for Mental Health, score 1 for TRI-MORBIDITY. Are there any medications that a doctor said you should be Yes No Refused taking that, for whatever reason, you are not taking? Are there any medications like painkillers that you don’t take the way the doctor prescribed *or where* you sell the Yes No Refused medications? *, are you not following a pain contract, or do* SCORE If YES, to any of the ABOVE, score 1 for Medications. YES OR NO: Has your current period of homelessness been caused by an experience of emotional, physical, psychological, Yes No Refused sexual, or other type of abuse, or by any other trauma you have experienced? SCORE If YES, SCORE 1 for Abuse and Trauma. Scoring Summary DOMAIN SUBTOTAL RECOMMENDATION PRE-SURVEY /1 History of Housing & 0-3 = No housing Intervention /2 Homelessness 4-7 = TH/RRH Risks /4 8+ = PSH Socialization /4 Wellness /6 TOTAL: /17 Don’t forget to give each household a CES RECEIPT & enter assessments within 24 hours!
for Mental Health, score 1 for TRI-MORBIDITY. Are there any medications that a doctor said you should be taking that, for whatever reason, you are not taking? Yes No Refused Are there any medications like painkillers that you don’t take the way the doctor prescribed *or where* you sell the medications? *, are you not following a pain contract, or do* Yes No Refused If YES, to any of the ABOVE, score 1 for Medications. SCORE YES OR NO: Has your current period of homelessness been caused by an experience of emotional, physical, psychological, sexual, or other type of abuse, or by any other trauma you have experienced? Yes No Refused If YES, SCORE 1 for Abuse and Trauma. SCORE Scoring Summary DOMAIN SUBTOTAL RECOMMENDATION PRE-SURVEY /1 0-3 = No housing Intervention 4-7 = TH/RRH 8+ = PSH History of Housing & Homelessness /2 Risks /4 Socialization /4 Wellness /6 TOTAL: /17 Don’t forget to give each household a CES RECEIPT & enter assessments within 24 hours!