Yes | Wrap CT

Focus of Treatment:

Crisis Assessment - You feel your child is in IMMEDIATE danger; talking about hurting themselves or someone else.

Behavioral/emotional dysregulation: I am concerned about my child's acting out behaviors (for example: not following rules for safety, destroying things, hitting or threatening) or signs of severe emotional distress (for example: self harm, severe anxiety or depression, angry outbursts, refusing to do things they used to do).

Substance Use

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

Severity of Concern:

MILD -My child does not have prior treatment history and/or their symptoms have limited impact on daily life

MODERATE -My child has symptoms that negatively impact their daily functioning at home and/or school

SEVERE -My child's emotional/behavioral difficulties are highly disruptive at home, in school and/or in the community; my child has a significant psychiatric diagnosis and/or is at risk of out-of-home placement/hospitalization or is being discharged from a hospital or out-of-home placement and we will need a high level of therapeutic support

Age of Child:

0-5

9-18

My child is displaying:

Problem Sexual Behavior - taking advantage of or assaulting others sexually.

Psychosis - e.g. seeing or hearing things that are not real, "bizarre" beliefs or behaviors and/or multiple psychiatric hospitalizations

Neither of the above.

My child's age:

0-5

4-8

9-18

Is there any Opioid use?

Yes

Which of the following best describes your concerns:

MILD - My child is using drugs or alcohol, but the use is not frequent and/or there have not been any serious consequences.

MODERATE- My child's use of drugs or alcohol is causing problems in at least one area (at school, with peers, at home).

SEVERE - My child is using drugs or alcohol frequently and this is creating problems in multiple areas such as: school attendance/performance; relationships with peers or family; illegal activities; high risk behaviors; or I am concerned that my child would not be able to stop using drugs or alcohol even if they wanted to.

Severity of Concern

MODERATE My child's drug and/or alcohol use and other problem behaviors have been increasing; there is quite a bit of tension at home.

SEVERE My child is at high risk for negative 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

Consider either: Multisystemic Therapy (MST) or Multidimensional Family Therapy (MDFT)

Substance use primary, behavioral acting out secondary

Behavioral acting out primary, substance use secondary

Is there Opioid use?

Yes