UTILIZING STANDARDIZED ASSESSMENTS TO INFORM THE SERVICE PLANNING PROCESS: PART 1 - interRAI

1. UTILIZING STANDARDIZED ASSESSMENTS TO INFORM THE SERVICE PLANNING PROCESS:PART 1 - interRAI

2. BACKGROUND • interRAI has developed Clinical Assessment Protocols (CAPs) for use with their assessment instruments. • This presentation is an introduction to using the assessment results as a guide for development of a service plan with the individual being assessed. It will not cover CAPs intended for inpatient settings only. • We won’t go through all the slides during the presentation. The slides provide a high-level summary of the CAPs, which are detailed in manuals available from interRAI. • More information can be found at www.interRAI.org, including the purchase of the manuals, both electronic and print versions.

3. CAPs were developed as part of a multiyear, international collaborative research effort based on best practice guidelines and extensive analyses of interRAI assessment results. • CAPs are triggered for at least two types of individuals: • Those likely to experience improvements in a particular domain with appropriate support • Those at elevated risk of further setbacks if action is not taken • Decision-making should be collaborative and inclusive of the individual’s perspective and should aim to enhance the individual’s quality of life and independence as fully as possible. • Use the team process to identify priorities for goals of care. • An individual’s priorities may be identified through a CAP or through other means. • The CAPs aim to link the assessment findings to interventions, services, and support strategies that have been demonstrated to be effective.

4. TRIGGERS BASED ON MH SCALES AND ALGORITHMS • Items on the interRAI assessments have been organized into various scales. • Some of the CAPs are triggered by how an individual’s results score on these scales. • Some scales are straight-forward and easy to calculate. • Some algorithms are complex and use a variety of scales. • IACP has developed a spreadsheet for each interRAI (CMH and ChYMH) that helps in calculating the scale and algorithm results and identifying triggers for individuals being assessed.

5. ENTER SCORES FOR IDENTIFIED ITEMS (SAMPLE)

6. RESULTS (EXAMPLES)

7. COMPONENTS OF EACH CAP • Issue Statement • Goals of Care • CAP Triggers • CAP Guidelines • Additional Resources

8. ISSUES COVERED BY interRAI CMH CAPs Safety Social Life Economic Issues Autonomy Health Promotion

9. SAFETY CAPs HARM TO OTHERS CAP SUICIDALITY AND PURPOSEFUL SELF-HARM CAP SELF-CARE CAP

10. HARM TO OTHERS CAP • Issue: Violent or aggressive behavior may be associated with biological, psychological, social, and environmental risk factors. Key issue is difficulty regulating or coping with emotions like anger, impulsivity, fear, or distress. • Goals of Care: Ensure safety; prevent escalation or reoccurrence; ID factors that contribute; ID interventions; implement therapeutic interventions; reduce future risk; prevent institutionalization or criminal justice involvement; promote safe community integration. • Triggers: High Risk – RHO Scale 5 or 6; Moderate Risk – RHO Scale 3 or 4 OR violent indications in last 7 days; No Trigger – RHO Scale 0-2 and no violent indications in last 7 days. • Guidelines: Consider acuity, nature of harm, and contributing factors; 2 stages of intervention – respond to immediate incidents and guidelines for prevention; manual has specific suggestions for interventions. • Additional Resources: 3 articles published 2003-2006

11. SUICIDALITY AND PURPOSEFUL SELF-HARM CAP • Issue: Intentional behavior aimed at ending one’s life or not; often treated with equal importance despite the intended outcome, but treatment options may differ. Risk factors for suicide are identified in manual. • Goals of Care: Attend to immediate safety needs; approach nonjudgmentally; assess risk for suicide; ID contributing factors; ID and implement interventions; reduce risk of repeated attempts; support recovery; support family and others. • Triggers: High Risk – SoS Scale 5 or 6; Moderate Risk – SoS Scale 4; No Trigger – SoS Scale 0-3 • Guidelines: Address safety issues; ascertain history of attempts; determine plan/preparations for suicide; presences of mood disorders; role of family and other informal supports; document level of risk and plans for treatment/prevention; interventions. • Additional Resources: 3 articles 2003-2008

12. SELF-CARE CAP • Issue: Ability to carry out Activities of Daily Living (ADLs) and Independent Activities of Daily Living (IADLs), as well as self-directed treatment-related activities. Balance optimizing self-determination with responsibility to protect from harm. • Goals of Care: Ensure safety from harm; alleviate MH symptoms; provide support and care for basic functioning; promote independence in self-care; build on strengths and ID emerging opportunities; ID and address underlying barriers to recovery of self-care. • Triggers: High Risk – SCI Scale 6; Moderate Risk – SCI Scale 2-5; No Trigger –SCI Scale 0-1. • Guidelines: ID and assist with ADL/IADL difficulties; build on strengths and engage informal support network; address any living environment issues; address any legal justice system contact. • Additional Resources: 3 publications 1997-2008

13. SOCIAL LIFE CAPs SOCIAL RELATIONSHIPS CAP INFORMAL SUPPORT CAP INTERPERSONAL CONFLICT CAP TRAUMATIC LIFE EVENTS CAP CRIMINAL ACTIVITY CAP

14. SOCIAL RELATIONSHIPS CAP • Issue: Engagement in social relationships is both a dimension of recovery and a predictor of outcomes. This CAP aims to address factors leading to disruption in social relationships that may result in isolation. It points to shared experiences of the individual, the informal network, and the community. • Goals of Care: ID and address symptoms that isolate; ID and respond to causes of difficulties; strengthen social skills; provide opportunities to experience safe and supportive interactions; support meaningful social connections; reduce impact of adverse experiences, foster community integration. • Triggers: See scoring spreadsheet: Reduce Social Isolation and Family Dysfunction; Improve Close Friendships and Family Functioning; No Trigger • Guidelines: Readiness to change and self-efficacy; understanding possibilities; history of substance abuse; physical health affecting participation level; communication and problem-solving skills; any abusive relationships; problematic former relationships; role of external factors; awareness of community supports; family education; therapy programs. • Additional Resources: 5 publications 1995 - 2006

15. INFORMAL SUPPORT CAP • Issue: An informal social support network may provide a buffer against adverse life events and stressful living conditions, and may contribute to a person’s overall sense of well-being. Increasing informal supports may reduce loneliness and social isolation, improve psychosocial functioning, and reduce MH symptoms. • Goals of Care: ID and link with informal supports; mobilize formal resources when no informal supports; stabilize and increase informal supports; rebuild or strengthen family and friendship relationships, where appropriate; enhance sense of well-being, belonging, and overall quality of life. • Triggers: See scoring spreadsheet: Address Need for Functional Support Related to Physical Disability or Cognitive Impairment; Address Need for Support Related to Mental Health Symptoms; No Trigger • Guidelines: Social skills training; ID and address potential barriers to informal support; address conflict or dysfunction in the social network; enhance informal network; change attitudes or beliefs; incorporate family or friends into treatment; consider family interventions • Additional Resources: 2 publications 2000 - 2006

16. INTERPERSONAL CONFLICT CAP • Issue: The focus of this CAP is to address interpersonal relationships that have, or have the potential for, anger issues related to interpersonal conflict. • Goals of Care: Prevent escalation of the conflict; reduce intensity and number of individuals involved; ID and alleviate underlying causes; ID patterns of emotional responses; develop coping strategies and interpersonal social skills. • Triggers: See scoring spreadsheet: Reduce Widespread Conflict; Reduce Conflict Within Specific Relationships; No Trigger • Guidelines: Determine nature of interpersonal conflict; ID factors that may be contributing to the conflict; assess the potential that the hostility may intensify to ensure safety of the individual and others; address the concern with the individual; pharmacological treatment; skills training; cognitive impairment; substance use; physical symptoms; role of family; personality traits. • Additional Resources: 4 publications 1993 - 2005

17. TRAUMATIC LIFE EVENTS CAP • Issue: Most people who experience a traumatic life event recover without serious problems. Some develop acute stress disorder (lasting 2-4 weeks) or post-traumatic stress disorder (lasting 3-6 months or becoming chronic). • Goals of Care: Ensure safe and secure environment; reduce crisis-related symptoms; treat co-morbid disorders; address underlying symptoms; support healthy self-care; increase individual’s understanding of feelings; prevent or reduce trauma-related conditions; protect against relapse and prevent future abuse; restore family relationships where appropriate. • Triggers: Address Immediate Safety Concerns; Reduce Impact of Prior Events; No Trigger • Guidelines: Obtain historical information; safety; emotional numbing; hypervigilance; co-morbid disorders; aggressive behaviors; military exposure; specific therapeutic interventions; target trauma-related symptom reduction as the major clinical outcome • Additional Resources: 8 publications 2004 - 2008

18. CRIMINAL ACTIVITY CAP • Issue: If present, it’s important to consider safety and security, proceedings or restrictions that may be in effect, and the effect of criminal activity on treatment/recovery. Often is related to troubled relationships, abuse, victimization, unemployment, insecure housing, and poverty. Recovery plan focus is on preventing further involvement. • Goals of Care: Ensure safety and security; address MH symptoms; address criminogenic needs; minimize the risk of involvement in criminal activity. • Triggers: Reduce Risk of Violent or Nonviolent Criminal Behavior; No Trigger • Guidelines: Conduct further evaluation regarding the nature of the activity, its origins, and risks to others; monitor and control as needed; evaluate and treat MH symptoms; evaluate and intervene predisposition to ongoing criminal involvement; minimize risk of involvement in future criminal activity. • Additional Resources: 5 publication 1998 - 2006

19. ECONOMIC ISSUES CAPs PERSONAL FINANCES CAP EDUCATION AND EMPLOYMENT CAP

20. PERSONAL FINANCES CAP • Issue: Economic hardship may result from a point-in-time loss of income or may be a persistent problem. May be related to unemployment, substance abuse, gambling, or exploitation by family. Severe cognitive impairment may affect ability to manage finances. May lead to unstable or unsafe housing, inadequate nutrition, depression, and reduced social participation. • Goals of Care: ID barriers to income security; establish short-term support as needed; assist in securing an income and stable housing; ensure that property and finances are secure from abuse; ensure any problems related to substance use or gambling are addressed. • Triggers: Economic Hardship; Inability to Manage Finances; No Trigger • Guidelines: Ensure safety and security; ID causes of and address consequences of financial issues; income; employment; housing and living arrangements; nutritional status; substance use; health conditions, problem gambling; support sound financial decision-making; ID any financial abuse. • Additional Resources: 6 publications 1994 - 2007

21. EDUCATION AND EMPLOYMENT CAP • Issue: This CAP focuses on assisting individuals to access, return to, or maintain employment, education, or other meaningful activity as critical steps in recovery, successful rehabilitation, and community integration. Benefits can address emotional, economic, and relational issues. • Goals of Care: ID strengths and preferences; eliminate barriers to meaningful engagement; reduce risks associated with unemployment or dropping out of school; find meaningful involvement; help the individual develop an increased sense of self-esteem and self-worth; broaden the individual’s social network. • Triggers: Reduce the Risk of Unemployment or Dropping Out of School; Support Employment or Educational Participation; No Trigger • Guidelines: Use strengths-based approach to ID skills and characteristics; help ID barriers to achieving vocational goals; determine functional or physical limitations in performance of daily tasks; help ID personal occupational goals; determine readiness for employment and literacy skills; support MH needs; determine services to support the individual; ID any need for education; explore volunteering • Additional Resources: 7 publications 2001 - 2007

22. AUTONOMY CAPs CONTROL INTERVENTIONS CAP (in-patient only) MEDICATION MANAGEMENT AND ADHERENCE CAP REHOSPITALIZATION CAP

23. MEDICATION MGMT & ADHERENCE CAP • Issue: The primary concern of this CAP is the clinical benefit derived from the medication and not merely the issue of adherence. Considerations include overall response to the medication; any adverse side effects; therapeutic effectiveness; and the individual’s values, preferences, choices, barriers, and specific functioning levels. • Goals of Care: Stabilize medical and MH concerns; eliminate or reduce concerns about medication; implement a medication regimen that increases likelihood of adherence; support safe use and independent management of medication with assistance as needed; reduce the risk of relapse and hospital admissions. • Triggers: Problems with Medication Management and Adherence Related to Cognitive Deficits and Positive Symptoms; Having Previously Stopped Taking Medication Due to Side Effects; No Trigger • Guidelines: Assess nonadherence for nature, contributing factors, and specific issues; implement interventions that are psycho-affective, educational, behavioral, cognitive, socioenvironmental, or legal. • Additional Resources: 8 publications 2000 - 2008

24. REHOSPITALIZATION CAP • Issue: Rehospitalization might increase a sense of stigmatization and reduce the individual’s confidence regarding recovery. May result from MH symptoms, lack of informal supports, functional deficits, or poor quality of care. • Goals of Care: Minimize specific MH symptoms; develop and implement a recovery support plan and crisis-management plan; engage in a coordinated and comprehensive MH program; maintain community residence. • Triggers: High Risk – 3+ hospitalizations in 2 years and one additional characteristic; Moderate Risk – 1-2 hospitalizations in 2 years and one additional characteristic; No Trigger • Guidelines: Perform a comprehensive review of MH status, MH services and interventions, characteristics of the individual’s environment and community; ID challenges, MH issues, social and family ties, community support, and past hospitalizations; address challenges and unresolved issues, ensure a personal safety plan, arrange community supports and services, promote psycho-education, address social environment issues. • Additional Resources: 2 publications 1998 - 1999

25. HEALTH PROMOTION CAPs SMOKING CAP SUBSTANCE USE CAP WEIGHT MANAGEMENT CAP EXERCISE CAP SLEEP DISTURBANCE CAP PAIN CAP FALLS CAP

26. SMOKING CAP • Issue: Leading worldwide cause of preventable illness and premature mortality. Addictive so there are withdrawal symptoms. Sometimes is a form of self-medication. • Goals of Care: Manage smoking withdrawal symptoms; education about benefits of smoking cessation; promote willingness and readiness for smoking cessation; reduce or stop smoking. • Triggers: Manage Withdrawal Symptoms; Encourage Smoking Cessation or Reduction; No Trigger • Guidelines: Encourage sustained abstinence; strategies to encourage and support tobacco cessation or reduction; strategies for those not willing or ready to change behavior; considerations of the environment and other treatment considerations. • Additional Resources: 8 publications 2006 - 2009

27. SUBSTANCE USE CAP • Issue: When combined with mental illness, substance use can interfere with participation in a rehab or recovery program and can reduce the effectiveness of treatments and interventions. Includes the misuse of prescribed and over-the-counter medications. Consider social and behavioral indicators of problematic use. • Goals of Care: Determine readiness to change behaviors; help develop a recovery path to decrease or eliminate problematic substance use; prevent adverse effects of substance use and withdrawal; provide education; strengthen social ties and remove social and economic barriers • Triggers: Current Problematic Substance Use; Prior History of Problematic Substance Use; No Trigger • Guidelines: Assess for withdrawal symptoms, degree of dependency and patterns of use; evaluate motivation for change; evaluate social, economic, psychological, and medical issues; referral to specialist or program, harm reduction, involvement of others, education. • Additional Resources: 4 publications 1986 - 2006

28. WEIGHT MANAGEMENT CAP • Issue: Weight management can be complex and multifactorial. Obesity can have profound effects on physical health, self-esteem, well-being, and quality of life. This CAP IDs factors associated with unhealthy weights and offers interventions to reduce the effects of altered body composition. • Goals of Care: ID underlying causes of problems; address acute MH and medical conditions that complicate weight management; review impact and appropriateness of medication; provide education and counseling around healthy eating and lifestyles; achieve and maintain a health weight. • Triggers: Body Composition; Problematic Eating Behaviors; No Trigger • Guidelines: ID and address any acute MH symptoms and immediate health concerns to ensure safety; review eating patterns, medications and patterns of physical activity; ID potential lifestyle changes; evaluate role of financial resources, medication side effects, MH and substance use; determine readiness to change behaviors; promote peer support. • Additional Resources: 5 publications 2004 - 2009

29. EXERCISE CAP • Issue: Physical exercise is important for optimal health and functioning. This CAP identifies individuals who are physically inactive and aims to assist them in modifying factors that prevent achieving an appropriate level of exercise. • Goals of Care: ID and understand the reasons for low physical activity; increase knowledge and confidence in exercise; establish a fitness program; increase hours of physical activity; improve energy level, confidence, self-awareness, and overall sense of well-being. • Triggers: Increase Physical Activity Among Individuals Capable of Being Active; Increase Physical Activity but Consider Limitations of a Health Condition; No Trigger • Guidelines: Address personal choices; ID causes and consequences of physical inactivity; address nutrition; consider MH issues as a cause of inactivity; aging and physical co-morbidities; substance use and co-morbid disorders; sleep deprivation; medication side effects; physical fitness programs; walking; behavior modification; intervention and support. • Additional Resources: 2 publications 2001 - 2009

30. SLEEP DISTURBANCE CAP • Issue: Sleep disturbance impairs quality of life as well as many areas of physical function. This CAP aims to ID factors to consider in any situation where sleeping problems arise. The reciprocal relationship between sleep disturbance and health can result in a rapid downward spiral in the individual’s mental and physical well-being, if not addressed. • Goals of Care: Address underlying causes of the sleep disturbance; decrease frequency and severity of interrupted sleep; improve the quality and quantity of sleep; prevent relapse of sleep problems; reverse insomnia-related morbidities; reduce the risk of accidental injury. • Triggers: Current Sleep Disturbance and Severe Cognitive Impairment; Current Sleep Disturbance and No Worse Than Moderate Cognitive Impairment; No Trigger • Guidelines: Consider nature of the sleep disturbance and potential causes of sleep disturbances; ID potential interventions, e.g., sleep hygiene, behavioral therapies, complementary and alternative therapies, oral appliances, respiratory equipment, sleep disorder surgery; sleep medications. • Additional Resources: 3 publications 1993 - 2010

31. PAIN CAP • Issue: Reported pain should be considered an important quality-of-life problem that should always be given a high priority in plan development. It is the physical and emotional response to pain and its associated consequences that varies from person to person, not the pain per se. Work with the individual and family members to ID approaches to control the impact of pain. • Goals of Care: ID the etiology of the pain and manage it with the most effective treatment modalities; assess risk for and minimize or prevent adverse outcomes related to use of pain medication; increase the individual’s understanding of the relationship of pain to somatic and psychological problems; monitor response to treatment and adverse effects. • Triggers: High Priority – pain that is severe, horrible, or excruciating; Moderate Priority – daily mild or moderate pain; No Trigger • Guidelines: Ensure there is not an acute medical condition causing the pain; consider co-morbid physical health problems or psychopathology; conduct a thorough assessment of the pain; ID and implement pharmacological or nonpharmacological pain management interventions; evaluate ongoing effectiveness of interventions. • Additional Resources: 5 publications 1999 - 2007

32. FALLS CAP • Issue: While typically an issue for older adults, recent studies have shown psychotropic medications to be associated with an increased risk of falls even in younger individuals. Effectively addressing any risk of falls is an important priority in supporting an individual’s autonomy and community integration. • Goals of Care: Minimize the impact of risk factor for falls; prevent future falls; reduce fear of falling as a barrier to physical activity and community engagement. • Triggers: High Risk – multiple prior falls; Moderate Risk – one previous fall; No Trigger • Guidelines: Initial priority is improving safety; understand previous falls; review medications; assess physical performance; ID any vision problems; ID any neurological and cognitive problems; review any cardiorespiratory problems; ID any environmental factors • Additional Resources: 4 publications 2001 - 2010

33. ISSUES COVERED BY interRAI ChYMH CAPs Safety Family Life & Social Integration Functional Status Health Promotion Services & Supports

34. SAFETY CAPs CONTROL INTERVENTIONS CAP (in-patient only) CRIMINALITY PREVENTION CAP HARM TO OTHERS CAP HAZARDOUS FIRE INVOLVEMENT CAP SEXUAL BEHAVIOR CAP SUCIDALITY & PURPOSEFUL SELF-HARM CAP TRAUMATIC LIFE EVENTS CAP

35. CRIMINALITY PREVENTION CAP • Issue: Adults who commit serious offenses often had early childhood experiences that placed them at risk for criminal involvement. Risk factors for involvement in criminality encompass multiple domains – individual, family and societal. • Goals of Care: Help the individual envision a life without criminal involvement; address individual risk and protective factors; promote academic success and community and school involvement; strengthen the individual’s social skills and encourage positive peer relationships; aid caregivers in adequately monitoring and supervising the individual. • Trigger: Any expressions supportive of criminal activity, stealing, or violence to others • Guidelines: Refer for treatment if serious psychiatric symptoms are evident; refer to protective services if there are signs of abuse, neglect, lack of supervision, or exposure to family violence; use other CAPs if violent, aggressive or inappropriate sexual behaviors are present; gain an understanding of behaviors, background, and motivations; engage the individual and caregivers; facilitate support from community and school resources; specific strategies for stealing and gang participation; refer to evidence-based care. • Additional Resources: 5 resources 2010 - 2013

36. HARM TO OTHERS CAP • Issue: Individual, social, family, and environment factors are associated with harmful behaviors. With age, harmful behaviors tend to become more calculative and planned. Physical aggression generally provokes immediate concern and is one of the most common reasons for young individuals to be referred for MH services. • Goals of Care: Ensure safety; prevent escalation or recurrence of harm; minimize the need for control intervention; reduce the risk of harm to others. • Triggers: Immediate Intervention – CY-RHO 5-6 or CY-RHO 3-4 and Impulsivity >1; Prevention – CY-RHO 3-4 and Impulsivity 0-1; No Trigger • Guidelines: Interventions for acute physical aggression to ensure immediate safety of all concerned; debriefing; assessment of incident; assessment of harmful behavior; treatment planning; cognitive-behavioral psychosocial interventions; strategies to address proactive aggression; strategies to address reactive aggression; involvement of family • Additional Resources: 4 publications 2010

37. HAZARDOUS FIRE INVOLVEMENT CAP • Issue: Includes any unsanctioned or unsafe fire-related behavior. Early identification and treatment may prevent devastating consequences. • Goals of Care: Eliminate, decrease, or prevent hazardous fire setting; enhance the individual’s fire safety knowledge and skills; engage support to ensure safety in the home and community. • Triggers: High Risk – engaged in activity in last year and has >1 identified risk factor; Moderate Risk – engaged in activity in last year and has 1 identified risk factor; Low Risk – engaged in activity in last year with no additional risk factor; No Trigger • Guidelines: Evaluate the incident; consider interventions based on the identified risk; support caregivers to encourage safety at home or in residential facilities; engage the individual; use evidence-based care. • Additional Resources: 4 publications 2004 - 2012

38. SEXUAL BEHAVIOR CAP • Issue: Distinguish problematic, potentially harmful sexual behavior by children and youth from developmentally appropriate curiosity. In may cases problematic behavior can be redirected with clear and direct instruction. Help the individual understand what is respectful and appropriate. • Goals of Care: Establish appropriate limits and boundaries; ensure that the individual understands rules and appropriate behavior for age, development, and culture; provide opportunities for the individual to practice newly acquired appropriate and socially acceptable behaviors; foster support and safety within the home, peer group, and community. • Trigger: Engagement in one or more of five identified situations • Guidelines: Ensure safety; respond to the behavior appropriately; report any harm by the individual; assess for history of being sexually abused; ID and understand the reasons for the behavior through a professional assessment; implement individualized, developmentally sensitive interventions; promote health sexual development. • Additional Resources: 5 publications 2010 - 2012

39. SUICIDALITY & PURPOSEFUL SELF-HARM CAP • Issue: In general, suicidal and self-harming behaviors can be differentiated according to lethality, repetition, and intent. Suicidal behaviors tend to involve more lethal methods, occur less frequently, and are associated with a higher desire to end life. The most common reason for self-harming behavior is to alleviate negative affect or arousal. • Goals of Care: Attend to immediate safety needs; reduce the risk of repeated attempts; support recovery through school, family, and community support services; support family and other members of the social network who are distressed by the attempts. • Triggers: High Risk – CY-SoS Scale 5-6; Moderate Risk – CY-SoS Scale 3-4 and Impulsivity >1; No Trigger • Guidelines: If high risk, treat immediately in hospital and ensure immediate safety; if moderate risk, consider hospitalization depending on circumstances; physical and psychological assessments; determine details of the suicide plan; evaluate additional risk factors; ID and implement psychological, pharmacological, and social interventions; ID strategies to prevent further attempts • Additional Resources: 5 publications 2011 - 2013

40. TRAUMATIC LIFE EVENTS CAP • Issue: Traumatic life events can have debilitating consequences. More complex forms of traumatic stress responses can occur when there is a history of chronic trauma. If left untreated, problems such as attachment and relational difficulties, dissociation, emotional numbness, and depression can worsen over time. • Goals of Care: Alleviate risk of further trauma or abuse by ensuring a safe environment with knowledgeable and sensitive caregivers; reduce crisis-related symptoms; address underlying MH symptoms; prevent or reduce secondary conditions; strengthen family relationships, where appropriate. • Triggers: Address Immediate Safety Concerns; Reduce the Impact of Prior Traumatic Life Events; No Trigger • Guidelines: Ensure safety; provide trauma-informed care; refer to specialized care; be aware of stress responses; stabilization and containment; engage the individual’s support system; manage behavioral symptoms; refer to therapy from individuals with appropriate training and experience. • Additional Resources: 6 publications 2010 - 2013

41. FAMILY LIFE & SOCIAL INTEGRATION CAPs ATTACHMENT CAP CAREGIVER DISTRESS CAP INTERPERSONAL CONFLICT CAP PARENTING CAP SOCIAL & PEER RELATIONSHIPS CAP

42. ATTACHMENT CAP • Issue: Attachment is a key developmental goal in early childhood and refers to the drive for a young child to be close to a caregiver for safety, protection, and regulation. Once attachments have been formed, the child can use the caregiver as a secure base to explore the environment and as a source of support and comfort when distressed. Children with disorganized attachment patterns are particularly at high risk for adjustment difficulties and psychopathology. • Goals of Care: Help the caregiver establish a secure and trusting relationship with the child. • Trigger: Age 11 and younger who have experienced any of 9 identified situations and have at least one identified comfort-seeking difficulty. • Guidelines: Assess by gathering history, interviewing caregivers, and observing the child’s interactions with the caregiver and an unfamiliar adult; ID interventions and caregiver strategies; refer to qualified therapeutic resources; avoid coercive strategies. • Additional Resources: 4 publications 2011 - 2013

43. CAREGIVER DISTRESS CAP • Issue: Caregivers experiencing stress, serious mental illness, drug or alcohol abuse, or high-intensity marital discord have a reduced ability to respond sensitively and lead to a heightened sensitivity to distress, externalizing disorders, internalizing disorders, impairments in psychosocial functioning, and delinquent behaviors. • Goals of Care: Improve the caregiver’s capacity to manage stress; facilitate access to appropriate treatment for the caregiver. • Trigger: Caregivers who demonstrate at least two of eight identified indicators of distress • Guidelines: Explore with the caregiver the current situation and strategies for resolving; encourage treatment for any mental illness or substance abuse; determine if there are financial concerns; address conflict between caregivers; consider family-related issues. • Additional Resources: 4 publications 2010 - 2012

44. INTERPERSONAL CONFLICT CAP • Issue: Interpersonal conflict is a natural and common consequence of social interaction. Common and less severe types of conflict serve an important purpose in the socialization of young people and the maintenance of the family system. Destructive conflict within the family is linked to negative child and youth outcomes. Conflict can occur within and outside the family. • Goals of Care: Reduce the frequency and intensity of conflict; ID and address emotional response patterns that contribute to interpersonal conflict; increase the young person’s conflict management, emotional regulation, and social skills; enhance the individual’s and family’s capacity for conflict resolution. • Triggers: Based on domains of Family, Friends and Peers, and Other Relationships. Reduce Widespread Conflict – one or more indicators from at least two of the domains; Reduce Conflict Within a Specific Domain – one or more indicators in one domain; No Trigger • Guidelines: Short-term interventions are generally ineffective; consider cultural issues; assess the nature of the conflict; ID underlying issues that fuel the conflict; involve caregivers; provide skill-building opportunities; promote stress management; consider medications; assess for behavioral or physical illness; ID strategies to reduce conflict; increase family wellness. • Additional Resources: 4 publications 2011 - 2012

45. PARENTING CAP • Issue: A young person’s emotional or behavioral challenges can be a driving force leading to inappropriate or ineffective parenting. Negative parenting can worsen the young person’s MH symptoms. Educating caregivers and providing effective strategies for managing behavioral symptoms can improve the dynamics of the relationship. • Goals of Care: Aid caregivers to develop realistic expectations in light of individual needs; equip caregivers with strategies to manage behavioral symptoms of the young person’s MH condition; enhance caregivers’ sense of confidence in parenting abilities. • Trigger: Caregivers who demonstrate more than one of six identified concerns • Guidelines: Consider if concerns rise to the level needing protective services; consider cultural beliefs; ID practical strategies to educate and inform caregivers; ID strategies for the caregiver to provide support to the individual; ID strategies to prevent problematic behavior; ID strategies for responding to behavioral symptoms; ID strategies for the caregiver to help the individual deal with anxiety. • Additional Resources: 3 publications 2010 - 2011

46. SOCIAL & PEER RELATIONSHIPS CAP • Issue: Positive peer relationships are essential to increase self-esteem, prevent victimization, promote the development of important social skills, and to protect from the effects of problematic family relationships. • Goals of Care: Alleviate isolating behaviors and symptoms; reduce factors that contribute to problematic social and peer relationships and develop strategies for dealing with difficult peer situations; strengthen the young person’s social skills, promote maintenance of health peer relationships. • Triggers: Reduce Social Withdrawal or Isolation – more than one of seven identified indicators; Reduce Maladaptive or Antisocial Peer Interactions – at least one of two identified indicators; No Trigger • Guidelines: Assess for risk factors; ID strategies to address extreme shyness, unsociable individuals, peer rejection and victimization, bullying, antisocial peers; refer to effective therapeutic interventions. • Additional Resources: 6 publications 2003 - 2012

47. FUNCTIONAL STATUS CAPs COMMUNICATION CAP LIFE SKILLS CAP

48. COMMUNICATION CAP • Issue: Communication includes understanding others and sending messages with motor movements. Communication difficulties can interfere with social and emotional development and can have far-reaching consequences on MH and academic achievement. • Goals of Care: Enhance ability to express oneself and understand others in various contexts and settings; engage the social network to understand and support communication development. • Trigger: Difficulties in at least one of two types of communication • Guidelines: Comprehensive evaluation in consultation with appropriate specialists; address speech and language issues; ID interventions that are appropriate for current levels of communication; address associated physical and MH issues; support majority language learning while respecting first language and culture • Additional Resources: 4 publications 2010 - 2013

49. LIFE SKILLS CAP • Issue: Children and youth must master life skills to maintain health and safety as they progress into adulthood. This includes activities of daily living and instrumental activities of daily living. Caregiver training is an essential component of intervention. • Goals of Care: Enhance the young person’s life skills; promote independence with adequate caregiver support consistent with developmental level and family’s culture. • Triggers: ADL Assistance – age 6-18 requiring physical assistance with more than one ADL; IADL Assistance – age 12-18 requiring at least extensive assistance for more than one IADL; No Trigger • Guidelines: Consider enhancing life skills regardless of physical or cognitive limitations; use specialized therapies and strategies as needed; assess capacity and performance; ID limiting factors and barriers; compare to typical ADL/IADL development; develop a step-by-step plan; enlist caregivers • Additional Resources: 6 publications 2010 - 2012

50. HEALTH PROMOTION CAPs CAFFEINE USE CAP GAMBLING CAP MEDICATION ADHERENCE CAP MEDICATION REVIEW CAP PHYSICAL ACTIVITY CAP SLEEP DISTURBANCE CAP STRENGTHS CAP SUBSTANCE USE CAP TOBACCO AND NICOTINE USE CAP VIDEO GAMING CAP WEIGHT MANAGEMENT CAP