Strengths
Trauma Stress Symptoms
Life Functioning
Behavioral/Emotional Needs
Risk Factors
100

This rating refers to the youth’s ability to recognize their internal strengths and use these strengths in times of stress and in managing daily life

What is Resilience? 

100

This rating describes the level of traumatic grief the youth is experiencing due to death or loss/separation from significant caregivers, siblings, or other significant people.

What is Traumatic Grief & Separation? 

100

This item rates the youth’s sleep patterns (e.g., difficulties falling asleep or staying asleep, staying awake at night and sleeping during the day, or sleeping too much).

What is Sleep?

100

This item addresses the youth’s ability to identify and manage their anger when frustrated.

What is Anger Control? 

100

Sexualized behaviors include behavior perceived as both sexually reactive and sexually aggressive.

What is Sexually Aggressive Behavior?

200

This item refers to unpaid helpers in the youth’s life.

What are Natural Supports? 

200

This rating describes the level of dissociative states the youth may experience. Symptoms included are daydreaming, spacing/blanking out, forgetfulness, fragmentation, detachment, and rapid changes in personality often associated with traumatic experiences.

What is Dissociation? 

200

This item describes academic achievement and functioning, based on youth’s individual developmental capabilities, not necessarily chronological age

What is School Achievement? 

200

This item rates the level of difficulties the youth has with attachment and ability to form relationships.

What is attachment Difficulties? 

200

criminal and status offenses that may result from youth failing to follow required behavioral standards

What is Delinquent Behavior?

300

This item refers to the sense of family identity (including all biological or adoptive relatives) as well as attachment, positive regard, and communication among family members.

What are Family Strengths? 

300

This rating describes the level of difficulty managing or expressing emotions and energy levels.

What is Emotional And/or Physical Regulation?

300

This rating describes the difficulty a youth may have with relationships outside of the family, and particularly with peers.

What is social functioning? 

300

This rating describes challenges with impulse control and impulsive behaviors, including motoric disruptions

What is Impulsivity/Hyperactivity? 

300

This item isintended to describe the presence of thoughts or behaviors aimed at taking one’s life. 

What is Suicide Risk?

400

This item is used to identify a youth’s social and relationship skills. I

What are Interpersonal skills? 

400

This item covers the youth's overall reaction to any potentially traumatic or adverse childhood experiences, not the trauma or experience itself

What is reaction to Traumatic Life Experiences? 

400

This rating describes youth’s relationships with those who are in the youth’s family.

What is Family Functioning? 

400

This item rates the youth’s relationship with authority figures

What is Oppositional (Non-Compliance with Authority) ?

400

This item rates the youth’s violent or aggressive behavior.

What is Danger to Others?

500

This item is used to evaluate the nature of the school’s relationship with the youth and family, as well as the level of support the youth receives from the school.

What is Educational Setting? 

500

This rating describes difficulty falling asleep, irritability or outbursts of anger, difficulty concentrating, hyper vigilance, and/or exaggerated startle response. Youth may also show common physical symptoms such as stomachaches and headaches.

What is Hyperarousal? 

500

This rating describes the youth's ability to use all senses including sight, hearing, smell, touch, and taste.

What is Sensory?

500

This is intended to describe the duration of mental health challenges experienced by the youth. Challenges include both symptoms and risk behaviors that indicate unmet mental health needs.

What is Duration of Mental Health Challenges? 

500

This item describes the youth’s ability to make decisions from a developmental perspective.

What is Decision Making?

M
e
n
u