Helpful Forms - Hope and Healing Child and Family Counseling

Forms and Rating Scales

Adverse Childhood Experiences (ACES) Questionnaire: This questionnaire asks about adverse childhood experiences and provides your ACES score. Research links ACES scores to various developmental outcomes.

Vanderbilt Parent Rating: This measure is for parents to rate the symptoms of their child.

Vanderbilt Teacher Rating: This measure is for teachers to report their observation of a child's behavior in the classroom.

Domestic Abuse and Child Abuse Hotline

Child Abuse Hotline -- 800-4-A-CHILD (800 422 4453)
National Domestic Violence Hotline -- 800-799-7233
Missing & Exploited Children Hotline -- 1-800-843-5678

Drug and Alcohol

National Council on Alcoholism and Drug Dependence (NCADD)-- 1-800-622-2255
Partnership for Drug-Free Kids -- 1-855-DRUGFREE or text your message to 55753
Substance Abuse and Mental Health Services Administration (SAMHSA) -- 1-800-662-4357

Eating Disorders

National Eating Disorder Association (NEDA) HelpLine -- 1-800-931-2237 or text NEDA to 741741
National Association of Anorexia Nervosa and Associated Disorders(ANAD) -- 630-577-1330

Learning Disabilities and ADHD

Children & Adults with Attention Deficit/Hyperactivity Disorder Resource Center (CHADD) -- 1-800-233-4050
National Center for Learning Disabilities -- 1-888-575-7373

Mental Health Crisis Lines / Suicide Hotlines

Suicide and Crisis Lifeline -- 988
Trevor HelpLine / Suicide Prevention for LGBTQ+ Teens -- 1-866-488-7386
Crisis Text Line -- Text HOME to 741741
Gay & Lesbian National Hotline -- 1-888-THE-GLNH (1-888-843-4564)
IMAlive -- online crisis chat

Rape and Sexual Assault

Rape, Abuse, Incest, National Network (RAINN) -- 1-800-656-HOPE (1-800-656-4673)
Sexual Abuse - Stop It Now! -- 1-888-PREVENT

Click Here for Suicide Hotlines

Hope and Healing

Forms and Rating Scales

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