Caregiver
Youth Traumatic Exp
Youth Strengths
Life functioning/Cultural
Behavioral/Emotional/Risk
100

The father denies any drug use but tested positive for cocaine and marijuana when tested.

Substance Use

100

A child reported to the guidance counselor that their black eye was from their father, who was disciplining them for bad grades.

Physical Abuse; Caregiver Discipline; Knowledge; Safety

100

For the last 3 months, Johnny continues to have tantrums by stomping the floor and banging his head when he is angry.

What is anger control?  

200

The mother just received her 30-day eviction notice from her landlord.

Residential Stability


200

The paternal uncle who has guardianship of his nephew recently had a stroke and is now bedridden.

Medical/Physical

200

Lawrence attends 10th grade at a local high school and states that he hates school. He reports currently failing nearly all of his classes.

CANS: School Achievement


200

On January 5, 2022, the Case manager at Youth Villages reported Johnny used profanity with one of the employees and punched a peer in the face.

Danger to others; Intentional misbehavior; Delinquent behavior 

300

Harlan does not have a job and currently lives on a fixed income. He has difficulty managing his household expenses. 

CANS: Organization

300

The father has a lengthy history of criminal charges but isn’t consistently involved in the youth’s life. There is a current warrant out for his arrest for drug related charges.

Criminal Activity

300

Nikohl says that she refuses to go to school and continues to refuse even now that she is in foster care because she is afraid of being bullied and made fun of by the other students. She stated that she has bad dreams even by just thinking about being there.

CANS: Anxiety; School Attendance


300

Virginia ran away from home a week ago and was picked up by the police after her parents had reported her as missing.

Runaway

400

The mother and child argue on a daily basis and the neighbors have called the police due to their fighting.

CANS: Family Functioning; Safety


400

Tara’s grandmother passed away eleven months ago. Tara still refuses to speak her grandmother’s name, look at a photograph of her grandmother, or look through her grandmother’s personal belongings.

CANS: Disruptions in caregiving/attachment losses; Traumatic Grief

400

John and the family have supports through people from local church.

Natural Supports

400

Mr. Moore did not reveal to the counselor that he suffers from depression and is currently not taking his antidepressant medication. He also used to drink excessively, but stopped drinking when Virginia was born.

Mental Health

400

Deonte is currently diagnosed with Attention Deficit Hyperactivity Disorder due to his hyperactivity and is prescribed Ritalin.

CANS: Impulsivity/Hyperactivity

500

The mother withholds video games from her son when he acts out but will allow him to play if he escalates to physical aggression.

Caregiver Discipline; Knowledge

500

In a CFTM with the child present the aunt said that Stanley was a child of the devil.

Emotional Abuse

500

After Carl’s parents divorced last year he started hanging with some delinquent friends. He’s now driving drunk, taking drugs, and was recently arrested for assaulting a peer at the local bowling alley.

CANS: Decision making; Other self harm; Substance Use; Delinquent Behavior

500

The Psychological said that the 16-year-old boy functioned on a 10-year-old level.

Developmental

500

Youth continues to struggle severely with anger control. Recently the youth has become physically aggressive with others when he is upset.

CANS-Anger Control; Possibly DTO