Adolescent Autonomy Checklist
Skills at home Can Do Already Needs Practice Plan to Start Accomplished
Kitchen:Operate appliances (cook top, oven,
microwave, toaster, dishwasher) |
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Use common kitchen tools (can opener, bottle opener, knife, measuring cups and spoons, grater, timer, egg beater, ice cream scoop) |
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Help plan and prepare meals |
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Follow a recipe |
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Put away the leftovers |
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Set the table |
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Do the dishes |
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Familiarity with contents of packaged foods |
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Laundry |
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Put dirty clothes in hamper |
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Sort clothes |
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Use washer and dryer |
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Iron |
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Hand wash |
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Fold clothes |
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Put clothes away |
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With the Family |
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Watch TV news and discuss together |
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Help take care of siblings |
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Participate in family decisions |
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Plan family outing |
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Take care of pets |
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Housekeeping |
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Clean room |
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Skills at Home Can Do Already Needs Practice Plan to Start Accomplished
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Housekeeping,
Cont’d. |
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Make the bed/change the bed |
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Choose decorations for room |
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Minor repairs (change light bulbs, repair or assemble toys) |
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Take out the trash |
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Basic sewing/mending skills |
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Gardening
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Plant a garden |
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Mow/water the lawn |
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Weed the garden |
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Learn appropriate use of garden tools |
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Emergency |
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Plan fire exits and
emergency procedures
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Know where candles and
flashlights are
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Use a fire
extinguisher
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Know how to turn water
off
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Know community
emergency telephone numbers
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Know where extra house
key is located
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Unclog the sink or
toilet
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Personal Skills |
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Use the phone
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Have a house key
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Budget allowance
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Go shopping
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Have privacy in the
bathroom
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Manage personal
grooming (shampoo, bath, shower)
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Personal
Skills, Cont’d. |
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Get a haircut |
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Choose appropriate clothes to wear |
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Health Care Skills |
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Understand health status |
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Be aware of existence of medical records, diagnosis information, etc. |
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Prepare questions for doctors, nurses, therapists |
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Respond to questions from doctors, nurses, therapists |
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Know medications and what they’re for |
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Get a prescription refilled |
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Keep a calendar of doctor, dentist appointments |
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Know height, weight, birthdate |
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Learn how to read a thermometer |
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Know health emergency telephone numbers |
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Know medical coverage numbers |
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Obtain sex education materials/birth control if indicated |
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Discuss role in health maintenance |
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Have genetic counseling if appropriate |
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Discuss drugs and alcohol with family |
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Make contact with appropriate community advocacy organization |
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Take care of own menstrual needs and keep a record of monthly periods |
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Skills At Home Can Do Already Needs Practice Plan to Start Accomplished
| Community Skills | |||||
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Get
around the city (pedestrian skills, asking directions) |
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Get around the city (pedestrian skills, asking directions) |
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Use public transportation (taxi, bus, etc.) |
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Locate bathroom in unfamiliar building (i.e. know how to ask) |
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Know about neighborhood stores and services |
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Use a pay phone |
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Use a phone book |
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Open a bank account |
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Get a library card |
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Get a picture ID |
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Get a Social Security Card |
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Use Post Office |
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Volunteer for community services |
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Leisure Time Skills |
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Help plan a party |
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Invite a friend over |
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Subscribe to a magazine |
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Read a book |
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Plan a TV viewing schedule |
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Go for a walk |
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Join the Scouts, YMCA/YWCA, 4-H Club |
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Go to a recreation center |
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Go to camp |
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Attend school functions (plays, dances, concerts, sports) |
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Go to Church |
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Keep a calendar of events |
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Participate in a sport |
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Skills At Home Can Do Already Needs Practice Plan to Start Accomplished
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Skills
For The Future- Education |
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Meet with school Guidance Counselor |
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Check future educational options |
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Vocational/Technical
Options |
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Contact school Guidance or DVR Counselor |
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Check on local
workshops/job opportunities
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Find out about apprentice programs |
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Get information from community colleges |
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Learn how to apply for a job |
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Check on local workshops/job opportunities |
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Find out about apprentice programs |
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Get information from community colleges |
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Learn how to apply for a job |
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Living Arrangements |
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Be aware of federal housing regulations for the disabled |
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Explore group homes and tenant support apartment living programs |
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Find out about financial assistance programs |
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Learn how to manage money and budget household expenses |
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Understand leases |
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Know the responsibilities of a tenant & landlord |
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Know how to fill out an application |
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Check for wheelchair accessibility if needed |
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Look into transportation |
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Know about services: electricity, phone, water |
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Developed by the Youth in Transition Project (1984-1987) University of Washington Division of Adolescent Medicine and based on a Model developed by the Children’s Rehabilitation Center at the University of Virginia.