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

Substance misuse

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

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

MODERATE

SEVERE

OPIOID MISUSE

Concern about substance misuse of youth and parent (but parent's use not primary focus)

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

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

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)

Substance misuse primary, behavioral acting out secondary

Opioid misuse

Behavioral acting out primary, substance use secondary