Implementation

Resources: Go to HIPPYUS.org for the HIPPY US Library



PRE-TEST - BEFORE PACKET 1 

• Family File Checklist Form 
• use with all family files to ensure all required documents are completed.
  
• Family Application Form   
• PEI Client Enrollment Form - refer to PEI provided documents 
• PEI Client Enrollment Form - refer to PEI provided documents
• Consent Forms:
• PEI - must use consent provided by funder if applicable
• Media Consent
• Media Consent - English
• Media Consent - Spanish
• Parent Agreement 
• Parent Agreement - English 
• Parent Agreement - Spanish 
• Bracken - use kit
• Healthy & Ready to Learn - English or Spanish 
• HRTL English Link
• HRTL Spanish Link
• Parent Involvement Interview (PII) - English or Spanish 
• PFS/HIPPY Parent Survey - English or Spanish Required for HOPES
• PICCOLO - use kit
• CBCL (Child Behavior Checklist) - link provided to parent for parent to complete 
• CBCL English Link 
• CBCL Spanish Link

• Me As A Parent - link provided to parent for parent to complete 
• MAAP English Link 
• MAAP Spanish Link
• ASBI (Adaptive Social Behaviour Inventory) - link provided to parent for parent to complete
• ASBI English link: combined with MAAP
• ASBI Spanish link: combined with MAAP
• Social Communication Checklist in English and Spanish - for A+ only 

IN-CURRICULUM YEAR

• Home Visit Record - PVR - completed during home visit and entered into VT weekly
• Referral Form used to document all Information (I) and Resource Connections (CR) provided to family
• Home Visit Observation - Coordinators conduct observations by weeks 5, 15, 25 using the form found in the HIPPY US Library

        SCREENINGS 

• Edinburgh Depression Screening Form - English or Spanish
• Domestic Violence Screening Form - English or Spanish
• ASQ-3 - use kit
• ASQ-SE-2 - use kit

POST-TEST - END OF YEAR (use links above)

• Bracken - use kit
• Healthy & Ready to Learn - English or Spanish
• Parent Involvement Interview (PII)- English or Spanish 
• PFS/HIPPY Parent Survey - English or Spanish - Required for HOPES
• PICCOLO - use kit
• Me As A Parent - link provided to parent for parent to complete
• ASBI - link provided to parent for parent to complete 
• Social Communication Checklist in English and Spanish
• Redo Family Application as Family Update/Exit  

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