENT:

NO? _____ COMMENT:

NO? _____ COMMENT:

(Empathy step)

REV 0208165

livesinthebalance.org

(Empathy step)

(Empathy step)