Appendix - VCRHYP

Appendix

1. HMIS Provider Type Flowchart

2. VCRHYP Paperwork Manual

3. Evidence-Based Assessments & Screening Tools Chart

4. Memo re: Resiliency Assessment requirements & FYSB performance measures

NO

How old is the youth? How old is the youth?

Under 12 or over 17

12-17

Is the youth in DCF custody?

Under 16 or over 21

Youth may be served by your agency or

connected with a community partner, but

should not be open in HMIS for VCRHYP

services

Youth may be served by your agency or connected with a

community partner, but should not be open in HMIS

for VCRHYP services

NO

YES

Are you providing the youth with shelter (not including

brokered housing)? YES

NO

Open in BCP Shelter

Open in BCP Prevention

18-21

Is the youth a runaway, experiencing homelessness/

housing instability, or at risk of running away/becoming homeless

due to family conflict or other crisis?

What is the youth’s main reason for accessing services?

Independent living Family reunification/stabilization

Are you providing housing to the youth

(either in agency-owned or agency-master-leased

units)?

YES

Open in TLP

HMIS PROVIDER TYPE FLOWCHART For internal use only, please do not distribute

NO

Is the youth in DCF custody?

YES

16-17

NO YES

VCRHYP Paperwork Manual, updated 2/5/2019 1

VCRHYP PAPERWORK MANUAL

Table of Contents

Intake Assessment 2

Resiliency Assessment 3

Quarterly Update 4

Exit Assessment 5

Project Reentry Form 6

Project Switch Form 7


VCRHYP Intake Assessment

Use when: • A new client enters a project • A previously-served client enters a project and it has been a full month or more

since they were last exited Do not use when:

• A client is reentering the same project they exited from less than one month ago o See Project Reentry Form on pg. 6

• A client is switching between projects due to changes in circumstances, eligibility, etc.

o See Project Switch Form on pg. 7 This form:

• Includes questions you are required to ask by FYSB, as well as questions VCRHYP suggests asking

o All questions required by FYSB need to be answered completely § Check the “Data not collected” box if you did not ask a FYSB-

required question o Non-FYSB required questions are italicized

§ Check “Data not collected” if you did not ask a non-FYSB required question

• Should be sent to VCRHYP to be entered into HMIS Things to remember:

• All member agencies, except for Spectrum, will choose VT-500 Vermont Balance of State CoC for “Client Location”

• Documentation of disabilities is not required: a youth’s self-report is considered sufficient to answer “Yes”

• Dr. Dynasaur should be marked off as “Medicaid” in the Health Insurance section • Monthly income only needs to be gathered for youth in TLP • If a youth/family cannot answer the questions about current or past DCF

involvement and sign a Release of Information, you should follow-up with your DCF district office to try and get this information; if you are successful in getting it, pass it onto VCRHYP so we can update the youth’s data in HMIS


VCRHYP Resiliency Assessment

Use when: • A new client enters a project • A previously-served client enters a project and it has been a full month or more

since they were last exited • Client has been served in a project for 6 months

Do not use when:

• A client is reentering the same project they exited from less than one month ago • A client is switching between projects due to changes in circumstances,

eligibility, etc. This form:

• Should be completed at entry and every six months the youth is being served • Needs to have a box checked for each statement • Can have a response written for each follow-up question • Should be used to inform Plan of Care creation and updates • Must be kept in client files, as VCRHYP no longer collects them for entry into

HMIS


VCRHYP Quarterly Update

Use when: • Each three month quarter (based on federal fiscal year) is coming to end

(Quarter 1: December, Quarter 2: March, Quarter 3: June, Quarter 4: September) Do not use when:

• A client first enters a project • A client is switching between projects • A client is exiting a project

This form:

• Must have answers for the four questions in the Employment and Enrollment Status section

• Should indicate what is true for the client at the time of review • Needs to indicate a review date, as well as the quarter being reviewed • Should indicate any services provided to a client during the quarter • Should be sent to VCRHYP to be entered into HMIS

o The Disability Addendum does not need to be sent to VCRHYP unless there have been changes to a client’s disability status

Things to remember:

• You can write “No Changes” above any section on the form that remains the same for the client (except for the Employment and Enrollment Status section, which must have answers)

• VCRHYP will send a reminder to complete Quarterly Updates in the last month of each quarter, along with a list of youth who have been served during the quarter

o A Quarterly Update must be submitted for all youth served during the quarter, even those who have exited

§ However, for youth who have exited during the quarter, the only sections that need to be completed are Employment and Enrollment Status and Brokered Housing


VCRHYP Exit Assessment

Use when: • A client is exiting from a project

Do not use when:

• A client is switching between projects due to changes in circumstances, eligibility, etc.

This form:

• Should include answers in the TLP Outcomes section if a client is receiving TLP services

• Includes a Services Provided section to ensure that all services provided to the client during project enrollment are entered into HMIS

• Should be sent to VCRHYP to be entered into HMIS o The Disability Addendum does not need to be sent to VCRHYP unless

there have been changes to a client’s disability status Things to remember:

• A client should be exited from a project if a full month passes without any engagement


VCRHYP Project Reentry Form

Use when: • A client is reentering the same project they exited from less than one month ago

Do not use when:

• A client is entering a different project than the one they exited from, regardless of how much time has passed since the client’s exit

o See Project Switch Form on pg. 7 • A client’s circumstances have changed drastically and a full Intake Assessment

would better reflect a client’s current situation than this form

This form: • Is a shortened version of the Intake Assessment • Includes questions you are required to ask by FYSB, as well as questions VCRHYP

suggests asking o All questions required by FYSB need to be answered completely

§ Check the “Data not collected” box if you did not ask a FYSB-required question

o Non-FYSB required questions are italicized § Check “Data not collected” if you did not ask a non-FYSB required

question • Should be sent to VCRHYP to be entered into HMIS


VCRHYP Project Switch Form

Use when: • A client is switching between projects due to changes in circumstances,

eligibility, etc. Do not use when:

• A client is reentering the same project they exited from less than one month ago o See Project Reentry form on pg. 6

This form: • Is a combination of the Exit Assessment and the Intake Assessment • Includes questions you are required to ask by FYSB, as well as questions VCRHYP

suggests asking o All questions required by FYSB need to be answered completely

§ Check the “Data not collected” box if you did not ask a FYSB-required question

o Non-FYSB required questions are italicized § Check “Data not collected” or leave question blank if you did not

ask a FYSB-required question • Should be sent to VCRHYP to be entered into HMIS

VCRHYPOrientationManual:Evidence-BasedAssessment&ScreeningTools 1

Evidence-BasedAssessment&ScreeningTools

TableofContentsMentalHealthandOverallWell-Being pg.2AddictionandSubstanceUse pg.12Trauma/AbuseHistory pg.13FamilyCohesion/Functioning pg.18LifeSkillsandIndependentLiving pg.19Vocational/CareerInterests pg.20AcademicSkills pg.22PermanentConnections pg.23ComprehensiveCasePlanningTools pg.23Index pg.26


Target

Population Purpose/DescriptionTimeto

AdministerCompleted

ByTraining/

QualificationsNeeded

Availability

MENTALHEALTHandOVERALLWELL-BEINGConnor-DavidsonResilienceScale–CD-RISC2ORCD-RISC-10ORCD-RISC25

Youthages10-18;Adults

2-itemOR10-itemOR25-itemscaleusedasameasureofdegreeofresilience,apredictorofoutcometotreatmentwithmedicationorpsychotherapy,stressmanagement,andresilience-building,amarkerofprogressduringtreatment,andamarkerofbiologicalchangesinthebrain

1-5min.(CD-RISC2&CD-RISC10)OR5-10min.

Unknown Unknown;User’smanualprovided

Agencymustsubmitaprojectinformationformandthensignanagreement

PediatricSymptomChecklist-17(PSC-17)

Youthages4-18

17-itemquestionnairethatreflectsparents’impressionsoftheirchild’spsychosocialfunctioning;Intendedtofacilitatetherecognitionofemotional&behavioralproblemssothatappropriateinterventionscanbeinitiatedasearlyaspossible

3minutes Parent/Guardian

Refertoscreeninginstructionsbeforeusing

Free;DownloadfromMassachusettsGeneralHospital

BeckDepressionInventory-II(BDI-II)

Youthage13&up;Adults

21-iteminstrumentusedtoassesstheintensityofdepressionbasedontheDSM-IV’scriteria

5minutes ClientorYouthCareWorker

RequiresPearsonQualificationLevelB;Briefonlinetrainingvideoavailable

AgencymustpurchasedfromPearson

http://www.connordavidson-resiliencescale.com/submit-ofr.php




http://www.massgeneral.org/psychiatry/services/psc_forms.aspx



https://www.pearsonclinical.com/psychology/qualifications.html



https://www.pearsonclinical.com/psychology/products/100000159/beck-depression-inventoryii-bdi-ii.html#tab-training

https://www.pearsonclinical.com/psychology/products/100000159/beck-depression-inventoryii-bdi-ii.html#tab-training

https://www.pearsonclinical.com/psychology/products/100000159/beck-depression-inventoryii-bdi-ii.html#tab-pricing


ReynoldsAdolescentAdjustmentScreeningInventory(RAASI)

Youthages12-19

32-itemself-reportmeasurethatprovidesindicationsoftheclinicalseverityofthemostmeaningfuldomainsofpsychologicaladjustmentproblems;Providesanadjustmenttotalscoreandscoresinfourscales

5minutes YouthCareWorker

RequiresPARQualificationLevelB;Manualprovided

AgencymustpurchasefromPAR

YouthOutcomeQuestionnaire30.2–Self-Report(Y-OQ30.2SR)ORParent/Guardian(Y-OQ30.2PR)

Youth(Agesnotspecified)

Brieftooldesignedtobeincorporatedintotherapyinanunobtrusivemanner;Allowsacliniciantotrackclients’progressandfindtheoneswhoarenotontrack

5minutes ClientorParent/Guardian

Unknown AgencymustpurchasefromOQMeasures

MassachusettsYouthScreeningInstrument–SecondVersion(MAYSI-2)

Youthages12-17

52-itembriefscreeningtoolusedtoidentifyyouthwhomayhaveimportant,pressingbehavioralneeds;Providesscoreson7scales;Usedprimarilyinjuvenileprobation,diversionprograms,andintakeinjuveniledetentionorcorrections

5-10minutes

Youth None;Manualprovided

AgencymustpurchasemanualandregisteruserwiththeMAYSI-2Project

MoodandFeelingsQuestionnaire–ShortForm(MFQ-SF)ORLongForm(MFQ)

Youthage8&up

13-itemOR33-itemquestionnairebasedonDSM-III-Rcriteriafordepression;Consistsofaseriesofdescriptivephrasesregardinghowtheyouthhasbeenfeelingoractingrecently

5minutesOR5-10min.

ClientorParent/Guardian

None Free;DownloadfromDukeUniversity

https://www.parinc.com/Support/Qualification-Levels



https://www.parinc.com/Products/Pkey/347

https://www.oqmeasures.com/measures/youth-adolescent-measures/y-oq-30-2/

http://www.nysap.us/MAYSI-2 Manual Purchasing & Registration.html





http://devepi.duhs.duke.edu/mfq.html

http://devepi.duhs.duke.edu/mfq.html


StrengthsandDifficultiesQuestionnaire(SDQ)

Youthages2-17

Mentalhealthscreeningtoolthatasksabout25psychologicalattributesandtheirimpact

5-10min. ClientorParent/Guardian

Websitesavailableasresources

Free;DownloadfromYouthinMind

ReynoldsAdolescentDepressionScale–2ndEdition(RADS-2)ORShortForm(RADS-2:SF)

Youthages11-20

30-itemself-reportscalemeasures4basicdimensionsofdepressionandprovidesanindicationoftheclinicalseverityofdepressivesymptoms(RADS-2)ORbriefscreeningmeasurethatassessesthefrequencyofsymptomsthatarepositivepsychopathologicalsignsofadepressivedisorder,alertsthatclientmayrequireimmediateclinicalattention,andquicklydeterminesthoseinneedoffurthertreatment(RADS-2:SF)

5-10min. Unknown RequiresPARQualificationLevelB;Manualprovided


GlobalAppraisalofIndividualNeedsShortScreener(GAIN-SS)

Nonespecified

23-itemscreeningtooltoquicklyandaccuratelyidentifyclientswhomayneedareferraltobehavioralhealthtreatment;Screensforinternalizingdisorders,externalizingdisorders,substancedisorders,andcrime/violence

5-10min. ClientorYouthCareWorker

1hourself-pacedonlinetrainingcourse

AgencymustpurchasefromGAINCoordinatingCenter

Children’sDepressionInventory2ndEdition(CDI2)–ShortORParentORSelf-Report

Youthages7-17

12-itemOR17-itemOR28-itemcomprehensivemulti-raterassessmentofdepressivesymptoms

5minutesOR10minutesOR20minutes


RequiresMulti-HealthSystemsB-LevelQualification;Manualprovided

AgencymustpurchasefromMulti-HealthSystems

http://www.sdqinfo.org/





http://gaincc.org/instruments/



https://www.mhs.com/Support/qual-criteria




https://www.mhs.com/MHS-Assessment?prodname=cdi2

https://www.mhs.com/MHS-Assessment?prodname=cdi2


BriefSymptomInventory(BSI)

Youthage13&up;Adults

53-iteminventorythatgathersclient-reporteddatatoprovideanoverviewofpsychologicalsymptomsandintensity

8-10min. YouthCareWorker

RequiresPearsonQualificationLevelB;20-30min.onlinetrainingsessionavailable;Manualprovided

AgencymustpurchasefromPearson

SymptomAssessment-45Questionnaire(SA-45)

Youthages13&up;Adults

45-itemassessmentofsymptomatologythatcanbeusedasascreeningtool,tohelpformulatediagnoses,todeveloptreatmentplans,andtomeasureoutcomes

10minutes Client RequiresMulti-HealthSystemsB-LevelQualification;Manualprovided


Children’sInventoryofAnger(ChIA)

Youthages6-16

39-iteminventorythatidentifiesthekindsofsituationsthatprovokeangerinparticularyouth,aswellastheintensityoftheirangerresponse

10minutes Client Manualprovided

AgencymustpurchasefromWPS

BehavioralandEmotionalRatingScale–2ndEdition(BERS-2)

Youthages5-18

Measurespersonalstrengthsandcompetenciesfromtheperspectiveoftheyouth,theparent,andtheteacher/youthcareworker


RequiresPARQualificationB;Manualprovided


MentalHealthScreeningTool(MHST)

Youthages5-18

Rapidlyscreensyouthforareferralforamentalhealthassessmentanddeterminesurgencyofneed;Originallydesignedforyouthbeingconsideredforoutofhomeplacement


Manualprovided

Free;DownloadfromCaliforniaInstituteforBehavioralHealthSolutions




https://www.pearsonclinical.com/psychology/products/100000450/brief-symptom-inventory-bsi.html#tab-training

https://www.pearsonclinical.com/psychology/products/100000450/brief-symptom-inventory-bsi.html#tab-training

https://www.pearsonclinical.com/psychology/products/100000450/brief-symptom-inventory-bsi.html#tab-pricing





https://www.mhs.com/MHS-Assessment?prodname=sa45

https://www.mhs.com/MHS-Assessment?prodname=sa45

https://www.wpspublish.com/store/p/2704/childrens-inventory-of-anger-chia




http://www.cibhs.org/project/caring-foster-youth-project






ScreenforChildhoodAnxietyRelatedtoEmotionalDisorders(SCARED)

Youthages8-18

41-itemself-reportinstrumentusedtoscreenforchildhoodanxietydisorder,panicdisorder,andsocialphobia

10minutes ClientorParent/Guardian

Importanttounderstandthemeaningofthescoresbeforeusing

Free;DownloadfromUniversityofPittsburgh

CopingInventoryforStressfulSituations–Adolescent(CISS:Adolescent)ORAdult(CISS:Adult)

Youthages13-18ORAdults

48-itemself-reportinstrumentmeasuresthreetypesofcopingstylesineitheradolescentsoradults;Helpsdeterminethepreferredcopingstyleofaclientandcontributestoanoverallunderstandingoftherelationshipbetweenaclient’scopingstyleandtheirpersonality



CopingInventoryforStressfulSituations–Situation-SpecificCoping(CISS:SSC)

Adults

21-itemself-reportinstrumentthatexaminesadesignatedevent,suchasachangeinsocialsituation,changeinrelationship,orapersonalconflict



EmotionalQuotientInventory:YouthVersion(EQ-i:YV)–Short-LengthORFull-Length

Youthages7-18

30-itemOR60-itemself-reportinstrumenttoassessemotionalintelligenceinchildrenandteenagers;Short-lengthmeasures5keyareas;Full-lengthalsomeasuresgeneralmoodandinconsistencyandisrecommendedforinitialevaluationswithclients

10minutesOR30minutes

Client RequiresMulti-HealthSystemsB-LevelQualification;Manualprovided


http://pediatricbipolar.pitt.edu/resources/instruments

http://pediatricbipolar.pitt.edu/resources/instruments





https://www.mhs.com/MHS-Assessment?prodname=ciss












https://www.mhs.com/MHS-Assessment?prodname=eqiyv

https://www.mhs.com/MHS-Assessment?prodname=eqiyv


SchoolSituationSurvey(SSS)

YouthinK-12thgrade

34-itemsurveytoassessayouth’sperceptionsofschool-relatedsourcesandmanifestationsofstress

10-15min. Client Manualprovided

AgencymustpurchasefromMindGarden

ChildandAdolescentFunctionalAssessmentScale(CAFAS)

Youthages5-19

Assessesfunctioningacross8areasinayouth’slife(school,home,community,behaviortowardsothers,moods,self-harm,substanceabuse,thinking)and2areasincaregiverfunctioning(materialneeds,socialsupport)


AgencyReferenceManualsandSelf-TrainingManualsprovided

AgencymustpurchasefromMulti-HealthSystems&payanAnnualMaintenanceFee

PsychosocialEvaluation&ThreatRiskAssessment(PETRA)

Youthages11-18

Assessespsychosocialsymptomatologyandriskofviolencethreatamongadolescents;Followingathreatofviolence,thetoolenablesyoutoanalyzethecontextofpsychosocial,ecological,andcoping/resiliencyfactorstoassistintheidentification,assessment,intervention,treatmentplanning,andbehavioralmanagementofadolescentswhoposeariskoftargetedviolencetowardothers


RequiresPARQualificationLevelS;Manualprovided

AgencymustpurchasesfromPAR

AdolescentCopingScale:2ndEdition(ACS-2)–ShortFormORLongForm

Youthages12-18

Designedtosupportyoungpeoplewhenexaminingtheirowncopingbehavior;Measurestheusageandhelpfulnessof20distinctcopingstrategies

10-15min.OR20-30min.

YouthCareWorker

DegreeinPsychologyorSocialWorkrequired;Assessment-specifictraining

AgencymustpurchasefromtheAustralianCouncilforEducationalResearch

https://www.mindgarden.com/140-school-situation-survey#horizontalTab1

https://www.mhs.com/MHS-Assessment?prodname=cafas

https://www.mhs.com/MHS-Assessment?prodname=cafas





https://shop.acer.edu.au/adolescent-coping-scale-second-edition-acs-2





SocialSkillsImprovementSystemRatingScales(SSIS)

Youthages3-18

Enablestargetedassessmentofindividualsandsmallgroupstoevaluatesocialskills,problembehaviors,andacademiccompetence;Formsavailableforteacher,parent,andyouth

10-25min. Unknown RequiresPearsonQualificationLevelB;Manualprovided


ChildHealthQuestionnaire–ChildSelf-ReportedVersion(CHQ-CF87)

Youthages10-18

87-itempediatricqualityoflifesurveythatmeasures14uniquephysicalandpsychosocialconcepts

15minutes Client Unknown AgencymustreceivepermissionandpurchasefromHealthActCHQ

ResiliencyScalesforChildren&Adolescents–AProfileofPersonalStrengths(RSCA)

Youthages9-18

Threestand-alonescales(SenseofMastery,SenseofRelatedness,EmotionalReactivity)of20-24questionseachthatmeasuresthepersonalattributesoftheyouththatarecriticalforresiliency

15minutes(5minutesperscale)

Unknown RequiresPearsonQualificationLevelB;Manualprovided


PersonalityInventoryforYouth(PIY)–ScreenerORFullScale

Youthages9-19

80-itemOR270-iteminstrumentcovering9clinicalscalesthatmeasureemotional&behavioraladjustment,familyinteraction,andacademicfunctioning

15minutesOR45minutes

Client RequiresWPSQualificationC;Manualprovided


State-TraitAnxietyInventoryforChildren(STAI-CH)

Youthinupperelementary&juniorhighschool

40-iteminstrumentmeasuresanxietyinchildren;Distinguishesbetweenageneralpronenesstoanxiousbehaviorrootedinpersonalityandanxietyasafleetingemotionalstate

20minutes Client Manualprovided





https://www.pearsonclinical.com/education/products/100000322/social-skills-improvement-system-ssis-rating-scales.html#tab-pricing

https://www.healthactchq.com/registration.php




https://www.pearsonclinical.com/psychology/products/100000655/resiliency-scales-for-children-adolescents-a-profile-of-personal-strengths-rsca.html#tab-pricing

https://www.wpspublish.com/store/Qualification_Guidelines V3.pdf


https://www.wpspublish.com/store/p/2913/personality-inventory-for-youth-piy

https://www.mindgarden.com/146-state-trait-anxiety-inventory-for-children#horizontalTab1


JuvenileInventoryforFunctioning(JIFF)

Youthages5-19

Hands-on,interactive,computerizedinterviewthatcovers10lifedomains(school/work,home,familyenvironment,peerinfluence,communitybehavior,feelings,self-harmpotential,substanceuse,healthrelatedneeds,rationalthinking)

15-30min. ClientorParent/Guardian

None AgencymustpurchasefromMulti-HealthSystems&payanAnnualMaintenanceFee

Child&AdolescentRisk/NeedsEvaluation(CARE-2)

Youthages6-19

A57-itemassessmentthatmeasuresriskfactorsassociatedwithyouthviolence,aswellasprotectivefactors;ScoredassessmentisusedtocompletetheCaseManagementPlanningFormthathelpscliniciansgaugetheintensityofpotentialbehaviorproblemsandidentifytheappropriatelevelandtypesofinterventionsneeded


Unknown AgencymustpurchasefromCare2Systems

Mayer-Salovey-CarusoEmotionalIntelligenceTest(MSCEIT)

Notspecified

Evaluatesemotionalintelligence;Testsabilitytoperceive,use,understand,andregulateemotions;Measureshowwellpeopleperformtasksandsolveemotionalproblems

30-45min. Client RequiresMulti-HealthSystemsB-LevelQualification


https://www.mhs.com/MHS-Assessment?prodname=jiffhttps://www.mhs.com/MHS-Assessment?prodname=jiff

https://www.mhs.com/MHS-Assessment?prodname=jiffhttps://www.mhs.com/MHS-Assessment?prodname=jiff

http://www.care2systems.com/about.html





https://www.mhs.com/MHS-Talent?prodname=msceit#PricingOrdering

https://www.mhs.com/MHS-Talent?prodname=msceit#PricingOrdering


LifeStressorsandSocialResourcesInventory–Youth(LISRES-Y)ORAdult(LISRES-A)


Structuredinterviewthatmonitorsongoinglifestressors&socialresources;Covers8majorareasoflifeexperience




ChildandAdolescentPsychiatricAssessment:V4.2(CAPA)–ChildORParent

Youthages9-18

Interviewer-basedstructureddiagnosticinterviewwithversionstousewithchildrenORparents;Assessessymptomsandpotentialareasofincapacity

1.5hours YouthCareWorker

Formaltrainingisrequiredandmustberequested

AgencymustreceivepermissionandpurchasefromDukeUniversity

YoungAdultPsychiatricAssessment(YAPA)


AmodificationoftheCAPA(above)thatissuitableforusewithyoungadults;Providesafocusondiagnoses,livingsituations,relationships,andareasoffunctioningrelevanttotheyoungadultagegroup

Unknown Unknown Formaltrainingisrequiredandmustberequested

Free;AgencymustreceivepermissionfromDukeUniversity

FunctionalAssessmentRatingScale–Children(CFARS)ORAdult(FARS)

Youth(Agesnotspecified)ORAdults

Assessescognitive,social,androlefunctioning

Unknown YouthCareWorker

CertificationrequiredthroughtheFLDCFTraining&CertificationSystemforCFARSORFARS

Free;DownloadfromtheUniversityofSouthFlorida

OptumSFHealthSurvey–SF-12v2ORSF-36v2

Adults 12-itemOR36-itemquestionnairetomeasurefunctionalhealthandwell-beingfromtheclient’spointofviewacross8domains

Unknown ClientorYouthCareWorker

Unknown AgencymustrequestsurveylicensefromOptum




http://devepi.duhs.duke.edu/capa.html

http://devepi.duhs.duke.edu/capa.html

http://devepi.duhs.duke.edu/yapa.html



https://samh-fars.dcf.state.fl.us/cfars/cfars_home.aspx

https://samh-fars.dcf.state.fl.us/fars/fars_home.aspx

http://outcomes.fmhi.usf.edu/index.cfm

http://outcomes.fmhi.usf.edu/index.cfm

https://campaign.optum.com/optum-outcomes/what-we-do/health-surveys.html


YouthOutcomeQuestionnaire-Y-OQ2.01ORTherapeuticAlliance(Y-OQ2.01TA)

Youthages4-17

64-itemOR68-itemparentreportmeasurestreatmentprogressforyouthreceivingmentalhealthintervention;Designedtoreflectthetotalamountofdistressayouthisexperiencing;Indicatesthosewhomayneedimmediateinterventionbeyondstandardoutpatienttreatment;TherapeuticAllianceversionalsoassessesyouth’sperceptionoftherelationshipbetweenthemselvesandtheprovider

Unknown Parent/Guardian

Unknown AgencymustpurchasefromOQMeasures

YouthOutcomeQuestionnaire–SelfReport(Y-OQSR2.0)ORTherapeuticAlliance(Y-OQSRTA2.0)


64-itemOR69-itemself-reportversionoftheYouthOutcomeQuestionnaire(above)designedtocapturetheyouth’svoice;Canbeusedintrackingtreatmentprogressforyouthreceivingtherapyorcounseling;Indicatesthosewhomayneedimmediateinterventionbeyondstandardoutpatienttreatment;TherapeuticAllianceversionalsoassessesyouth’sperceptionoftherelationshipbetweenthemselvesandtheprovider

Unknown Client Unknown AgencymustpurchasefromOQMeasures

https://www.oqmeasures.com/measures/youth-adolescent-measures/y-oq/

https://www.oqmeasures.com/measures/youth-adolescent-measures/y-oq-sr-2-0/


OhioScalesforYouth

Youthages12-18

Briefmeasureofoutcomesforyouthreceivingmentalhealthservices;Youthandparentscalesinclude20-itemproblemseverityscale,20-itemfunctioningscale,satisfactionwithtreatmentscale,andhopefulnessscale;Youthcareworkerscaleincludes20-itemfunctioningscaleandrestrictivenessoflivingenvironmentscale

Unknown ClientorParent/GuardianorYouthCareWorker

Onlinetrainingaidsavailable

AgencymustpurchasefromBrighamYoungUniversity

YouthAssessmentandScreeningInstrument(YASI)

Youthages10-25

Pre-screenorfullassessmenttoolmeasuresbothriskandstrengthsinjuvenilepopulationsorotherhighriskyouth;Includescaseplanningcomponent;Covers10domains

Unknown Unknown Unknown AgencymustpurchasefromOrbisPartners

ADDICTIONandSUBSTANCEUSECAGE–AdaptedtoIncludeDrugs(CAGE-AID)

Nonespecified

4-itemscreeningquestionnairetoindicateaneedforfurtherdrug/alcoholassessments

1minute ClientorYouthCareWorker

Instructionsappearonform

Free;DownloadfromSBIRT

PersonalExperienceScreeningQuestionnaire(PESQ)

Youthages12-18

40-itemquestionnairetoscreenyouthforsubstanceabuse;Identifiesyouthwhoshouldbereferredforacompletechemicaldependencyevaluation;Measuresproblemseverity,psychosocialitems,anddrugusehistory


RequiresWPSQualificationB;Manualprovided


https://sites.google.com/site/ohioscales/training-aids

https://sites.google.com/site/ohioscales/training-aids

https://sites.google.com/site/ohioscales/licensing

https://sites.google.com/site/ohioscales/licensing

http://orbispartners.com/assessment/youth-assessment-yasi/

https://www.sbirttraining.com/printpdf/525



https://www.wpspublish.com/store/p/2909/personal-experience-screening-questionnaire-pesq


SubstanceAbuseSubtleScreeningInventory–Adolescent(SASSI-A2)ORAdult(SASSI-4)


Identifieshigh/lowprobabilityofsubstanceusedisorders;Measureslevelofdefensiveness;SASSI-A2providesclinicalinsightintofamily&socialriskfactors;SASSI-4includesprescriptiondrugscaleandprovidesameasureofwillingnesstoacknowledgeexperiencedconsequencesofsubstanceuse


MustmeetTheSASSIInstitute'sQualificationsforTestPurchase

AgencymustpurchasefromTheSASSIInstitute

PersonalExperienceInventory(PEI)

Youthages12-18

Self-reportinventoryhelpsidentify,refer,andtreatyouthwithdrug&alcoholprograms;Coversallformsofsubstanceabuse,assessesbothchemicalinvolvementandpsychosocialproblems,anddocumentstheneedfortreatment;Identifiespersonalriskfactorsthatmayprecipitateorsustainsubstanceabuse


RequiresWPSQualificationC;Manualprovided


TRAUMA/ABUSEHISTORYChildhoodTraumaQuestionnaire:ARetrospectiveSelf-Report(CTQ)

Youthages12&up

28-itemquestionnaireforahistoryofchildabuse&neglect(physical/sexual/emotionalabuse&emotionalneglect);Includesaminimization/denialscalefordetectingindividualswhomaybeunderreportingtraumaticevents

5minutes Client RequiresPearsonQualificationLevelB;Manualprovided


https://www.sassi.com/customer-support/#qualify





https://www.sassi.com/products/

https://www.sassi.com/products/



https://www.wpspublish.com/store/p/2905/personal-experience-inventory-pei

https://www.pearsonclinical.com/talent/qualifications.html



https://www.pearsonclinical.com/psychology/products/100000446/childhood-trauma-questionnaire-a-retrospective-self-report-ctq.html#tab-pricing


ReportofPost-TraumaticSymptoms–Child(CROPS)ORParent(PROPS)

Youthages7-17OR6-17

26-itemscalethatassessesposttraumaticsymptoms;Acceptableforusewithyouthwhodonothaveanidentifiedtraumaticevent;Canbeusedtomonitorchangesinsymptomsovertime

5minutes Client,YouthCareWorker,orParent/Guardian

Psychologistsorthoseunderthesupervisionofpsychologists

AgencymustpurchasefromChildTraumaInstitute

JuvenileVictimizationQuestionnaire2ndRevision(JVQ-R2)-ReducedItemORScreenerSum


Screenerforchildhoodvictimizationexperiences(conventionalcrime,childmaltreatment,peer/siblingvictimization,sexualvictimization,witness/indirectvictimization);Formsavailableforyouth,caregivers,oradults;Versionsavailabletoaskaboutlifetimeexperiencesorexperiencesinthepastyear

5-10min.OR10-15min.


Traininginpsychological&epidemiologicalassessment;Para-professionalsmayadministerundersupervision

Free;DownloadfromCrimesAgainstChildrenResearchCenter;Citationmustbeused

RevisedConflictTacticsScales(CTS2)

Adults 78-itemtooltoassesspartnerviolenceacross5dimensions

10minutes ClientorYouthCareWorker

Handbookprovided


ConflictTacticsScales:Parent-ChildVersion(CTSPC)

Parents/caregiversofyouth(Agesnotspecified)

35-itemtooltoassesschildmaltreatmentandparent-to-childviolence;Scores6dimensions(nonviolentdiscipline,psychologicalaggression,physicalassault,weeklydiscipline,neglect,sexualabuse)

10minutes Parent/GuardianorYouthCareWorker

Handbookprovided


AbuseRiskInventoryforWomen(ARI)

Adultwomen

25-itemscreeningdevicetohelpidentifywomenwhohavebeen,orareatriskofbeing,abused



http://www.childtrauma.com/publications/assessment-instruments/

http://www.childtrauma.com/publications/assessment-instruments/

http://www.unh.edu/ccrc/jvq/available_versions.html





https://www.wpspublish.com/store/p/2728/conflict-tactics-scales-cts

https://www.wpspublish.com/store/p/2728/conflict-tactics-scales-cts

https://www.mindgarden.com/66-abuse-risk-inventory-for-women#horizontalTab1


ChildPTSDSymptomScale(CPSS)–Self-ReportORInterview

Youthages8-18

24-itemmeasuretoassessforthepresenceandfrequencyofPTSDsymptomsduringthepastmonthinyouthwhohaveexperiencedatraumaticevent

10-15min.OR20minutes

ClientORYouthCareWorker

Mentalhealthprofessionalwithclinicaltraininganddiagnosticassessmentexperience

Free;[email protected]

AdolescentDissociativeExperiencesScale(A-DES)

Youthages11-17

30-itemself-reportmeasureofnormative&pathologicaldissociation;Ascreeningtooldesignedtoidentifyyouthinneedoffurtherassessment

10-15min. Client None Unknown;[email protected]

LosAngelesSymptomsChecklist(LASC)

Youth(Agesnotspecified);Adults

43-itemmeasureofPTSDsymptomsandgeneralpsychologicaldistress;GeneraldistressitemsweredevelopedtoreflectsymptomsthatareoftenassociatedwithPTSD

10-20min. Youthcareworker

Qualifiedmentalhealthprofessionals


TraumaEventsScreeningInventory–Self-Report(TESI-SRR)

Youthages8-18

Briefmeasuretoscreenforlifetimeexposuretopotentiallytraumaticevents;Maybeadministeredaseitheraquestionnaire(26items,10-30min.)orasasemi-structuredclinicalinterview(15items,20-30min.)

10-30min. ClientorYouthCareWorker

Licensedforindependentpracticeinchildassessment&psychotherapyw/childtraumasurvivors/family


TraumaEventsScreeningInventory–Parent-Report(TESI-PRR)

Parents/caregiversofyouthages4-7

26-itemquestionnairetoscreenforachild’slifetimeexposuretopotentiallytraumaticeventsasreportedbytheirparentorguardian

10-30min. Parent/Guardian

Sameasabove(forTESI-SRR)



JuvenileVictimizationQuestionnaire2ndRevision(JVQ-R2)-AbbreviatedInterviewORFullInterview


Comprehensiveevaluationofchildhoodvictimizationexperiences(conventionalcrime,childmaltreatment,peer/siblingvictimization,sexualvictimization,witness/indirectvictimization);Formsavailableforyouth,caregivers,oradults;Versionsavailabletoaskaboutlifetimeexperiencesorexperiencesinthepastyear(Abb.);Supplementsavailabletoevaluateexposuretofamilyviolence,neglect,andrelationalvictimization(Full)

15-20min.OR20-30min.

YouthCareWorker

Traininginpsychological&epidemiologicalassessment;Para-professionalsmayadministerundersupervision

Free;DownloadfromCrimesAgainstChildrenResearchCenter;Citationmustbeused

TraumaSymptomChecklistforChildren(TSCC)

Youthages8-16

54-itemself-reporttoolmeasuresposttraumaticstressandrelatedpsychologicalsymptomatologyinyouthwhohaveexperiencedtraumaticevents(physical/sexualabuse,majorloss,naturaldisasters,witnesstoviolence);Usefulinassessingsymptomsrelatedtoacute,single-eventtraumasaswellasrepeatedorchronictraumaexposure;Canbeusedtomonitorsymptomchangesovertime/treatment

15-20min. Unknown RequiresPARQualificationB;Manualprovided











UCLAPosttraumaticStressDisorderReactionIndex(UCLAPTSD-RI)

Youthages7-18

Self-reportmeasuretoassessayouth’shistoryofexposuretopotentiallytraumaticeventsandscreenforfrequencyofDSM-IVPTSDsymptoms;Child(7-12),adolescent(13-18),andparent-reportversionsavailable

15-30min. ClientorYouthcareworker

Qualifiedmentalhealthprofessionalsorgraduatestudentunderthesupervisionofalicensedmasterslevelclinician

Free;[email protected]@mednet.ucla.edu

TraumaSymptomInventory-2(TSI-2)

Adults 136-itemassessmentevaluatesposttraumaticstressandotherpsychologicalsequelaeoftraumaticevents(sexual/physicalassault,intimatepartnerviolence,combat,torture,motorvehicleaccidents,masscasualtyevents,medicaltrauma,traumaticlosses,childhoodabuse/neglect)

20minutes Unknown RequiresPARQualificationB;Manualprovided


Clinician-AdministeredPTSDScaleforDSM-5–Child/AdolescentVersion(CAPS-CA-5)

Youthages7&up

30-itemscaleassessesthe20DSM-5PTSDsymptoms;Questionstargetonset&durationofsymptoms,subjectivedistress,impactonsocialfunctioning,developmentimpairment,overallresponsevalidity,overallPTSDseverity,improvementofsymptoms,andspecificationsfordissociativesubtype

Unknown Youthcareworker

Master’sdegreeinclinicaldiscipline;4.5houronlinetraining;TechnicalmanualsavailablefromWPS

AgencymustcompleteanAssessmentRequestFormorpurchasefromWPS



https://www.parinc.com/products/pkey/464

https://www.ptsd.va.gov/professional/continuing_ed/caps5_clinician_training.asp

https://www.ptsd.va.gov/professional/continuing_ed/caps5_clinician_training.asp

https://www.wpspublish.com/store/p/2694/caps-clinician-administered-ptsd-scale

https://www.ptsd.va.gov/professional/assessment/ncptsd-instrument-request-form.asp

https://www.ptsd.va.gov/professional/assessment/ncptsd-instrument-request-form.asp

https://www.wpspublish.com/store/p/2694/caps-clinician-administered-ptsd-scale


FAMILYCOHESION/FUNCTIONINGEybergChildBehaviorInventory(ECBI)

Youthages2-16

7-pointintensityscaleandayes-or-noproblemscalethatassessesthecurrentfrequency&severityofdisruptivebehaviorsinthehomesettingandtheextenttowhichparentsfindthebehaviortroublesome




ProtectiveFactorsSurvey(PFS)


20-itemsurveyassessestheperceivedpresenceof5protectivefactorsagainstchildabuseandneglect(familyfunctioning/resiliency,socialsupport,concretesupport,childdevelopment/knowledgeofparenting,nurturing&attachment)

10-15min. Parent/Guardian

Trainingprotocolsareprovidedinthemanual

Free:DownloadfromFRIENDSNationalResourceCenter

FamilyEnvironmentScale(FES)

Youthage11&upandtheirfamilymembers

90-itemassessmentthatevaluatesthesocialenvironmentofthefamilyunitthrough3dimensionsand3perceptions:real,ideal,expected

15-20minutes

Clientandtheirfamilymembers

Manualprovided


CaregiverWishList(CWL)

Youthages3-19

Computerizedinterviewthatallowsparents/caregiverstoreportontheirchildrenandtheirownparentingbehaviorsacross6keyareas


None AgencymustpurchasefromMulti-HealthSystems&payanAnnualMaintenanceFee




https://friendsnrc.org/protective-factors-survey




https://www.mindgarden.com/96-family-environment-scale#horizontalTab1

https://www.mhs.com/MHS-Assessment?prodname=cwl

https://www.mhs.com/MHS-Assessment?prodname=cwl


NorthCarolinaFamilyAssessment(NCFAS)

Familymembersofallages

Designedtoexaminefamilyfunctioningin5domains;Conductingassessmentatthebeginningofservice,at90-dayintervals,andattheendofserviceprovidesworkerswiththeopportunitytoprioritizegoalsandservices;Obtainingsufficientinformationmayrequireanumberofhoursofface-to-facecontactwiththefamilyandcollateralsources


Self-administeredtrainingrequiresseveralhourstocomplete;Trainingmaybecompletedindividuallyoringroups

AgencymustreceivepermissionandpurchasefromNationalFamilyPreservationNetwork

LIFESKILLSandINDEPENDENTLIVINGVinelandAdaptiveBehaviorScales,SecondEdition(Vineland-II)–SurveyInterviewFormORParent/CaregiverRatingFormORExpandedInterviewForm

Youthagesbirth&up;Adults

TargetedassessmentORratingscaleORin-depthexpandedassessmentthatsupportsdiagnosisofintellectualanddevelopmentaldisabilities,autism,anddevelopmentaldelays;Helpstodetermineeligibility/qualificationforspecialservices,planrehabilitationorinterventionprograms,andtrack&reportprogress

20-60min.(Survey&Rating)OR25-90min.

Parent/Guardian

RequiresPearsonQualificationLevelB;Onlinewebinarsavailable;Manualprovided


http://www.nfpn.org/assessment-tools






https://www.pearsonclinical.com/psychology/products/100000668/vineland-adaptive-behavior-scales-second-edition-vineland-ii-vineland-ii.html#tab-training

https://www.pearsonclinical.com/psychology/products/100000668/vineland-adaptive-behavior-scales-second-edition-vineland-ii-vineland-ii.html#tab-training

https://www.pearsonclinical.com/psychology/products/100000668/vineland-adaptive-behavior-scales-second-edition-vineland-ii-vineland-ii.html#tab-pricing


CaseyLifeSkillsAssessment(CLSA)

Youthages14-21

Assessesthebehaviorsandcompetenciesyouthneedtoachievetheirlongtermgoals;Designedtobeusedinacollaborativeconversationbetweenacaseworkerandyouth;Additionalsupplementsavailable;Appropriateforallyouthregardlessofwhethertheyareinfostercare,livewiththeirbiologicalparents,orresideinagrouphome

30-40min. Client PractitionersGuideandotherresourcesavailablefromCaseyFamilyPrograms

Free;SignuptoadministerthroughCaseyFamilyPrograms

DanielMemorialInstituteIndependentLivingAssessmentforLifeSkills–ShortORLong

Youthages15&up

A90-itemOR231-iteminterviewassessmentcovering14OR16independentlivingcategories;Designedforadministrationinone-on-onesituations


None AgencymustpurchasefromDanielMemorialInstitute

VOCATIONAL/CAREERINTERESTSPictureInterestCareerSurvey–SecondEdition(PICS)


36setsofpicturesofpeopleatworkhelpyouthidentifyoccupationalinterests;Createsaprofileoftheyouththatleadsdirectlytocareerinformationandpotentialjobmatches;Designedforthosewithlimitedreadingability,specialneeds,orwhomightstrugglewithtext-basedassessments


AgencymustpurchasefromJIST

http://lifeskills.casey.org/clsa_learn_provider





https://www.danielkids.org/product-category/assessments/



http://jist.emcp.com/picture-interest-career-survey.html


AdjectiveCheckList–SuccessFactorsatWorkReport(ACL-SFW)

Youthinhighschoolorolder;Adults

Checklistof300adjectivesandadjectivalphrasescommonlyusedtodescribeaperson’spersonality;Generatesareportpresentingresultson30scalestoassess6worksuccessfactors



CareerInterests,Preferences,andStrengthsInventory(CIPSI)

Youthages11-22

Careerexplorationtoolthatidentifiesinterests,strengths,generalpreferences,andfavoredcareers;Youth’schoicesarealignedwiththeU.S.DepartmentofEducation16CareerClusters

15-30min. Client UserManualprovided

AgencymustpurchasefromProEd

CareerBeliefsInventory(CBI)


96-itemtoolthatmeasuresayouth’sassumptions,generalizations,andbeliefsaboutthemselvesandtheworldofwork;Idealtouseatthebeginningofthecareercounselingprocess

25-30min. Client None;Manualprovided


CareerAssessmentInventory–TheVocationalVersion(CAI)

Youthage15&upplanningtoentercareersrightafterHSortoattendcommunitycollege/techschool

305-itemassessmentthatcomparesanindividual’svocationalintereststothoseofindividualsin91specificcareers(includingskilledtradesandtechnicalandserviceprofessions)thatrequire2yearsorlessofpost-secondarytraining;Inventorycanbeusedtohelpclientsdevelopcareerandstudyplans

35-40min. Client RequiresPearsonQualificationLevelB;Manualprovided


https://www.mindgarden.com/173-adjective-check-list#horizontalTab1

https://www.proedinc.com/Products/14256/cipsi-career-interests-preferences-and-strengths-inventoryonline-1-student-license.aspx

https://www.mindgarden.com/78-career-beliefs-inventory#horizontalTab1




https://www.pearsonclinical.com/talent/products/100000425/career-assessment-inventory-the-vocational-version.html#tab-pricing


CareerAssessmentInventory–TheEnhancedVersion(CAI)

Youthages15andup;College-boundornon-collegebound

370-itemassessmentthatcomparesanindividual’soccupationalintereststothoseofindividualsin111specificcareersthatreflectabroadrangeoftechnicalandprofessionalpositions;Inventorycanbeusedtohelpclientsdevelopcareerandstudyplans

40minutes Client RequiresPearsonQualificationLevelB;Manualprovided


ACADEMICSKILLSWideRangeAchievementTest4(WRAT4)


Academicskillsassessmentthatmeasuresreadingskills,mathskills,spelling,andcomprehension

35-45min. Client RequiresPearsonQualificationLevelB;Manualprovided


TestsofAdultBasicEducation9&10(TABE9&10)–SurveyORCompleteBattery


100-itemOR195-itemassessmentofbasicskillsinreading,mathematics,language,vocabulary,mechanics,andspelling;Focusedonkeyfactorsrequiredforvocationaltrainingprogramsandmostoftendemandedbyemployers;Comesin4testlevelsfromEasytoAdvanced(Survey)OR5testlevelsfromLimitedliteracytoAdvanced(CompleteBattery);Pre-andpost-testsallowgrowthtobemeasured;Widerangeofaccommodationmaterialsavailabletohelpevaluatetheskillsofadultswithspecialneeds

1.5hoursOR2.5hours

Client CanbeadministeredbyadulteducatorswhohaveageneralknowledgeofmeasurementprinciplesandarewillingtoabidebytheassessmentstandardsoftheAmericanPsychologicalAssociation

AgencymustpurchasefromDataRecognitionCorporation




https://www.pearsonclinical.com/talent/products/100000574/career-assessment-inventory-the-enhanced-version-cai.html#tab-pricing




https://www.pearsonclinical.com/education/products/100001722/wide-range-achievement-test-4--wrat4.html#tab-pricing

http://tabetest.com/tabe-order-forms/




PERMANENTCONNECTIONSInventoryofSociallySupportiveBehaviors(ISSB)–ShortForm

Nonespecified

19-itemself-reportmeasuredesignedtoassesshowoftenindividualsreceivedvariousformsofassistance(e.g.advice,encouragement,etc.)duringtheprecedingmonth

Unknown Client Informationaboutscoringcanbefoundhere

Free;PDFavailablehere

YouthConnectionsScale


Tooltomeasurepermanent,supportiveconnectionsforyouthinfostercareandtoguidecaseplanningaroundstrengtheningyouthconnectionstocaringadults


Minimal;½hourtrainingmoduleavailablefromtheCenterforAdvancedStudiesinChildWelfare

Free;DownloadtoolandImplementation&ScoringGuidefromtheCenterforAdvanceStudiesinChildWelfare

COMPREHENSIVECASEPLANNINGTOOLSGlobalAppraisalofIndividualNeedsQ3Standard(GAIN-Q3)


Consistsofninescreeners(background,schoolproblems,workproblems,physicalhealth,sourcesofstress,riskbehaviors&infectiousdiseases,mentalhealth,substanceabuse,andcrime&violence);Computesameasureofparticipants’qualityoflifeandcollectsinformationonfrequencyofserviceutilizationandbehaviorduringthepast90days


7hoursofself-pacedonlinetrainingrequiredtogaincertification


http://performwell.org/index.php/find-surveyassessments/inventory-of-socially-supportive-behaviors-issb-short-form

http://performwell.org/index.php?option=com_mtree&task=att_download&link_id=502&cf_id=24

https://cascw.umn.edu/portfolio-items/ycs/




https://cascw.umn.edu/portfolio-items/youth-connections-scale-ycs/








GlobalAppraisalofIndividualNeedsInitial(GAIN-I)

Nonespecified

Acomprehensivebio-psychosocialassessmentdesignedtosupportclinicaldiagnosis,placement,andtreatmentplanning;Containsover100scalesandsubscales;Sectionscoverbackground,substanceuse,physicalhealth,riskbehaviors&diseaseprevention,mental&emotionalhealth,environment&livingsituation,legal,andvocationalneeds

1.5-2.5hours

YouthCareWorker

7hoursofself-pacedonlinetrainingrequiredtogaincertification


Self-SufficiencyMatrix

Nonespecified

Acustomizablecasemanagementtool(withupto25keyoutcomeareas)thatdocumentstheprogressormaintenanceofclientskillsandabilitiesbyprovidingaclearillustrationofwhereaclienthasstrengths,aswellaswheretofocusadditionalenergytogenerateimprovement

Unknown Youthcareworker

Instructionsavailablehere

Free;Contenttocustomizeyourowntoolisavailablehere;AsampleofacustomizedtoolcanbefoundontheHUDExchange

ChildandAdolescentNeedsandStrengthsComprehensiveMultisystemAssessment(CANS-Comprehensive)

Youthages5-22

Acomprehensiveassessmenttohelpprovidersgettoknowyouth&families,learnaboutissuestheyarefacing,anddiscovertheirhopes/goalsfortreatmentand/orservices


Some;Providersmustbecomecertifiedbycompletinganonlineorin-persontrainingprogram&passinganexam

$12tobecomecertified;InformationavailablefromVermontAHS:IntegratingFamilyServices




http://www.selfsufficiencystandard.org/sites/default/files/selfsuff/docs/SelfSufficiencyMatrix2010.pdf

http://www.selfsufficiencystandard.org/sites/default/files/selfsuff/docs/SelfSufficiencyMatrix2010.pdf

https://www.hudexchange.info/resource/1625/hmis-self-sufficiency-matrix-sample/

https://www.hudexchange.info/resource/1625/hmis-self-sufficiency-matrix-sample/

http://ifs.vermont.gov/content/child-and-adolescent-needs-and-strengths-cans-0

http://ifs.vermont.gov/content/child-and-adolescent-needs-and-strengths-cans-0


YouthOutcomeQuestionnaireTreatmentSupportMeasure(Y-OQTSM)


TooldesignedtoworkinconjunctionwiththeY-OQ2.01,Y-OQSR2.0,orY-OQ30.2(seeMentalHealth&OverallWell-BeingSection);Designedasatreatmentplanningtooltoassisttherapistsworkingwithchildren,youth,andtheirparentsorguardiansandasaclinicalsupporttooltoprovidetherapistswithactionablefeedbackwhenyoutharenotmakingexpectedprogressintreatment;Resultsobtainedatthebeginningoftreatmentcanbeusedtoidentifyclientstrengthsandweaknesseswhichcanbeusedintreatmentplanning

Unknown Unknown Unknown AgencymustpurchasefromOQMeasures

PartnersforChangeOutcomeManagementSystem(PCOMS)

Nonespecified

Twosimpleclinicaltools(OutcomeRatingScale,SessionRatingScale)providedatathatisintegratedintoclinicalpracticethroughFeedback-InformedTreatment(amethodforusingclientfeedbackregardingthetherapeuticallianceandoutcomeofcaretoinform,tailor,andimproveservicedelivery)

Unknown Client Unknown Agencymustpurchase

https://www.oqmeasures.com/measures/youth-adolescent-measures/tsm/

http://www.whatispcoms.com/get-the-pcoms-measures/


Index

Abuseand/orneglect(emotional/physical/sexual)

ChildhoodTraumaQuestionnaire:ARetrospectiveSelf-Report,pg.13JuvenileVictimizationQuestionnaire–ReducedItemorScreenerSum,pg.14ConflictTacticsScales:Parent-ChildVersion,pg.14RevisedConflictTacticsScales,pg.14AbuseRickInventoryforWomen,pg.14TraumaEventsScreeningInventory–SelfReport,pg.14TraumaEventsScreeningInventory–Parent-Report,pg.14JuvenileVictimizationQuestionnaire–AbbreviatedorFullInterview,pg.16TraumaSymptomChecklistforChildren,pg.16TraumaSymptomInventory-2,pg.17ProtectiveFactorsSurvey,pg.18

Academiccompetence/functioning/skills

SocialSkillsImprovementSystemRatingScales,pg.8PersonalityInventoryforYouth,pg.8WideRangeAchievementTest4,pg.22TestofAdultBasicEducation9&10,pg.22GlobalAppraisalofIndividualNeedsQ3Standard,pg.23

AnxietyMassachusettsYouthScreeningInstrument,pg.3ScreenforChildhoodAnxietyRelatedtoEmotionalDisorders,pg.6State-TraitAnxietyInventoryforChildren,pg.8


Angercontrol/management/responseMassachusettsYouthScreeningInstrument,pg.3Children’sInventoryofAnger,pg.5

Behavioralproblems/disorders PediatricSymptomChecklist-17,pg.2

MassachusettsYouthScreeningInstrument,pg.3GlobalAppraisalofIndividualNeedsShortScreener,pg.4BehavioralandEmotionalRatingScale,pg.5ChildandAdolescentFunctionalAssessmentScale,pg.7SocialSkillsImprovementSystemRatingScales,pg.8PersonalityInventoryforYouth,pg.8Child&AdolescentRisk/NeedsEvaluation,pg.9YouthAssessmentandScreeningInstrument,pg.12EybergChildBehaviorInventory,pg.18

CareerInterests

PictureInterestCareerSurvey,pg.20CareerInterest,Preferences,andStrengthsInventory,pg.21CareerBeliefsInventory,pg.21CareerAssessmentInventory–TheVocationalVersion,pg.21CareerAssessmentInventory–TheEnhancedVersion,pg.22

Copingstyles/behavior CopingInventoryforStressfulSituations,pg.6

CopingInventoryforStressfulSituations–Situation-SpecificCoping,pg.6PsychosocialEvaluation&ThreatRiskAssessment,pg.7AdolescentCopingScale,pg.7


Depression/depressivedisorder/depressivesymptoms BeckDepressionInventory-II,pg.2

MoodandFeelingsQuestionnaire,pg.3MassachusettsYouthScreeningInstrument,pg.3ReynoldsAdolescentDepressionScale,pg.4Children’sDepressionInventory2ndEdition,pg.4

Disabilities(intellectual/developmental/autism/developmentdelays) VinelandAdaptiveBehaviorScales,pg.19Dissociation AdolescentDissociativeExperiencesScale,pg.15Domesticviolence/partnerviolence RevisedConflictTacticsScales,pg.14

AbuseRickInventoryforWomen,pg.14TraumaSymptomInventory-2,pg.17

Emotionalintelligence EmotionalQuotientInventory,pg.6 Mayer-Salovey-CarusoEmotionalIntelligenceTest,pg.9Emotionalproblems/disorders/distress

PediatricSymptomChecklist-17,pg.2BehavioralandEmotionalRatingScale,pg.5ScreenforChildhoodAnxietyRelatedtoEmotionalDisorders,pg.6PersonalityInventoryforYouth,pg.8GlobalAppraisalofIndividualNeedsInitial,pg.24


Functioning(caregiver)ChildandAdolescentFunctionalAssessmentScale,pg.7OhioScalesforYouth,pg.12CaregiverWishList,pg.18

Functioning(client)

ChildandAdolescentFunctionalAssessmentScale,pg.7JuvenileInventoryforFunctioning,pg.9LifeStressorsandSocialResourcesInventory,pg.10YoungAdultPsychiatricAssessment,pg.10FunctionalAssessmentRatingScale,pg.10OptumSFHealthSurvey,pg.10OhioScalesforYouth,pg.12Self-SufficiencyMatrix,pg.24ChildandAdolescentNeedsandStrengthsComprehensiveMultisystemAssessment,pg.24

Functioning(family)

ChildandAdolescentFunctionalAssessmentScale,pg.7PersonalityInventoryforYouth,pg.8JuvenileInventoryforFunctioning,pg.9EybergChildBehaviorInventory,pg.18ProtectiveFactorsSurvey,pg.18FamilyEnvironmentScale,pg.18NorthCarolinaFamilyAssessment,pg.19ChildandAdolescentNeedsandStrengthsComprehensiveMultisystemAssessment,pg.24

JobReadiness AdjectiveCheckList–SuccessFactorsatWorkReport,pg.21


LifeSkillsVinelandAdaptiveBehaviorScales,pg.19CaseyLifeSkillsAssessment,pg.20DanielMemorialInstituteIndependentLivingAssessmentforLifeSkills,pg.20Self-SufficiencyMatrix,pg.24

PanicdisorderScreenforChildhoodAnxietyRelatedtoEmotionalDisorders,pg.6

Peerinteractions/relationships

JuvenileInventoryforFunctioning,pg.9YoungAdultPsychiatricAssessment,pg.10YouthAssessmentandScreeningInstrument,pg.12

Psychologicaladjustment/attributes/symptoms ReynoldsAdolescentAdjustmentScreeningInventory,pg.3 StrengthsandDifficultiesQuestionnaire,pg.4 BriefSymptomInventory,pg.5

SymptomAssessment-45Questionnaire,pg.5MentalHealthScreeningTool,pg.5ChildandAdolescentPsychiatricAssessment,pg.10YoungAdultPsychiatricAssessment,pg.10YouthOutcomeQuestionnaire2.01,pg.11YouthOutcomeQuestionnaire2.0,pg.11OhioScalesforYouth,pg.12YouthAssessmentandScreeningInstrument,pg.12LosAngelesSymptomsChecklist,pg.15GlobalAppraisalofIndividualNeedsQ3Standard,pg.23GlobalAppraisalofIndividualNeedsInitial,pg.24


Psychosocialfunctioning/symptoms PediatricSymptomChecklist-17,pg.2

PsychosocialEvaluation&ThreatRiskAssessment,pg.7ChildHealthQuestionnaire,pg.8PersonalExperienceScreeningQuestionnaire,pg.12PersonalExperienceInventory,pg.13GlobalAppraisalofIndividualNeedsInitial,pg.24

PTSDsymptoms ReportofPost-TraumaticSymptoms,pg.14 ChildPTSDSymptomScale,pg.15

LosAngelesSymptomsChecklist,pg.15TraumaSymptomChecklistforChildren,pg.16UCLAPosttraumaticStressDisorderReactionIndex,pg.17TraumaSymptomInventory-2,pg.17Clinician-AdministeredPTSDScaleforDSM5,pg.17

Resilience Connor-DavidsonResilienceScale,pg.2

PsychosocialEvaluation&ThreatRiskAssessment,pg.7ResiliencyScalesforChildren&Adolescents,pg.8YouthAssessmentandScreeningInstrument,pg.12ProtectiveFactorsSurvey,pg.18

Self-harm

MassachusettsYouthScreeningInstrument,pg.3ChildandAdolescentFunctionalAssessmentScale,pg.7JuvenileInventoryforFunctioning,pg.9


Socialskills/phobiaScreenforChildhoodAnxietyRelatedtoEmotionalDisorders,pg.6

SocialSkillsImprovementSystemRatingScales,pg.8Socialsupport/resources

ChildandAdolescentFunctionalAssessmentScale,pg.7LifeStressorsandSocialResourcesInventory,pg.10ProtectiveFactorsSurvey,pg.18InventoryofSociallySupportiveBehaviors,pg.23YouthConnectionsScale,pg.23

Strengths/competencies BehavioralandEmotionalRatingScale,pg.5

YouthAssessmentandScreeningInstrument,pg.12Stress/stressmanagement

Connor-DavidsonResilienceScale,pg.2CopingInventoryforStressfulSituations,pg.6CopingInventoryforStressfulSituations–Situation-SpecificCoping,pg.6SchoolSituationSurvey,pg.7LifeStressorsandSocialResourcesInventory,pg.10GlobalAppraisalofIndividualNeedsQ3Standard,pg.23


Substancedisorders/use/abuse/riskfactorsMassachusettsYouthScreeningInstrument,pg.3GlobalAppraisalofIndividualNeedsShortScreener,pg.4ChildandAdolescentFunctionalAssessmentScale,pg.7JuvenileInventoryforFunctioning,pg.9CAGE–AdaptedtoIncludeDrugs,pg.12PersonalExperienceScreeningQuestionnaire,pg.12YouthAssessmentandScreeningInstrument,pg.12SubstanceAbuseSubtleScreeningInventory,pg.13PersonalExperienceInventory,pg.13GlobalAppraisalofIndividualNeedsQ3Standard,pg.23GlobalAppraisalofIndividualNeedsInitial,pg.24

Trauma/traumaticevents(exposureto)

ChildhoodTraumaQuestionnaire:ARetrospectiveSelf-Report,pg.13ReportofPost-TraumaticSymptoms,pg.14JuvenileVictimizationQuestionnaire–ReducedItemorScreenerSum,pg.14ConflictTacticsScales:Parent-ChildVersion,pg.14RevisedConflictTacticsScales,pg.14AbuseRickInventoryforWomen,pg.14TraumaEventsScreeningInventory–SelfReport,pg.14TraumaEventsScreeningInventory–Parent-Report,pg.14ChildPTSDSymptomScale,pg.15LosAngelesSymptomsChecklist,pg.15JuvenileVictimizationQuestionnaire–AbbreviatedorFullInterview,pg.16TraumaSymptomChecklistforChildren,pg.16UCLAPosttraumaticStressDisorderReactionIndex,pg.17TraumaSymptomInventory-2,pg.17


Treatment(progress)Connor-DavidsonResilienceScale,pg.2YouthOutcomeQuestionnaire30.2,pg.3YouthOutcomeQuestionnaire2.01,pg.11YouthOutcomeQuestionnaire2.0,pg.11YouthOutcomeQuestionnaireTreatmentSupportMeasure,pg.25PartnersforChangeOutcomeManagementSystem,pg.25

Treatment(satisfaction/therapeuticalliance)

YouthOutcomeQuestionnaire2.01,pg.11YouthOutcomeQuestionnaire2.0,pg.11OhioScalesforYouth,pg.12

Victimization(peer/sibling/sexual/indirect)

JuvenileVictimizationQuestionnaire–ReducedItemorScreenerSum,pg.14JuvenileVictimizationQuestionnaire–AbbreviatedorFullInterview,pg.16

Violence/aggression(towardsothers)

GlobalAppraisalofIndividualNeedsShortScreener,pg.4PsychosocialEvaluation&ThreatRiskAssessment,pg.7Child&AdolescentRisk/NeedsEvaluation,pg.9YouthAssessmentandScreeningInstrument,pg.12GlobalAppraisalofIndividualNeedsQ3Standard,pg.23

MEMORe:ResiliencyAssessmentrequirements&FYSBperformancemeasureAugust31st,2018InresponsetoongoingbarriersinourstatewidedatabasethatpreventusfromusingResiliencyAssessmentdatatoreportonperformancemeasures,VCRHYPisupdatingbothourResiliencyAssessmentrequirementsandourFYSB(federal)performancemeasuresforBCPandTLP.TheResiliencyAssessmentisstillanecessarycomponentofayouth’sPlanofCaredevelopmentandisexpectedtocontinuetobeusedforthispurpose.ResiliencyAssessmentshavehistoricallyservedtwopurposes:tosupportPlanofCaredevelopmentandtoreportonperformancemeasures.Thechangesoutlinedinthismemorelateonlytotheirusetoreportonperformancemeasures.Allchanges,whichgointoeffectimmediately,aresummarizedbelowandwillbereflectedinupdatestoVCRHYP’sOrientationManualandPaperworkManual.ResiliencyAssessmentRequirements

1) CompletedResiliencyAssessmentswillnolongerbesenttoVCRHYPforentryintoHMIS.Allcompletedassessmentsmustbestored,eitherinhardcopyorelectronically,inclientfilesatyouragency.• Note:VCRHYPwillcontinuetolookforResiliencyAssessmentsduringour

annualfilereviewstoensuretheyarebeingconsistentlyusedtoinformPlanofCaredevelopment.

2) ResiliencyAssessmentswillnolongerneedtobecompletedatprogramexit.

• Note:ResiliencyAssessmentsshouldcontinuetobecompletedaspartofPlanofCaredevelopment,soarerequiredtobecompletedeachtimeaPlanofCareiswrittenorupdated,startingatintakeandoccurringatleasteverysixmonthsoriftheyouth’scircumstancesandgoalschangedramatically.

PerformanceMeasuresProxymeasureshavebeenidentifiedtoreplaceallperformancemeasuresrelatedtotheResiliencyAssessment.DatatoreportontheseproxymeasuresisalreadybeingcollectedusingtheVCRHYPExitAssessmentandwillrequirenoadditionalquestionsbeasked.Thefollowingchartprovidesacrosswalkfromourcurrentperformancemeasurestotheirproxymeasures.BeginningwithourOctober2018biannualreportforFYSB,VCRHYPwillreportontheseproxymeasures.

Currentmeasure(s) Currenttarget Grant ProxyMeasure(s) New

target%ofyouthwhoreportfeelingsafeintheircommunityatexit 85% TLP

%ofyouththatconsidertheirexitdestinationtobesafe 80%%ofyouthwhoreportanincreaseinoneormore

indicatorsrelatedtosafetyatexit(Examplesinclude:“IfeelsafewhereIliveand/orstay.”“Ifeelsafeinmycommunity.”)

80% BCP

%ofyouthwhoreportfeelingcomfortableaccessingcommunityresourcesatexit 90% TLP %ofyouththathavepermanentpositive

communityconnectionsoutsideoftheprogram 80%

%ofyouthwhoreportanincreaseinoneormoreindicatorsrelatedtowell-beingatexit(Examplesinclude:“Idoatleastonethingtobehealthy.”“Ihavehealthywaystomanagestressorstressfulsituations.”)

80% TLP&BCP

%ofexitingyouthwhohavehadanannualcheck-upwithadoctorwithinthelastyear 75%

%ofyouthwithhealthinsuranceatexit 90%%ofexitingyouthwhoreporttheirmentalhealthstatusis“excellent,”“verygood,”or“good” 75%

%ofyouthwhoreportanincreaseinoneormoreindicatorsrelatedtopermanentconnectionsatexit(Examplesinclude:“Ihaveoneormoresupportivefriendships.”“Ihavesupportiverelationshipswithoneormorenon-familyadults.”)

80% BCP

%ofexitingyouthwithpermanentpositiveadultconnectionsoutsideoftheprogram 80%

%ofexitingyouthwithpermanentpositivepeerconnectionsoutsideoftheprogram 80%

%ofyouthwillreportanincreaseinoneormoreindicatorsrelatedtoself-sufficiencyatexit(Examplesinclude:“Ihaveaplanforthefuture.”“Iknowwhatcommunityresourcesareavailabletome.”

80% BCP

%ofexitingyouthwhoareattendingschoolregularlyorhavereceivedtheirdiplomaorequivalency

90%

%ofexitingyouthwithpermanentpositivecommunityconnectionsoutsideoftheprogram 80%

Appendix - VCRHYP

Documents

Transcript of Appendix - VCRHYP