CHILD FOCUSED – treatment program for serious behavioral/emotional concerns such as substance misuse, severe acting out, high level emotional distress/dysregulation, or care coordination services for youth with complex needs

Crisis Assessment - Concern the child/adolescent is at risk of harming self or others requiring IMMEDIATE assessment

Care Coordination to help access/match/connect to services for complex behavioral health need(s) of the child

Substance Use

Behavioral/emotional dysregulation: serious acting out behaviors or evidence of psychiatric/emotional distress

Both adolescent substance use AND other behavioral health concern(s)

No DCF Involvement or case is closing in next 30 days

Referral through careline (Formerly Voluntary Services)

Ongoing Services

Yes

No

MILD - substance use is present and a concern; however, there is not an immediate risk for adverse outcome

MODERATE- substance use is having a negative effect on at least one aspect of daily living (academic, social, behavioral...)

SEVERE - substance use is negatively impacting multiple areas of life, there is a high risk for adverse outcomes such as injury, criminal justice involvement, school dropout or risk of an overdose event. There may be evidence of an inability to control or stop using.

MILD (child does not have prior treatment history and/or symptoms have limited impact on daily living)

MODERATE (child has symptoms that negatively impact daily functioning)

SEVERE (significant psychiatric diagnosis and/or youth at risk of out-of-home placement/hospitalization or is being referred from hospital/out-of-home placement)

0-5

6-9

9-18

Psychosis or Multiple Hospitalizations

Problem Sexual Behavior

Other

0-5

4-8

9-18

MODERATE evidence of increasing difficulties at home, in school and/or in the community.

SEVERE (youth at high risk of adverse outcomes including injury, criminal justice involvement , school drop out, risk of drug overdose event, any opioid use; high risk of out-of-home placement or returning to community from placement)

Opioid use

Substance use primary, behavioral acting out secondary

Behavioral acting out primary, substance use secondary