Youth | |
---|---|
1 | Do you have trouble in school? (no, yes) |
2 | Is there extrafamilial violence? (none, mild, moderate, serious) |
3 | Have you ever been placed out of your home? (no, yes) |
4 | Do you have pain symptoms? (none, mild, moderate, serious) |
5 | Do you have problems resulting from alcohol/drugs? (none, mild, moderate, serious) |
Parent(s) | |
6 | How many times did the adolescent have contact with the police in the past? (never, 1 time, 2 or 3 times, more than 3 times) |
7 | Does the adolescent have problems getting along with his/her teachers? (none, some, many) |
8 | Has the father ever had professional assistance from a mental health agency? (no, yes) |
9 | Does the adolescent have a history of dangerous behaviour? (never, sometimes, often) |
10 | How would you describe the mood of the adolescent? (good, somewhat problematic, seriously problematic) |