Child and AdolescentNeeds and Strengths (CANS) Comprehensive 5 + of3 Page 1 Child and Adolescent Needs and Strengths (GANS) Gomprehensive 5 + Please r' appropriate Date: (. lnitial C Reassessmsnt C use: Provlder: I I No Seleclion L Cllent ID First Name Blfth Date: Last Name: Dab Gender: Cunent LMng $lBLeUon: It'to chotce S¿¡ecùed -----E Name Relatlon to Flrst: yollh: Jruocnorcsetectea Last: ¡{ CARE GN'ER STREI{GTHS AND TI¡EEDS ITFE DOMAIN FUI{CIIONII{G cllck Here If Not Appllcable OKI 2 = À 0 = Moderâtê 3 = Severe No Evldence d gtorv. Prob em NA 0 1 Famlly c c Living Sltuation C C c c c r r c (' I r Social Functlonlng I Recreational C C Developmentall Job Fundionlng c î Legal Medlcal c I î C C r r r (- 2 c C c c c C C C c î Sleep c (' (' School Behavior (. l. School Achlevement c I 9chool Afündance C a c c c c (' Physlcal Sexuallty I (. r c î O î Supervision c lnvolvement r NA 0 1 2 c c C c c c c C c c c c c Soclal Resources C Resldentlal 5tåbility î r c c c c Organlzaüon r Physlcal c Mental Health C (' Substance Abuse I r C Dalelopmenhal I c I Safety C r- a î î r c c c r C r I c c r c c r r C c C (' I I c c c c c c c YOUTH BETIAVIORAL/ETI{OTIONAL i0 I I .J = l{o Evldence = Cåuslng Proðlems consßtent wlül P¡oblem Dlagnosls 3 0 1 2 c c c f c C (- C l. Educational î î (. (" C Vocatlonal I c (' Optlmlsm E c c c I Interpersonal Na Fvlr ¡nm a Knowledge YOUTH STREilGTTIS Family = C I leyschosis r f | llmpulsMffuyæncüvt$ I loepresston I lnnxntv J lOpposltlonat I NEED.S = lll$ory or Sub-threshold I watclv Pr€\rent 3 = C¡uslng Ss/ere Dangerouse ProHems 0 c 1 r 2 3 c ? (' C (' C c c r' c c c c a ? c I r child (cANs) comprehensive and AdolescentNeeds and strengths r r r c î C r c c r r C Splrltual/Rellglous Community Llfe Relatlon Permanence Reslliency Resourcefulness (' C c c C (' ( (' f c c I 5+ Page 2 of3 c c c r (. r (- (- C c c c (' I lnoiustment to Trauma2 c (' llffigerControl I lsubstance use3 r YOUTH = Hlstorv, wâk v 0 r Language Identlty c Ritual I Cultural Stress C 1 I C r r 2 0 r r c I Suiclde Rlsk Self Mutilatlon c Other Self Harm C to c 1 2 3 C I c c r' c c c c c c c c (. r a r c r c c r I r c r r c c c C a r r- Sexual resslon5 Del 7 c Sodal Behavlor C c MODULES (Comprehensive 5+) 0 1 2 Cognitive (- C C Developmental C c 3 -l C r r C c c I c c 0 1 2 c c C C c Medical Trauma c c c c c c c a Natural Dlsasùer î î c -l --l c c c I c I c C r I r C (- C Communlcation Self Care/Daily Skills c c IRAUi,IA MODT'IE r Sexual Abuse Physlcal Abuse Emotonal Abuse tness to Famlly Vlolence ùo Communþ Vlolence nal Acts Oúer * r î 1 c C C (. Frequency C c c c c c c (' c Readlon to Dlsclosure î Planni C C I ? c c 1 2 3 C C C c c c C I c c c C Differenüal I JfemporalConststenry of Sexually Aggresslve þeverlty ol¡ Sexual Abuse lerior Treatment of Runnlng Conslstency of Destlnation of Destinaüon Involvement ln lllegal Actlvlfles 0 Duratlon Force/threat to Accusatlon C 0 r of Sex Act Emoüonal Closeness to Perpetrator Force i--- llnelauonshtp ukellhood of Reh¡rn on Own wlth Others c a r l. r r r c c c I c c r r r r c (r c (^ f c c c c r c r c c c c r c r' c c C C C c c I r C r c c c c c c c c c c r Child and Adolescent Needs and Strengths (CANS) Comprehensive 5 + f Affect Regulatlon r C I c I (' c c C C C Attachment r r Dlsassociation C Severlty of Use I DuraUon of [Jse (- Stage of Recovery C ( I I Peer Influences c c r' î î Intrusions 0 c 1 Parental Influences r (. Environmental Infl uenæs ( C 0 of Abuse of Violence to Domestlc Vlolence Whess to Enuronmental Vlolence r 1 2 c C î î C c r I 1 2 c c c Bullying I c I I Hostility C c Paranold Thlnklng (. Secondary Gains from ,Anger c C C ? c c c Commitment to Self-Control C C C Treaùnent Involvement c Response to C.onsequences I C Frrctratlon Management Aware of Vlolence Potentlal (" (" (" 0 Thinking 2 C (" c I 3 c c f (. f Envlronmêntal Infl uences FS.FIRESETTIN( -r- I c I 3l _rl ¡l --l cl r 3 (- C I C I (- c 0 c c f c r c c Plannlng Use of Ameferants Intentlon to Harm lCommuntty safety lnesponse to Accusatlon Remorce Likelihood of Future Fires **in*ri'l r;.Þ¡ini:iiì{ $¡cÞi.{ of3 I ? C I r ? c r c r c c c c 2 r (^ c c 3 r r r c ULE 0 1 2 3 c c c c c c c c a c (- c c c c c c I C I c c c iiså,êiri'iafr,:r:l I lttrtory I lrtanning I Jcommunlty Satuty I lneertnftuences I lrarenal Inf,uenc€s , ]i c Seríousness 2 r t: C I lseriousness Page 3 r c c î c c c r c I r r I c C c
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