Emotional/Behavioral (Symptoms such as: increased sadness, frequent tearfulness, excessive worry, irritability, not enjoying things they used to, grief/loss, reaction to trauma, acting out behaviors, not following rules, destroying things, angry outbursts, hitting or threatening, running away, high family conflict)

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

MODERATE - Child has symptoms that negatively impact daily functioning in at least one area (school, home, relationships).

SEVERE - Child's emotional/behavioral difficulties are highly disruptive at home, in school and/or in the community. Concerns may include extreme emotional dysregulation; explosive behaviors, very high family conflict; frequent aggressive or destructive behaviors; extreme defiance; breaking the law; 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.

Yes

No

Increasing SUICIDAL Thoughts (but NOT IMMEDIATE threat) - NOTE: If immediate threat call 9-8-8 for CRISIS assistance.

Disordered thinking/Psychosis - Such as: Hallucinations, delusions, high level of suspicion or mistrust.

Problem Sexual Behavior e.g. Taking advantage of others sexually; forcing sexual contact; sexualized threats; repeated engagement in risky sexual behavior/activities on social media or text; receiving money or goods for sex; arrested or at risk of arrest for sexual behavior; voyeurism (exposing self or spying on others).

Legal Issues - Child is court involved and/or on probation.

Child has been diagnosed with Autism

Child has been diagnosed with an Intellectual Disability

None of the above apply