Sanction Seeking Behavior High Risk Sexual Activity Sexual Exploitation CULTURAL FACTORS 0 = No evidence of problems; no reason to believe item requires action. 1 = Watchful waiting; monitoring or possibly preventive action. 2 = Need for action. Some strategy needed to address problem/need. 3 = Need for Immediate action. Safety concern; priority for intervention. 0 1 2 3 Language Cultural Identity Ritual Discrimination/Bias Cultural Differences within the Family DEVELOPMENTAL FACTORS/MILESTONES 0 = No evidence of problems; no reason to believe item requires action. 1 = Watchful waiting; monitoring or possibly preventive action. 2 = Need for action. Some strategy needed to address problem/need. 3 = Need for Immediate action. Safety concern; priority for intervention. 0 1 2 3 Sensory Communication Autism Spectrum Failure to Thrive Regulatory Problems Birth Weight Prenatal Care Substance Exposure Labor and Delivery Maternal Availability Curiosity Playfulness Temperament Feeding/Elimination Daycare/Preschool EXTENSION MODULES 1 - School 6 - Violence 2 - Developmental Needs 7 - Sexually Aggressive Behavior 3 - Substance Abuse 8- Runaway 4 Trauma/ 4a Sexual Abuse 9- Juvenile Justice – – 5- Suicide Risk 10- Fire Setting 0 1 2 3 SCHOOL Educational Attributes Academic Persistence School Achievement Tardiness Class Avoidance School Attendance Classroom Behavior Non Classroom Behavior School Discipline Students Needs
Sanction Seeking Behavior High Risk Sexual Activity Sexual Exploitation CULTURAL FACTORS 0 = No evidence of problems; no reason to believe item requires action. 1 = Watchful waiting; monitoring or possibly preventive action. 2 = Need for action. Some strategy needed to address problem/need. 3 = Need for Immediate action. Safety concern; priority for intervention. 0 1 2 3 Language Cultural Identity Ritual Discrimination/Bias Cultural Differences within the Family DEVELOPMENTAL FACTORS/MILESTONES 0 = No evidence of problems; no reason to believe item requires action. 1 = Watchful waiting; monitoring or possibly preventive action. 2 = Need for action. Some strategy needed to address problem/need. 3 = Need for Immediate action. Safety concern; priority for intervention. 0 1 2 3 Sensory Communication Autism Spectrum Failure to Thrive Regulatory Problems Birth Weight Prenatal Care Substance Exposure Labor and Delivery Maternal Availability Curiosity Playfulness Temperament Feeding/Elimination Daycare/Preschool EXTENSION MODULES 1 - School 2 - Developmental Needs 3 - Substance Abuse 4 – Trauma/ 4a – Sexual Abuse 5- Suicide Risk 6 - Violence 7 - Sexually Aggressive Behavior 8- Runaway 9- Juvenile Justice 10- Fire Setting SCHOOL 0 1 2 3 Educational Attributes Academic Persistence School Achievement Tardiness Class Avoidance School Attendance Classroom Behavior Non Classroom Behavior School Discipline Students Needs
CANS_6-17_Scoresheet.docx