Section 2: Cognitive Capacity ADL’s Complete Adult Cognitive Capacity and Activities of Daily Living sections for adult victim only Adult Cognitive Capacity Risk Factors Protective Factors Cannot identify current location Ability to analyze situation, including Cannot identify location of events relevant to risk/safety issues assessment Identifies current location Cannot provide any historical data relevant to Maintains cognitive capacity under stress assessment Provides a cohesive description relevant to the Cannot provide any personal data assessment Cannot provide day, month, and/or year Provides historical data relevant to Cannot provide name assessment Cognitive capacity is limited Provides name Limited or no awareness of current situation Provides personal data relevant to assessment No ability to analyze risk or safety issues Provides today’s date Provides first name only Retains information through the assessment Provides limited personal information Struggles to remain on topic Unable to maintain information provided about assessment Unable to recall information provided about assessment Adult Cognitive Capacity Notes
Section 2: Cognitive Capacity ADL’s Complete Adult Cognitive Capacity and Activities of Daily Living sections for adult victim only Adult Cognitive Capacity Risk Factors Cannot identify current location Cannot identify location of events relevant to assessment Cannot provide any historical data relevant to assessment Cannot provide any personal data Cannot provide day, month, and/or year Cannot provide name Cognitive capacity is limited Limited or no awareness of current situation No ability to analyze risk or safety issues Provides first name only Provides limited personal information Struggles to remain on topic Unable to maintain information provided about assessment Unable to recall information provided about assessment Protective Factors Ability to analyze situation, including risk/safety issues Identifies current location Maintains cognitive capacity under stress Provides a cohesive description relevant to the assessment Provides historical data relevant to assessment Provides name Provides personal data relevant to assessment Provides today’s date Retains information through the assessment Adult Cognitive Capacity Notes
ADT%20Alternate%20Care%20Assessment.docx