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

MODERATE - My child has symptoms that are negatively impacting their daily life in at least one area (school, home, relationships).

SEVERE - My child's emotional/behavioral difficulties are highly disruptive at home, in school and/or in the community. Concerns may include: my child has been arrested and/or is on probation; 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

Yes

No

Increasing SUICIDAL thoughts (but NOT IMMEDIATE threat) NOTE: If immediate threat, call 2-1-1 for CRISIS assistance

Disordered thinking/Psychosis - Such as: hallucinations (seeing/hearing/smelling things that are not there); delusions (odd/false beliefs that seem real to them); high level of suspicion or mistrust.

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

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)

My child has a developmental disability and/or autism diagnosis

None of the above apply