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:

(Empathy step) (Empathy step) (Empathy step)

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:

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