Child
· Has good physical health and nutrition
· Has good eating habits
· Is developing a sense of responsibility for personal health
· Has regular oral health care
· Engages in physical activities
· Has positive attitude
· Feels loved and valued by parents and other adults
· Has one or more close friends
· Is developing social competence
· Expresses feelings
· Enjoys life and has joyful experiences
· Participates in social activities
· Has personal sense of competence
· Has high self-esteem and expects personal success
· Has opportunities for new challenges
· Feels comfortable asking questions of parents and teachers
· Works hard in school
· Has positive role models
Family
· Meets child’s basic needs (food, shelter, clothing, safety, health care)
· Provides strong, nurturing family
· Provides safe environment (e.g., smoke alarms, car booster seat or safety belt)
· Enjoys child
· Responds to child‘s developmental needs
· Encourages good communication
· Spends individual time with child
· Praises and takes pride in child’s achievements
· Affirms child‘s feeling of being loved
· Helps child develop social competence
· Possesses working knowledge of child health and development
· Serves nutritious family meals regularly
· Reinforces health as a family priority
· Allows age-appropriate autonomy
· Protects child against excessive stress
· Provides value system, good parental role models
· Promotes cooperation among siblings
· Has support of extended family and others
· Encourages participation in community
ISSUES DURING MIDDLE CHILDHOOD:
Child
· School concerns (learning disabilities, underachievement, difficulty completing homework, frequent school absence or tardiness/school avoidance, lack of motivation)
· Behavioral concerns (hyperactivity, inability to concentrate, temper outbursts, lying, aggression, fighting, stealing, vandalism, fire-setting, cruelty, violence)
· Peer concerns (inability to get along with other children, lack of friends, excessive shyness)
· Emotional concerns (separation problems, depression, anxiety, low self-esteem, threat of suicide)
· Risk-taking behavior (sexual activity, use of alcohol, drugs, or tobacco)
· Weight and height concerns (short stature, obesity, eating disorders)
· Physical inactivity
· Chronic illness
· Physical complaints
· Tics
· Developmental delays
