№ lp_1_21412
Structured clinical assessment form capturing demographic, support, trauma, behavioral, and risk information for Medicaid clients to guide individualized service planning.
Note: Year
Region / City: Illinois
Document Type: Comprehensive needs assessment
Organization / Agency: Illinois Medicaid
Target Population: Medicaid-eligible individuals
Assessment Type: Initial / Update / Re-assessment
Sections Included: General Information, Established Supports, Trauma Exposure, Presenting Problem and Impact on Functioning, Safety
Data Collected: Personal information, demographics, caregiver details, trauma history, behavioral and emotional needs, life functioning, risk behaviors
Scoring System: 0–3 scale for CANS items
Modules Reference: IM+CANS Modules Addendum
Price: 8 / 10 USD
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