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MagistrateRedPandaMaster857
Vignette Assumption When completing the vignettes, there is a…
Vignette Assumption When completing the vignettes, there is a vignette assumption. That is, when reading assume that a full assessment has been done and no mention means ‘no evidence’. This is the standard quality assurance if it is not documented it does not exist assumption. What that means, then if there is no mention of a need, the rating should be a ‘0’. If there is no mention of a strength, then the rating should be a ‘3’. So, no mention of any suicidality would result in a rating of ‘0’ on Suicide Risk. No mention of any talents or interests would result in a rating of ‘3’ on Talents/Interests.
Another way to think about it is that you start the assessment with all 0 ratings on the Needs and all 3 ratings on the Child/Youth Strength and then you look for evidence to adjust your scores accordingly using the action levels. Caregiver ratings use the Need action levels for the vignettes.
Ordinarily certain items would have an N/A option (for example Job Functioning for an underage child, or Foster Caregiver for a child not in foster care). For the purposes of this test please rate such items as ‘0’ for needs and as ‘3’ for strengths.
Good luck!
Rick is a 37-year-old male who presented for outpatient treatment stating, “I never feel happy.” Rick has diabetes (which he manages) and a profound hearing loss. He reports that things seem to have “gone badly” shortly after he got married a few years ago. Prior to his marriage, Rick had a very close relationship with his family, particularly his mother and grandmother. He was highly involved in his church community as well as the deaf community. Despite his limitation Rick excelled at playing the piano and seemed to have a natural gift with computer technology. He had a job working for a community newspaper where he formatted the pages of each edition prior to publication.
Since his marriage, he reports that “things have to go her way.” Rick is no longer involved in most of the things that once brought him much joy. His wife convinced him to quit his job at the newspaper in order to move to her hometown, which is a three-hour drive from the community Rick was connected to and where all his friends and family live. They have recently been forced to declare bankruptcy and have moved in with her father until they can get back on their feet. Rick is now stocking shelves at the local grocery store. His wife visits him there often. He has gotten into trouble on more than one occasion for his wife’s frequent visits. Rick’s wife allows him very limited contact with his family. Rick and his wife have a strained relationship and he reports spending much of his time and energy trying to keep her from getting mad. Since he has no other supports here, he depends on his wife which makes him feel embarrassed and bothered. Even though they spend most of their time together, he misses the companionship of his friends and family members.
Rick reports that he has not been able to feel at home in his new community although he is beginning to reach out to co-workers at work. He has no deaf friends or connection with that culture with which he strongly identifies, and no access to deaf gatherings or TV or movies with adaptations for the hearing-impaired. Rick has difficulty communicating with others due to his deafness and limited verbal abilities. Rick reports that all of his free time is spent either with his wife’s family or doing whatever she wants.
Rick’s mother and grandmother worry about him constantly and describe his wife as controlling. His family would love to be involved in his life more but are only able to have limited contact with him. Rick has a history of becoming explosive when he is angry and even though he has not had such an outburst in quite some time his family worries that his stress will reach a point where this will become an issue again.
21 minutes ago
Potentially Traumatic/Adverse Childhood Experiences 0. No. No evidence of any trauma of this type. 1. Yes. Individual has had experience or there is suspicion that the individual has experienced this type of trauma 01 1. Sexual Abuse 2. Physical Abuse 3. Neglect 4. Emotional Abuse 5. Medical Trauma 6. Natural/Man-Made Disaster 7. Witness to Family Violence 8. Witness to Community/School Violence 9. Victim/Witness to Criminal Activity 10. War/Terrorism Affected 11. Disruption on Caregiver
You
20 minutes ago
Behavioral/Emotional Health Needs 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required
1. Depression 2. Anxiety 3. Eating Disturbance 4. Adjustment to Trauma 5. Impulsivity/Hyperactivity 6. Anger Control/Frustration Tolerance. Anger Control/Frustration.
7. Substance Use
8. Psychosis
9. Conduct/Antisocial Behavior
10. Interpersonal Problems
11. Mania
12. Somatization
You
19 minutes ago
Life Functioning 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required 0123 1. Family Functioning 2. Living Situation 3. Residential Stability 4. Social Functioning 5. Recreational/Play 6. Developmental/Intellectual 7. Communication. Physical/Medical
9. Medication Compliance
10. Transportation
11. Sleep
12. Decision Making
13. Legal
14. Sexual Development
15. Job Functioning/Employment
16. Parental/Caregiving Role(s)
17. Independent Living Skills
18. Intimate Relationships
19. Basic Activities of Daily Living
20. Routines
21. Functional Communication
22. Loneliness
You
16 minutes ago
Risk Behaviors/Factors 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required 0123 1. Victimization/Exploitation 2. Suicide Risk 3. Intentional Misbehavior 4. Runaway (6-21) 5. Sexually Problematic Behavior 6. Bullying Others 7. Delinquent/Criminal Behavior
8. Non-Suicidal Self-Injurious Behavior
9. Other Self Harm
10. Danger to Others
11. Fire Setting
12. Grave Disability
13. Hoarding
You
15 minutes ago
Strengths 0. Centerpiece strength. Central to planning 1. Strength present. Useful in planning 2. Identified strength. Build or develop strength 3. No strength identified. Strength creation or identification may be indicated
1. Family Strength/Support 2. Interpersonal/Social Connectedness 3. Natural Supports 4. Spiritual/Religious 5. Education Setting 6. Relationship Permanence (0-21) 7. Resiliency 8. Optimism 9. Talents/Interests 10. Cultural Identity 11. Community Connection. Involvement with Care
13. Vocational
14. Job History/Volunteering
15. Self-Care
Culture 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required
1. Language 2. Traditions and Rituals 3. Cultural Stress
