Family Resiliency Building
Plan
FAMILY RESILIENCY BUILDING PLAN
Name of child: _______________________ Your connection: ________________
Who are the positive, helping people in this child's life?________________________
_________________________________________________________________________________________
What are the positive interests and activities in this child's life? __________________
_________________________________________________________________________________________
This child has learned these life skills (circle all that apply):
| Integrity | Initiative | Flexibility | Perseverance |
| Organization | Sense of Humor | Responsibility | Common Sense |
| Problem Solving | Effort | Patience | Friendship |
| Curiosity | Cooperation | Caring | Courage |
What clear boundaries and structure do you provide this child? _________________
_________________________________________________________________________________________
Which people/organizations/settings provide this child with caring and support? _____
_________________________________________________________________________________________
What high expectations for success have you shared with this child? _____________
_________________________________________________________________________________________
_________________________________________________________________________________________
How is this child involved in helping others and making positive contributions? ______
_________________________________________________________________________________________
Circle the Protective Factors this child has:
| Personal | Emotional | Social | Physical/Intellectual |
| Friendly | Self Reliant | Flexible | Skilled |
| Affectionate | Independent | Adaptable | Problem Solver |
| Sense of Humor | Hopeful | Empathetic | Critical Thinker |
| Tenacious | Strong Self Image | Responsible | Success Oriented |
| Tolerant | Positive | Racial Identity | Competent |
| Loves Learning | Easy Going | Sense of Purpose | Helpful |
| Active & Healthy |
Does your home provide these Family Protective Factors?:
Nurturing and positive attention from caregivers
Positive relationships with parent(s)
Structure and rules in the home
High, realistic achievement standards
Parental support of academic achievement
Unconditional acceptance from at least one person
Compliments and praise
Opportunities for decision making
Lack of stressful incidents
Firm guidance with respect
