Child and Adolescent Needs and Strengths (CANS) ALGORITHM (Ages birth through five)

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1 LEVEL 1 (Moderate Needs) Child and Adolescent Needs and Strengths (CANS) ALGORITHM (Ages birth through five) A child meets Level 1 when ratings meet the criteria set forth in: A. Criterion 1.1; and B. Either Criterion 1.2 or Criterion 1.3. Criterion 1.1: A rating of 2 or 3 on TWO OR MORE of the following elements: 18 Adjustment to Trauma 27 Sleep 35 Attachment 36 Impulsive/Hyperactive 37 Regulatory 38 Temperament 40 Eating Disturbances 41 Depression 42 Anxiety 43 Atypical Behaviors 44 Anger Control Criterion 1.2: A rating of 3 on ONE OR MORE of the following elements: 21 Pre School/Day Care 22 Social Functioning 23 Recreation/Play 26 Communication 34 Culture Stress Criterion 1.3: A rating of 2 or 3 on ONE OR MORE of the following: 5 Self Harm 6 Suicide Risk 7 Self Mutilation 8 Sexually Reactive Behavior CANS: Ages Birth through Five, adopted February 9,

2 LEVEL 2 (Intermediate Needs) A child meets Level 2 when ratings meet the criteria set forth in: A. Criterion 2.1, Criterion 2.2, or Criterion 2.3; and B. Either Criterion 2.4 or Criterion 2.5. Criterion 2.1: A rating of 3 on ONE OR MORE of the following elements: 18 Adjustment to Trauma 27 Sleep 35 Attachment 36 Impulsive/Hyperactive 37 Regulatory 38 Temperament 40 Eating Disturbances 41 Depression 42 Anxiety 43 Atypical Behaviors 44 Anger Control Criterion 2.2: A rating of 2 on THREE OR MORE of the following elements: 18 Adjustment to Trauma 27 Sleep 35 Attachment 36 Impulsive/Hyperactive 37 Regulatory 38 Temperament 40 Eating Disturbances 41 Depression 42 Anxiety 43 Atypical Behaviors 44 Anger Control CANS: Ages Birth through Five, adopted February 9,

3 Criterion 2.3: A rating of 3 on ONE AND a rating of 2 or 3 on ONE OR MORE of the following elements: 21 Pre School/Day Care 22 Social Functioning 23 Recreation/Play 26 Communication 34 Culture Stress Criterion 2.4: A rating of 3 on ONE OR MORE of the following elements: 5 Self Harm 6 Suicide Risk 7 Self Mutilation 8 Sexually Reactive Behavior Criterion 2.5: A rating of 2 or 3 on TWO OR MORE of the following: 5 Self Harm 6 Suicide Risk 7 Self Mutilation 8 Sexually Reactive Behavior CANS: Ages Birth through Five, adopted February 9,

4 LEVEL 3 (Advanced Needs) A child meets Level 3 when ratings meet the criteria set forth in: A. Either Criterion 3.1 or Criterion 3.2; and B. Either Criterion 3.3 or Criterion 3.4. Criterion 3.1: A rating of 3 on TWO OR MORE of the following elements: 18 Adjustment to Trauma 35 Attachment 36 Impulsive/Hyperactive 37 Regulatory 38 Temperament 40 Eating Disturbances 41 Depression 42 Anxiety 43 Atypical Behaviors 44 Anger Control Criterion 3.2: A rating of 2 or 3 on FOUR OR MORE of the following elements: 18 Adjustment to Trauma 35 Attachment 36 Impulsive/Hyperactive 37 Regulatory 38 Temperament 40 Eating Disturbances 41 Depression 42 Anxiety 43 Atypical Behaviors 44 Anger Control Criterion 3.3: A rating of 3 on ONE OR MORE of the following elements: 5 Self Harm 6 Suicide Risk 7 Self Mutilation 8 Sexually Reactive Behavior CANS: Ages Birth through Five, adopted February 9,

5 Criterion 3.4: A rating of 2 or 3 on TWO OR MORE of the following elements: 5 Self Harm 6 Suicide Risk 7 Self Mutilation 8 Sexually Reactive Behavior CANS: Ages Birth through Five, adopted February 9,

6 Child and Adolescent Needs and Strengths (CANS) ALGORITHM (Ages six through twenty) LEVEL 1 (Moderate Needs) A child six or older or a young adult meets Level 1 when ratings meet the criteria set forth in: A. Criterion 1.1; and B. Either Criterion 1.2 or Criterion 1.3. Criterion 1.1: A rating of 2 or 3 on TWO OR MORE of the following elements: 26 Adjustment to Trauma 44 Attention and Impulse Behaviors 45 Depression and Anxiety 46 Oppositional Behavior 47 Conduct 48 Substance Abuse 49 Attachment Difficulties 50 Eating Disturbances 51 Anger Control Criterion 1.2: A rating of 3 on ONE OR MORE of the following elements: 5 Runaway 7 Judgment 34 Legal 37 Sexual Development/Identity 38 School Behavior 39 School Achievement 43 Culture Stress Criterion 1.3: A rating of 2 or 3 on ONE OR MORE of the following elements: 1 Suicide Risk 2 Self Mutilation 3 Danger to Others 4 Sexual Aggression 8 Fire Setting 9 Social Behavior/Internal Controls 10 Sexual Reactive Behavior CANS: Ages Six through Twenty, adopted February 9,

7 LEVEL 2 (Intermediate Needs) A child six or older or a young adult meets Level 2 when ratings meet the criteria set forth in: A. Criterion 2.1, Criterion 2.2 or Criterion 2.3; and B. Either Criterion 2.4 OR Criterion 2.5. Criterion 2.1: A rating of 3 on ONE OR MORE of the following elements: 26 Adjustment to Trauma 44 Attention and Impulse Behaviors 45 Depression and Anxiety 46 Oppositional Behavior 47 Conduct 48 Substance Abuse 49 Attachment Difficulties 50 Eating Disturbances 51 Anger Control Criterion 2.2: A rating of 2 on THREE OR MORE of the following elements: 26 Adjustment to Trauma 44 Attention and Impulse Behaviors 45 Depression and Anxiety 46 Oppositional Behavior 47 Conduct 48 Substance Abuse 49 Attachment Difficulties 50 Eating Disturbances 51 Anger Control Criterion 2.3: A rating of 3 on ONE and a rating of 2 or 3 on ONE OR MORE of the following elements: 5 Runaway 7 Judgment 34 Legal 37 Sexual Development 38 School Behavior 39 School Achievement 43 Culture Stress CANS: Ages Six through Twenty, adopted February 9,

8 Criterion 2.4: A rating of 3 on ONE OR MORE of the following elements: 1 Suicide Risk 2 Self Mutilation 3 Danger to Others 4 Sexual Aggression 8 Fire Setting 9 Social Behavior/Internal Controls 10 Sexually Reactive Behavior Criterion 2.5: A rating of 2 or 3 on TWO OR MORE of the following elements: 1 Suicide Risk 2 Self Mutilation 3 Danger to Others 4 Sexual Aggression 5 Runaway 8 Fire Setting 9 Social Behavior/Internal Controls 10 Sexually Reactive Behavior CANS: Ages Six through Twenty, adopted February 9,

9 LEVEL 3 (Advanced Needs) A child six or older or a young adult meets Level 3 when ratings meet the criteria set forth in: A. Either Criterion 3.1 or Criterion 3.2; and B. Either Criterion 3.3 or Criterion 3.4. Criterion 3.1: A rating of 3 on TWO OR MORE of the following elements: 26 Adjustment to Trauma 44 Attention and Impulse Behaviors 45 Depression and Anxiety 46 Oppositional Behavior 47 Conduct 48 Substance Abuse 49 Attachment Difficulties 51 Anger Control Criterion 3.2: A rating of 2 or 3 on FOUR OR MORE of the following elements: 26 Adjustment to Trauma 44 Attention and Impulse Behaviors 45 Depression and Anxiety 46 Oppositional Behavior 47 Conduct 48 Substance Abuse 49 Attachment Difficulties 51 Anger Control Criterion 3.3: A rating of 3 on ONE OR MORE of the following elements: 1 Suicide Risk 2 Self Mutilation 3 Danger to Others 4 Sexual Aggression 8 Fire Setting 10 Sexually Reactive Behavior CANS: Ages Six through Twenty, adopted February 9,

10 Criterion 3.4: A rating of 2 or 3 on THREE OR MORE of the following elements: 1 Suicide Risk 2 Self Mutilation 3 Danger to Others 4 Sexual Aggression 5 Runaway 7 Judgment 8 Fire Setting 10 Sexually Reactive Behavior CANS: Ages Six through Twenty, adopted February 9,

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