Assessment Tools Resource Guide This guide is meant as a supplement to the Assessment Tools webinar which can be accessed through our eLearning site. The list of assessments is not exhaustive and we have included a few databases with more exhaustive lists for you to examine and explore at your pace and time. Those highlighted are ones that have been commonly referenced and/or implemented by grantees serving youth who identify as runaway or homeless. You will also find some screens/assessments for specific populations or topics. It is up to you how to implement them – some agencies will use sections and put them in their agency developed assessment form or will use the entire assessment/screen with the youth. Contents: 1. General Information 2 2. Life Skills/Self sufficiency Assessments 5 3. Wellness and Health Assessments 7 4. Behavioral and Mental Health Assessments 8 5. Substance Abuse Assessments 11 1 Section 1: General Information: A Brief difference between Screenings and Assessments: Screenings: – – – – – Assessments: – – – – A first step in service delivery Brief, focused Can be administered by front-line staff (w/ training) Can identify if a higher level or care is needed COULD be done only once A more in-depth exploration Usually done by clinical/MH staff More directly related to treatment planning May be given several times to determine change For a more information on screenings versus assessments, visit the following: Screening and Assessment for Trauma in Child Welfare Settings Speaker Series - See more at: http://learn.nctsn.org/course/view.php?id=72#sthash.oc5ulaKX.dpuf *Note* you may need to create a login; however, it is free. Here is a link to TA Partnership for Child and Family Mental Health that also discusses screenings and assessments: http://www.tapartnership.org/content/mentalHealth/faq/01screening.php Chapter 4: Screening and Assessments: Substance Abuse Treatment: Addressing the Specific Needs of Women (also to be linked in the substance abuse section) This chapter introduces and provides an overview of current screening and assessment processes that may best serve women across the continuum of care. It covers several areas for which to screen, such as acute safety risk, mental disorders, sexual victimization, trauma, and eating disorders. The chapter also discusses factors that may influence the overall assessment, and reviews screening for substance abuse and dependence in settings other than substance abuse treatment facilities. 2 It provides information about instruments for use by drug and alcohol counselors, primary healthcare providers, social workers, and others. The assessment section includes general principles for assessing women, the scope and structure of assessment interviews, and selected instruments. Finally, other considerations that apply to screening and assessment are discussed, including women’s strengths, coping styles, and spirituality. Link to access: http://www.ncbi.nlm.nih.gov/books/NBK83253/ What assessments RHY programs are utilizing: Casey Life Skills (CLSA) Child & Adolescent Needs & Strengths (CANS) Problem Oriented Screening Instrument for Teenagers (POSIT) Adolescent Substance Abuse Subtle Screening Inventory (SASSI – A2) Massachusetts Youth Screening Instrument (MAYSI) Developmental Assets Inventory Childhood Trauma Questionnaire (CTQ) Global Appraisal of Functioning (GAIN- SS) Pediatric Symptom Checklist (PSC – 17) Trauma Symptom Checklist (TSCC) Youth Assessment & Screening Tool (YASI) The Child & Adolescent Functional Assessment Scale (CAFAS) Beck Depression Inventory (BDI) Behavioral Assessment System for Children (BASC – II) The Adolescent Resiliency Attitudes Scale (ARAS) Child Behavior Checklist (CBCL) Online Databases for Screening and Assessment Tools: Alcohol and Drug Institute Library This resource is intended to help clinicians and researchers find instruments used for screening and assessment of substance use and substance use disorders. Some instruments are in the public domain and can be freely downloaded from the web; others can only be obtained from the copyright holder. We don't provide copies of instruments, but links to contact and availability information are included if known Link to access database: http://lib.adai.washington.edu/instruments/ 3 FRIENDS National Resource Center for Community-Based Child Abuse Prevention Annotated Measurement Tools listed FRIENDS, in collaboration with our partners, have created annotations of many popular tools used to measure outcomes in prevention programs. The use of measurement tools is a component of the design of any evaluation program. There are over 70 tools available in the Compendium. They are arranged in 2 different ways, either in a simple alphabetic format or by protective factor. The protective factor listing allows programs to choose tools based on the areas they believe their program impacts. This breakdown allows programs to look at tools that may fit their needs in a more simplified manner. Link to access tools by Protective Factor: http://friendsnrc.org/evaluation-toolkit/compendium-of-annotated-tools/tools-by-protectivefactor Link to access tools Alphabetically: http://friendsnrc.org/evaluation-toolkit/compendium-of-annotated-tools/tools-byalphabetical-listing The National Child Traumatic Stress Network Measures Review Database: The NCTSN Measures Review database is a searchable database containing reviews of measures important for the field of Child Traumatic Stress. All reviews were conducted using a uniform review template to allow comparison across measures. Our goal was to provide easy access to comprehensive clinical and research information so that a given user can determine whether a measure is appropriate for a specific individual or group, given factors such as the purpose of the assessment, age, cultural and linguistic group, and trauma type. You enter search terms, and the database identifies those measures that meet your search criteria. In some cases authors have given permission for the full measure, including alternate language versions, to be posted. A Glossary of Terms is available to help you understand psychometric terms that appear in the reviews. Consult our database of reviews of tools that measure children's experiences of trauma, their reactions to it, and other mental health and trauma-related issues. Link to access database: http://www.nctsn.org/resources/online-research/measures-review 4 Section 2: Life Skill/Self Sufficiency Assessments: In this section, the focus will be on two common life skill assessments in the youth services field: Casey Life Skill and Daniel Memorial. Casey Life Skill Assessment: Applicable RHY programs: BCP, TLP/MGH Case Family Programs main website: http://www.casey.org/ A little about Case Family Programs Casey Family Programs is the nation’s largest operating foundation focused entirely on foster care and improving the child welfare system. Founded in 1966, we work to provide and improve ─ and ultimately prevent the need for ─ foster care in the United States. As champions for change, we are committed to our 2020 Strategy for America’s Children – a goal to safely reduce the number of children in foster care and improve the lives of those who remain in care. Since our founding in 1966, we have invested more than $1.6 billion in programs and services to benefit children and families in the child welfare system. Over the next decade, we will invest at least $1 billion more to fulfill the promise of our 2020 Strategy. We have decades of front-line experience in foster care and are committed to helping states, counties and tribes implement effective child welfare practices. We provide nonpartisan research and technical expertise to child welfare system leaders, members of Congress and state legislators so they may craft laws and policies to better the lives of children in foster care, children at risk of entering the system and their families. The foundation, established by United Parcel Service founder Jim Casey, is based in Seattle. Assessment main website: http://lifeskills.casey.org/ *in order to access assessments, you will need to create a free account as a service provider. It is a fairly easy process* Casey Life Skills Help Guide: http://www.casey.org/cls/resourceguides/CLSHowToGuide.pdf Preview document: http://www.casey.org/cls/assessments/LifeSkills.pdf To learn more about the assessment: http://lifeskills.casey.org/clsa_learn_provider Link to access video tutorials: http://lifeskills.casey.org/clsa_help_videoTutorials Daniel Memorial Institute: Applicable RHY programs: TLP/MGH, BCP Information packet: http://www.hayskids.org/documents/ILS%20assessment.pdf 5 Brief description: The next best test is an examiner quizzing a youth on a skill to determine if they know it. The quiz should include some real life situation where the youth says what he/she would do and the examiner makes a judgment about whether the youth knows the skill. Daniel Memorial (DM) strongly recommends that when the examiner is in doubt, they not pass the youth on the skill. For each skill a youth does not pass, a plan is printed out with instructions for how to get the youth up at par on that skill. DM Institute has developed two different types of assessments. 1. The “interview” assessment which has a long and a short version. The long form has 231 items in 16 categories each category divided into minimal intermediate, advanced and exceptional. The short form has 90 questions in 14 categories (leisure and religion were omitted) with no further subdivision (in general, most minimal and exceptional skill were omitted). The difference between the two forms is brevity vs. comprehensiveness. The short form will take an experience examiner 30 minutes to give the long form will take 1 ½ hours. 2. The second type of assessment is the “objective” assessment. This form was developed after numerous customer and professional recommendations. It is a multiple-choice test with four possible answers and about 10 true/false statements. The test can be given to several youth at one time or to one youth over several sessions and does not require an experience examiner to give. This test also has both a long and short form (231 questions and 90 questions). Daniel Memorial main website: http://www.danielkids.org/ How to access the product: https://danielkids.org/sslpage.aspx?pid=360&nccsm=15&__nccscid=16&__nccsct=Assessments Other type of self-sufficiency assessments resources: ARISE Life Skills website: http://at-riskyouth.org/ 6 Section 3: Wellness and Health Assessments It is important to note that most agencies utilize an in-house checklist asking the health questions needed in order to move forward and is included in the program’s intake process; however, do not be afraid to think outside the box in this realm. It is important to consider what information you seek to obtain and the purpose (how will the information be used). Casey Life Skills Subscales (CLS) (Pregnant/Parenting, LGBTQ and Homelessness) Applicable RHY programs: TLP/MGH, BCP, and adaptable for SOP After creating an account, these subscales can be accessed via the drop-down box on the left side of the screen. They can be printed out for you to go through with the youth or can be done on a computer. CLS: Pregnant and Parenting Assessments Covers three areas separately, each with varying amounts of questions: Healthy Pregnancy Parenting of Infants Parenting Young Children CLS: LGBTQ This assessment has 81 items and covers GLBTQ terminology, self-concept, community resources and supports, health, environment and safety, and family and community values. The GLBTQ Assessment is to be used only with youth who have self-identified as LGBTQ and/or expressed an interest in this area. CLS: Homeless Youth Assessment This 48 item assessment addresses issues of care for youth living on the streets. It covers insuring they understand the resources available to them, ways to be safe, how to avoid victimization, and how to secure safe and sustainable housing. As well as knowledge and behavior in the skill areas of daily life, family and friends, health, housing, jobs, legal, safety and survival, and school. Duke Health Profile Assessment: Applicable RHY programs: Any This short one page questionnaire asks simple, clear questions that not only address physical health but also one feels about oneself. The second page is the scoring sheet. The tool can be accessed at: http://www.integration.samhsa.gov/clinicalpractice/DukeForm.pdf 7 Or you can access the health profile or other scales from Duke: http://healthmeasures.mc.duke.edu/ Section 4: Behavioral and Mental Health Assessments: Child and Adolescent Needs and Strengths Assessment (CANS): Applicable RHY programs: TLP/MGH, BCP The Child and Adolescent Needs and Strengths (CANS) is a multi-purpose tool developed for children’s services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. Versions of the CANS are currently used in 25 states in child welfare, mental health, juvenile justice, and early intervention applications. A comprehensive, multi-system version exists as well. The CANS was developed from a communication perspective so as to facilitate the linkage between the assessment process and the design of individualized service plans including the application of evidence-based practices. The CANS is easy to learn and is well liked by parents, providers and other partners in the services system because it is easy to understand and does not necessarily require scoring in order to be meaningful to an individual child and family. The way the CANS works is that each item suggests different pathways for service planning. There are four levels of each item with anchored definitions. This tool is one that the clinician and/or case manager can completed after gathering all the information and does not need to be done jointly with youth. Link to access the form and other usual information: http://www.praedfoundation.org/About%20the%20CANS.html Beck Hopelessness Scale Applicable RHY programs: TLP/MGH, SOP A 20-item self-report inventory developed by Dr. Aaron T. Beck that was designed to measure three major aspects of hopelessness: feelings about the future, loss of motivation, and expectations. The test is designed for adults, age 17-80. It measures the extent of the respondent's negative attitudes, or pessimism, about the future. It may be used as an indicator of suicidal risk in depressed people who have made suicide attempts. Can be ordered at the following website: http://www.pearsonassessments.com/HAIWEB/Cultures/en-us/Productdetail.htm?Pid=0158133-609&Mode=summary 8 Access for more information on all Beck Youth Inventories: http://www.cup.ualberta.ca/wp-content/uploads/2012/06/FINAL_BYI-II_Jan-2012.pdf Walmyr’s Multi-Problem Screening Inventory (MPSI) Applicable RHY programs: BCP, SOP The Multi-Problem Screening Inventory (MPSI) scale is a multidimensional self-report measure that helps you to better assess and understand the severity or magnitude of client problems across 27 different areas of personal and social functioning. The MPSI is not a personality inventory. It is a very practical assessment tool that is used to help you with initial problem assessment, service or treatment planning, progress monitoring, and program evaluation. This screen can be broken down or split up in subsections for SO youth depending on what is needed at the time. Link to access sample scale/subsections: http://www.walmyr.com/MPSISAMP.pdf Trauma Symptom Checklist (TSCC) Applicable RHY programs: TLP/MGH, BCP The TSCC evaluates posttraumatic symptoms in children and adolescents (ages 8 to 16, with normative adjustments for 17 year-olds), including the effects of child abuse (sexual, physical, and psychological) and neglect, other interpersonal violence, witnessing trauma to others, major accidents, and disasters. The scale measures not only posttraumatic stress, but also other symptom clusters found in some traumatized children. Link to access additional information: http://www.johnbriere.com/tscc.htm or http://www.nctsn.org/content/trauma-symptom-checklist-children Link to order: http://www4.parinc.com/products/product.aspx?Productid=TSCC Here is a link to a document created by Children and Families Institute for Research, support and Training as a member of The Children’s Trauma Consortium of Westchester and National Child Traumatic Stress Network with an extensive list, review, and comparison of various trauma assessment and screening tools. It is a rather thick document and is recommended when you want to look up a specific tool to gain some more information or compare it. It is not an exhaustive list and the other online databases may be more efficient. We only highlight it here as a resource of good information and tools: http://www.ncswtraumaed.org/wp-content/uploads/2011/07/Child-and-Adolescent-TraumaMeasures_A-Review-with-Measures.pdf 9 Additional behavioral and mental health screens and assessments: Adverse Childhood Experience (ACE) The ACE Score attributes one point for each category of exposure to child abuse and/or neglect. Add up the points for a Score of 0 to 10. The higher the score, the greater the exposure, and therefore the greater the risk of negative consequences. Link to access questionnaire: http://www.acestudy.org/yahoo_site_admin/assets/docs/ACE_CalculatorEnglish.127143712.pdf Link to ACE website: http://www.acestudy.org/home Link to ACE resources: http://acesconnection.com/ Here is a link to a PowerPoint presentation with National Child Traumatic Stress Network given by Henry L. Conradi and C. Kisiel: http://www.nctsn.org/nctsn_assets/pdfs/mediasite/05172012.pdf Link to a two page table of mental health and substance abuse screening instruments developed by the TA Partnership: http://www.tapartnership.org/docs/screenListv3.pdf 10 Section 5: Substance Abuse Assessments: Substance Abuse Subtle Screening Inventory – Adolescent (SASSI – A2) Applicable RHY programs: TLP/MGH, BCP *Recommend training on instrument and mental health in general *There is a lot of support from the SASSI Institute and are more than willing to assist program Main website for SASSI: www.sassi.com/ Brief Description: Adolescent Substance Abuse Subtle Screening Inventory - A2 identifies high or low probability of substance use disorders for clients 12 to 18 years of age. The SASSI-A2 also provides clinical insight into family and social risk factors, level of defensive responding, and consequences of substance misuse. Ages: Adolescents 12 to 18 years Reading Grade Level: 4.4 Accuracy: 94% Based on empirical studies 15 minutes to administer and Administration: score Sample case study: http://www.sassi.com/services/cases/Differentiating%20between%20Substance%20Use%20an d%20a%20Substance%20Use%20Disorder%20in%20Teens.pdf This tool could be used a discussion tool with families and youth around substance use and what services would be most appropriate. At the end of the questionnaire, the indicated outcomes are either a High or Low probability of substance abuse/dependence. This objective tool could potentially diffuse or support the idea that the young person needs inpatient treatment. Link to order product/support: http://www.sassi.com/products/SASSIA2/shopSA2-pp.shtml#info Some additional information on SASSI: http://aac.ncat.edu/newsnotes/y02win.html Global Appraisal of Individual Needs – Short Screener (GAIN – SS) Applicable RHY programs: TLP/MGH, BCP Brief Description: 11 The 3-5 minute GAIN SS is designed primarily to accomplish three purposes: 1. It serves as a short screen for general populations to quickly and accurately identify clients who have one or more behavioral health disorders and would benefit from further assessment or referral for these issues. It also rules out those who would not be identified as having behavioral health disorders. 2. It serves as an easy-to-use quality assurance tool across diverse field-assessment systems for staff with minimal training or direct supervision. 3. It serves as a periodic measure of behavioral health change over time. Link to above information and additional information: https://www.assessments.com/catalog/GAIN_SS.htm Link to GAIN-SS resources and training manual: http://www.ct.gov/dcf/lib/dcf/gain/pdf/gain-ss_manual_122006.pdf 12