Scoring the CANS and ANSA. Some additional information not in the training materials provided by John S. Lyons, PhD and the Praed Foundation. Child and Adolescent Needs and Strengths (CANS) and Adult Needs and Strengths Assessment (ANSA). This is a comprehensive, multisystem assessment.
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Some additional information not in the training materials provided by John S. Lyons, PhD and the Praed Foundation
For example: A person who cuts on themselves to know that they are still alive: Self-injurious behavior. The cuts are minor, do not require medical attention and cutting has been going on for year, but no cutting in the last week – score a 1, cutting in the past week – 2, cutting requiring stitches or cuts are severely infected score a 3. Choking self for pleasure/high – serious as death can occur. Burning self with cigarette to “feel” something – score similarly to the cutting.
For example: Playing chicken with trains/cars recently – score a 3; Burning initials into arm with a cigarette – score a 1 unless the burn is infected; Or, a person pulls out their hair (subconsciously) and eats it, but not a lot – score a 1; has large bald spots with scabs – score 2; is having stomach cramps (probably blockage from “hair balls”) score a 3 as they need an x-ray or other medical attention to remove blockage; Drinking and driving, playing the “mix & try” game of dumping all the pills from the parent’s med cabinets and taking a handful of them = 3.