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, 1 for Abuse and Trauma. Scoring Summary DOMAIN SUBTOTAL RECOMMENDATION PRE-SURVEY /1 0-3 = No housing Intervention History of Housing & /2 4-7 = TH/RRH Homelessness Risks /4 6-17 = LTH Socialization /4 8+ = PSH Wellness /6 TOTAL: /17 Don’t forget to give each household a CES RECEIPT & enter assessments within 24 hours!
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, 1 for Abuse and Trauma. SCORE Scoring Summary DOMAIN SUBTOTAL RECOMMENDATION PRE-SURVEY /1 0-3 = No housing Intervention 4-7 = TH/RRH 6-17 = LTH 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!
VI-SPDAT-MN-Singles_LockedFillable.docx