interRAI

interRAI Child and Youth Suite of Instruments

 

The interRAI Child and Youth Suite of assessment instruments comprise integrated health and social service information tools that can be used to assess, respond to, and monitor the status and needs of vulnerable populations of children and youth.

Utilizing the assessment tools at pre- and post- program admission or intervention can provide an evaluation of program effectiveness and support the development of quality indicators for agencies and organizations to support quality care. Monitoring assessments should be completed prior to program admission or intervention, every 90 days during program or intervention, and at discharge from program admission or intervention. Additionally, monitoring assessments should be completed whenever there is a significant change in status.

The Child and Youth Suite currently has four published assessment tools and seven unpublished assessment tools in various stages of development. All interRAI Child and Youth Suite assessment tools are briefly outlined on this page. For more information on the Child and Youth Suite, please contact Shannon Stewart.

 

Published Assessment Tools

  • interRAI Child and Youth Mental Health Instrument and Adolescent Supplement (ChYMH)
  • interRAI Child and Youth Mental Health Instrument for Developmental Disabilities and Adolescent Supplement (ChYMH-DD)
  • interRAI Child and Youth Mental Health Screener (ChYMH-S)
  • interRAI Child and Youth Pediatric Health Care (HC-PEDS)

 

Unpublished Assessment Tools

  • interRAI Self-report Quality of Life – Child and Youth Mental Health (SQoL-ChYMH)
  • interRAI Family Quality of Life (FamQoL)

 

Assessment Tools in Pilot stage

  • interRAI Youth Justice Custodial Facilities (YJCF)
  • interRAI 0-3
  • interRAI Child and Youth Emergency Screener for Psychiatry (ESP-CY)
  • interRAI Education (EDU)
  • interRAI Adolescent Addictions Supplement

 

 

interRAI Child and Youth Mental Health Instrument and Adolescent Supplement (ChYMH)

Published in 2015

The interRAI Child and Youth Mental Health Instrument (ChYMH) is the main tool in the Child and Youth Suite of instruments. The ChYMH is intended to be used with child and youth populations in mental health settings to support comprehensive care planning, outcome measurement, quality indicators, and case mix classification to estimate relative resource intensity. It employs specific observation periods to provide reliable and valid measures of clinical characteristics that reflect the child’s or youth’s strengths, preferences, and needs. The basic time frame for assessment was set at 3 days unless otherwise indicated. Importantly, some items address the recency and frequency of symptoms prior to and within the last three days. There is also an option to indicate that symptoms are present but not exhibited within the last 3 days. Scales embedded within the tool can be used to support care planning and symptom monitoring. Triggers for numerous Collaborative Action Plans to support care planning decisions are also embedded in the instrument.

  • Two versions of the ChYMH assessment form are available:
    • In-patient: used for a child or youth who is resides in a residential facility or psychiatric facility/unit.
    • Community-based: used for a child or youth who resides in a community setting. 
  • Adolescent Supplement is completed for all children and youth 12 years of age and older, unless an assessor feels that a younger child is engaging in mature behaviours addressed on the Adolescent Supplement. At the clinician’s discretion, the Adolescent Supplement can be used for children under the age of 12 years if needed.
  • 30 Collaborative Action Plans (CAPs) can be triggered:

Safety

  • Control Interventions
  • Criminality Prevention
  • Harm to Others *
  • Hazardous Fire Involvement
  • Sexual Behaviour
  • Suicidality and Purposeful Self-Harm
  • Traumatic Life Events

 

Functional Status

  • Communication
  • Life Skills

 

Health Promotion

  • Caffeine Use
  • Gambling
  • Medication Adherence
  • Medication Review
  • Physical Activity
  • Sleep Disturbance
  • Strengths
  • Substance Use *
  • Tobacco and Nicotine Use
  • Video Gaming
  • Weight Management

 

 

Family Life & Social Integration

  • Attachment **
  • Caregiver Distress
  • Interpersonal Conflict
  • Parenting
  • Social and Peer Relationships

 

Services & Supports

  • Education
  • Informal Support
  • Readmission *
  • Support Systems for Discharge
  • Transitions

**Attachment CAP can ONLY be triggered for children under the age of 12 years old.

  • Algorithm – interRAI Resource Intensity for Children and Youth (RIChY)
    • Empirically based decision-support tool that can be used to inform the intensity and nature of a child’s or youth’s service needs.
    • At an organization level, the algorithm provides a standardized platform to support evidence-based decision making in resource allocation and can be used to inform policy development and planning.
    • RIChY is determined via a number of pathways that represent different combinations of risk factors, such as age, internalizing and externalizing symptoms and behaviours and family functioning.
    • RIChY is based on the age of the child or youth, whereby three independent risk criteria pathways can be engaged. Higher scores indicate a greater priority for intensive services.
      • Ages 4-7 years (algorithm range 0-3)
      • Ages 8-11 years (algorithm range 0-5)
      • Ages 12-17 years (algorithm range 0-5)
    • It is the responsibility of the clinical team to use professional judgement to decide if the RIChY score accurately reflects the child’s or youth’s need for complex, intense service, given all information available.

 

interRAI Child and Youth Mental Health Instrument for Developmental Disabilities and Adolescent Supplement (ChYMH-DD)

Published in 2015

The interRAI Child and Youth Mental Health Instrument for Developmental Disabilities (ChYMH-DD) is the second tool in the child and youth suite of instruments. The ChYMH-DD is intended to be used with child and youth with intellectual or developmental disabilities to support comprehensive care planning, outcome measurement, quality indicators, and case mix classification to estimate relative resource intensity. It employs specific observation periods in order to provide reliable and valid measures of clinical characteristics that reflect the child’s or youth’s strengths, preferences, and needs. The basic time frame for assessment was set at 3 days unless otherwise indicated. Importantly, some items address the recency and frequency of symptoms prior to and within the last three days. There is also an option to indicate that symptoms are present but not exhibited within the last 3 days.  Scales embedded within the tool can be used to support care planning and symptom monitoring. Triggers for numerous Collaborative Action Plans to support care planning decisions are also embedded in the instrument.

  • Similar to the ChYMH, two versions of the ChYMH-DD assessment form are available:
    • In-patient: used for a child or youth with intellectual or developmental disabilities who resides in a residential facility or psychiatric facility/unit.
    • Community-based: used for a child or youth with intellectual or developmental disabilities who resides in a community setting. 
  • Adolescent Supplement is completed for all children and youth 12 years of age and older, unless an assessor feels that a younger child is engaging in mature behaviours addressed on the Adolescent Supplement. At the clinician’s discretion, the Adolescent Supplement can be used for children under the age of 12 years if needed.
  • 23 Collaborative Action Plans (CAPs) can be triggered:

Safety

  • Control Interventions
  • Injurious Behaviour
  • Hazardous Fire Involvement
  • Sexual Behaviour
  • Suicidality and Purposeful Self-Harm
  • Traumatic Life Events

 

Functional Status

  • Accessibility & Mobility
  • Communication
  • Life Skills
  • Play & Leisure

 

Health Promotion

  • Continence
  • Medication Adherence
  • Medication Review
  • Modified Nutrition Intake
  • Problematic Eating Behaviour
  • Sleep Management
  • Strengths

 

 

 

 

 

Family Life & Social Integration

  • Caregiver Distress
  • Parenting
  • Social Relations

 

Services & Supports

  • Education Support
  • Support Systems for Discharge
  • Transitions

 

 

 

 

Algorithm – interRAI Resource Intensity for Children and Youth (RIChY)

  • Empirically based decision-support tool that can be used to inform the intensity and nature of a child’s or youth’s service needs.
  • At an organization level, the algorithm provides a standardized platform to support evidence-based decision making in resource allocation and can be used to inform policy development and planning.
  • RIChY is determined via a number of pathways that represent different combinations of risk factors, such as age, internalizing and externalizing symptoms and behaviours and family functioning.
  • RIChY is based on the age of the child or youth, whereby three independent risk criteria pathways can be engaged. Higher scores indicate a greater priority for intensive services.
    • Ages 4-7 years (algorithm range 0-3)
    • Ages 8-11 years (algorithm range 0-5)
    • Ages 12-17 years (algorithm range 0-5)
  • It is the responsibility of the clinical team to use professional judgement to decide if the RIChY score accurately reflects the child’s or youth’s need for complex, intense service, given all information available.

 

interRAI Child and Youth Mental Health Screener (ChYMH-S) 

Published in 2017

The interRAI Child and Youth Mental Health Screener (ChYMH-S) is a standardized minimum screening tool for clinical use that is based on, and intended to complement, the interRAI Child and Youth Mental Health (ChYMH) and the InterRAI Child and Youth Mental Health Instrument for Developmental Disabilities (ChYMH-DD) assessment instruments for both inpatient and community-based populations. The ChYMH-S can be used as a basic screener in multiple settings, including inpatient and community programs and services to assist with triaging as well as identifying the need for a full, comprehensive mental health assessment using the interRAI ChYMH or ChYMH-DD assessment. The primary use of the ChYMH-S is to support decision-making related to triaging, placement, and service urgency based on an evidence-based algorithm, the interRAI Children’s Algorithm for Mental Health and Psychiatric Services (ChAMhPS).

Although the ChYMH-S informs immediate care triaging, it is NOT a replacement for or an alternative to the comprehensive ChYMH or ChYMH-DD assessments. The ChYMH-S is not intended to trigger any Collaborative Action Plans (CAPs) and only activates three clinical scales. The interRAI RIChY algorithm cannot be triggered from the ChYMH-S.

  • Algorithm – interRAI Children’s Algorithm for Mental Health and Psychiatric Services (ChAMhPS)
    • Empirically based decision-support tool that can be used to inform the need and urgency of timing for a comprehensive, face-to-face mental health assessment or service for children and youth between 4-18 years old.
    • ChAMhPS is determined via a number of pathways that represent different combinations of risk factors, such as age as well as internalizing and externalizing symptoms and behaviours.
    • ChAMhPS is based on the age of the child or youth, whereby three independent risk criteria pathways can be engaged. Higher scores indicate greater urgency for a full assessment or intensive service need.
      • ChAMhPS ages 4-7 years (algorithm range 0-5)
      • ChAMhPS ages 8-11 years (algorithm range 0-5)
      • ChAMhPS ages 12-17 years (algorithm range 0-6)
    • It is the responsibility of the clinical team to use professional judgement to decide if the CHAMhPS score accurately reflects the child’s or youth’s urgency for the completion of a full assessment or intensive service.
    • It is recommended that children and youth who receive a score of 3 or more should be seen as soon as possible and receive a full ChYMH or ChYMH-DD as appropriate.

 

interRAI Child and Youth Pediatric Health Care (HC-PEDS) 

Published in 2014

The interRAI Pediatric Home Care Assessment (PEDS-HC) is a clinical tool intended for use with children and youth with complex health needs receiving who are home-based care. The PEDS-HC was designed to be used to assess the home care challenges of children and youths ranging in age from 4 through 20 who are seeking or receiving long-term services or supports. The PEDS-HC can support comprehensive care planning, outcome measurement, quality indicators, and case mix classification to estimate relative resource intensity. It employs specific observation periods to provide reliable and valid measures of clinical characteristics that reflect the child’s or youth’s strengths, preferences, and needs. The basic time frame for assessment was set at 3 days unless otherwise indicated. Importantly, some items address the recency and frequency of symptoms prior to and within the last three days. There is also an option to indicate that symptoms are present but not exhibited within the last 3 days. 

The PEDS-HC was developed in the United States of America and is primarily used as a decision support tool to determine funding allocation amounts for medically complex children and youth who require home care services. This tool does not presently activate any interRAI Collaborative Action Plans (CAPs), scales, or algorithms.

 

interRAI Self-report Quality of Life – Child and Youth Mental Health (SQoL-ChYMH)

Accepted for Publication

The interRAI Self-Report Quality of Life – Child and Youth Mental Health (SQoL-ChYMH) is a self-report survey that is intended to assess the perception of life satisfaction and well-being of children and youth ages 7 to 18, before and after receiving mental health services. The SQoL-ChYMH provides an opportunity for children and youth to engage in their treatment planning and goal setting to personally impact service delivery. Children and youth are asked to respond to several questions across four domains associated with protective factors and indicators of positive mental health among children and youth, including basic needs, social, individual, and services.

Basic Needs

Social

Individual

Services

  • Living Conditions
  • Food
  • Privacy & Safety

 

  • Friends & Activities
  • Respect from Others
  • Family
  • Autonomy &
  • Self-Concept
  • Health

 

  • School
  • Treatment

 

 

The SQoL-ChYMH can be used in combination with the ChYMH to gain insight into the child’s or youth’s perception of their life satisfaction and well-being. Similarly, the SQoL-ChYMH can also be used together with the Family Quality of Life (FamQoL) in order to provide the child or youth’s perspective to inform treatment planning.

  • Three versions of the SQoL-ChYMH exist:
    • Pre-Service for Inpatient and Outpatient Programs
    • Post-Service Outpatient Programs
    • Post-Service Inpatient Programs

This tool has been approved by international experts from the interRAI Network for Mental Health (iNMH) and the interRAI Instrument and Systems Development Committee (ISD).

 

interRAI Family Quality of Life (FamQoL)

Unpublished

The interRAI Family Quality of Life (FamQoL) is a self-report survey that is intended to assess the perception of the family’s life satisfaction and well-being before and after their child or youth receives mental health services. The FamQoL provides an opportunity for an adult family member, preferably the primary caregiver of the child or youth receiving mental health care services, to engage in his or her treatment by identifying areas of strengths and difficulties, and service satisfaction from the families’ point of view. The FamQoL ensures that the families’ voice is heard and incorporated into treatment planning before and after a child’s or youth’s involvement with service organizations to promote positive treatment outcomes for the child or youth and his or her family. Use of this tool can help to build supports for the family and respond better to the child’s or youth’s needs individually and within the context of their family.  

The FamQoL is composed of several questions across four domains associated with protective factors and indicators of positive functioning among families, including basic needs, social, family, and services.

Basic Needs

Social

Family

Services

  • Safety
  • Formal Support
  • Informal Support
  • Interpersonal Challenges
  • Community Interaction & Leisure
  • Family Relationships & Interactions
  • Life Circumstances
  • Service Experience (Post-service version only)

 

The FamQoL can be used in combination with the SQoL-ChYMH and the ChYMH to gain insight into the child’s or youth’s family’s perception of their strengths and needs as well as service satisfaction. The service experience items can help to inform where service improvements may be needed as identified through program evaluation.

  • Two versions of the FamQoL exist:
    • Pre-Service for Inpatient and Outpatient Programs
    • Post-Service Inpatient and Outpatient Programs

 

interRAI Youth Justice Custodial Facilities (YJCF)

Unpublished - Pilot Study 2015-2018

The interRAI Youth Justice Custodial Facilities (YJCF) is a comprehensive standardized instrument for evaluating the risk, needs, strengths, preferences, and functioning of youth in the justice system aged 12-18 years who are currently placed in a custodial facility. The YJCF is intended to be used with youth in custodial facility settings to support comprehensive care planning, outcome measurement, quality indicators, and case mix classification to estimate relative resource intensity. The YJCF is designed to be compatible with other interRAI instruments for children and youth, such as the interRAI ChYMH and ChYMH-S. The YJCF employs specific observation periods to provide reliable and valid measures of clinical characteristics that reflect the child’s or youth’s strengths, preferences, and needs. The basic time frame for assessment is set at 3 days unless otherwise indicated. Importantly, some items address the recency and frequency of symptoms prior to and within the last three days. There is also an option to indicate that symptoms are present but not exhibited within the last 3 days. 

Scales embedded within the tool can be used to support care planning and symptom monitoring. Triggers for numerous Collaborative Action Plans to support care planning decisions are also embedded in the instrument.

  • 26 Collaborative Action Plans (CAPs) can be triggered:

Safety

  • Continued Offending
  • Control Interventions
  • Criminality Prevention
  • Harm to Others
  • Hazardous Fire Involvement
  • Rationalizations for Antisocial Choices
  • Sexual Offending
  • Suicidality and Purposeful Self-Harm
  • Traumatic Life Events

Health Promotion

  • Caffeine Use
  • Gambling
  • Medication Adherence
  • Medication Review
  • Physical Activity
  • Sleep Disturbance
  • Strengths
  • Substance Use
  • Tobacco and Nicotine Use
  • Weight Management
  • Video Gaming

 

Family Life & Social Integration

  • Family Functioning
  • Interpersonal Conflict

 

Services & Supports

  • Education
  • Support Systems for Release from Custody or Detention
  • Transitions

 

Functional Status

  • Communication

 

  • Algorithm – interRAI Resource Intensity for Children and Youth (RIChY)
    • Empirically based decision-support tool that can be used to inform the intensity and nature of a youth’s service needs.
    • At an organization level, the algorithm provides a standardized platform to support evidence-based decision making in resource allocation and can be used to inform policy development and planning.
    • RIChY is determined via pathways that represent different combinations of risk factors, such as internalizing and externalizing symptoms and behaviours and family functioning.
    • RIChY is based on the age of the youth, whereby higher scores indicate a greater priority for intensive services.
      • Ages 12-18 years (algorithm range 0-5)
    • It is the responsibility of the clinical team to use professional judgement to decide if the RIChY score accurately reflects the youth’s need for complex, intense service, given all information available.

 

interRAI 0-3

Unpublished - Pilot Study 2016-2019

The interRAI 0-3 was developed to be used with children, aged 0-47 months old, who are demonstrating developmental, social, behavioural, or emotional concerns. The tool is intended to support comprehensive care planning, outcome measurement, quality indicators, and case mix classification to estimate relative resource intensity. It employs specific observation periods in order to provide reliable and valid measures of clinical characteristics that reflect the young child’s strengths, preferences, and needs. The basic time frame for assessment was set at 3 days unless otherwise indicated. Importantly, some items address the recency and frequency of symptoms prior to and within the last three days. There is also an option to indicate that symptoms are present but not exhibited within the last 3 days.  Triggers for numerous Collaborative Action Plans to support care planning decisions are embedded in the instrument. Five developmental milestones are assessed using the interRAI 0-3.

The interRAI 0-3 is designed to be directly compatible with other interRAI assessments for children such as the ChYMH and ChYMH-DD. Synchrony among assessment instruments for children offers an opportunity for a seamless transition between services for young children and school-age children (4-18 years). Consistency in outcomes activated (i.e., Collaborative Action Plans and scales), can provide reliable monitoring across childhood. At present, no scales can be activated using the interRAI 0-3 (i.e., scales development in progress).

  • 17 Collaborative Action Plans (CAPs) can be triggered:

Safety

  • Traumatic Life Events

 

Functional Status

  • Gross and Fine Motor
  • Communication
  • Dressing
  • Sensory

Health Promotion

  • Physical Activity
  • Sleep Management
  • Nutritional Intake
  • Problematic Eating
  • Toilet Training Readiness

Family Life & Social Integration

  • Attachment
  • Caregiver Distress
  • Parenting
  • Sociability
  • Emotional Regulation

 

Services & Supports

  • Caregiver Informal Support
  • Transition Planning

 Five developmental milestones are assessed:

  • Expressive and Receptive Language
  • Gross Motor
  • Fine Motor
  • Socio-Emotional Development
  • Cognition

 

interRAI Child and Youth Emergency Screener for Psychiatry (ESP-CY)

Unpublished

The interRAI Child and Youth Emergency Screener for Psychiatry (ESP-CY) is a comprehensive standardized instrument for evaluating the needs of children and youth with mental illness presenting in emergency or crisis settings. The ESP-CY is based on, and complements the ChYMH and ChYMH-DD assessment instruments for community and inpatient psychiatry. The ESP-CY is intended for use in multiple settings, including both in-patient and community programs and services. The ESP-CY is designed to primarily be used to support decision making related to management of safety, placement, and service utilization for a child or youth presenting with mental health concerns. It also can provide valuable insights during the initial days of an in-patient mental health episode.

The ESP-CY is compatible with other interRAI instruments for children and youth, such as the ChYMH and ChYMH-S, however employs distinctive observation periods. The basic time frame for assessment using the ESP-CY was set at the last 24 hours unless otherwise indicated. Importantly, some items address the recency and frequency of symptoms prior to and within the last 24 hours days.

Scales embedded within the tool can be used to support care planning and symptom monitoring. The ESP-CY triggers two Collaborative Action Plans that are intended to be used for care and service planning. Uniquely, the ESP-CY includes three basic risk appraisal algorithms intended to address (a) risk of harm to self, (b) risk of harm to others, and (c) self-care index.

Although the ESP-CY informs immediate care planning related to safety, it is NOT a replacement for or an alternative to the comprehensive ChYMH or ChYMH-DD assessments.

 

interRAI Education (EDU)

Unpublished

The interRAI Education (EDU) is a clinical tool intended for use with children and youth aged 4-20 years of age who are referred to school-based mental health or psychological services. The EDU is designed to support comprehensive care planning, outcome measurement, quality indicators, and case mix classification to estimate relative resource intensity. It employs specific observation periods to provide reliable and valid measures of clinical characteristics that reflect the child’s or youth’s strengths, preferences, and needs. The EDU provides an assessment of key domains of function, mental and physical health, social support, and educational needs. Particular items also identify those who could benefit from further evaluation of specific problems and risks for decline in health, well-being, or function.

The EDU is compatible with other interRAI instruments for children and youth, such as the ChYMH and ChYMH-DD. The basic time frame for assessment was set at 3 days unless otherwise indicated. Importantly, some items address the recency and frequency of symptoms prior to and within the last three days. There is also an option to indicate that symptoms are present but not exhibited within the last 3 days. Scales embedded within the tool can be used to support care planning and symptom monitoring. Triggers for numerous Collaborative Action Plans to support care planning decisions are also embedded in the instrument.

  • Adolescent Supplement is completed for all children and youth 12 years of age and older, unless an assessor feels that a younger child is engaging in mature behaviours addressed on the Adolescent Supplement. At the clinician’s discretion, the Adolescent Supplement can be used for children under the age of 12 years if needed.
  • 30 Collaborative Action Plans (CAPs) can be triggered:

Safety

  • Harm to Others *
  • Sexual Activity
  • Suicidality and Purposeful Self-Harm
  • Traumatic Life Events

 

Functional Status

  • Communication
  • Fine and Gross Motor

Health Promotion

  • Caffeine Use
  • Medication Adherence
  • Physical Activity
  • Strengths
  • Substance Use*
  • Tobacco and Nicotine Use
  • Video Gaming
  • Vision and Hearing Impairment

Family Life & Social Integration

  • Caregiver Distress
  • Interpersonal Conflict
  • Social and Peer Relationships
  • Classroom Management and Discipline

 

Services & Supports

  • Education
  • Informal Support
  • Transitions
  • Attention and Learning Supports

* Harm to Others & Substance Use CAPs can ONLY be triggered when the Adolescent Supplement is completed (i.e., all children over 12 years old and any other children engaging in mature behaviours) given that the items assessing a child’s insight into mental health and specific substance use are only on the Adolescent Supplement.

  • Algorithm – interRAI Resource Intensity for Children and Youth (RIChY)
    • Empirically based decision-support tool that can be used to inform the intensity and nature of a child’s or youth’s service needs.
    • At an organization level, the algorithm provides a standardized platform to support evidence-based decision making in resource allocation and can be used to inform policy development and planning.
    • RIChY is determined via a number of pathways that represent different combinations of risk factors, such as age, internalizing and externalizing symptoms and behaviours and family functioning.
    • RIChY is based on the age of the child or youth, whereby three independent risk criteria pathways can be engaged. Higher scores indicate a greater priority for intensive services.
      • Ages 4-7 years (algorithm range 0-3)
      • Ages 8-11 years (algorithm range 0-5)
      • Ages 12-17 years (algorithm range 0-5)
    • It is the responsibility of the clinical team to use professional judgement to decide if the RIChY score accurately reflects the child’s or youth’s need for complex, intense service, given all information available.

 

interRAI Adolescent Addictions Supplement

Unpublished

The interRAI Adolescent Addictions Supplement is an ancillary clinical tool for assessing young people who are engaging in addictive behaviours. The Adolescent Addictions Supplement is designed for use in conjunction with the interRAI Child and Youth Mental Health (ChYMH) and the interRAI Child and Youth Mental Health – Developmental Disabilities (ChYMH-DD). The basic time frame for assessment was set at 3 days unless otherwise indicated. Importantly, some items address the recency and frequency of symptoms prior to and within the last three days. There is also an option to indicate that symptoms are present but not exhibited within the last 3 days. Scales, CAPs, and algorithms are not triggered from the Adolescent Addictions Supplement. Rather, youth can be assigned to four addictive behaviours streams to support treatment planning and intervention.

When the Adolescent Addictions Supplement in triggered, consider completing this supplement as soon as possible after the ChYMH or ChYMH-DD — preferably on the same day. The Adolescent Addictions Supplement should always be completed for youth who are in treatment for addiction-related issues. When the supplement is not triggered, it can still be completed at the discretion of the assessor.

The following items are taken into consideration when determining if the Adolescent Addictions Supplement should be completed:

  • Alcohol
  • Number of days in last 30 days consumed alcohol to point of intoxication
  • Time since use of: inhalants, hallucinogens, cocaine or crack, stimulants, opiates, cannabis
  • Intentional misuse of prescription or over-the-counter medication in last 90 days
  • Gambled excessively or uncontrollably
  • Smokes tobacco daily
  • Uses other nicotine product daily
  • Problem video gaming in last 90 days

The Addictions Supplement provides additional information about a young person’s addictive behaviours relating to (1) substance use, (2) tobacco use, (3) gambling, and (4) video gaming. Particular items also identify service utilization, treatment, and readiness for change.