1 Wraparound Strengths & Needs Summary 6-20 Youth and Family: Record Number: WRAPAROUND LIFE DOMAINS Psychological/Emotional CANS Ratings: Considerations: Strengths Items Diagnosis, Functioning, Insight, Judgment, Memory, IQ, Impulse Control, Emotional Regulation Concentration, Mood, Thought Process, Medication, Satisfaction, Orientation, Evaluations, Reports, Significant Life Events, Family Definition of Trauma, Physical, Emotional, Sexual, Time-frames, etc 14 Coping and Savoring Skills 15 Optimism 20 Resilience Needs Items Decision Making 21 Sexual Abuse 22 Physical Abuse 23 Emotional/Verbal Abuse 24 Neglect 25 Medical Trauma 26 Witness to Family Violence 27 Witness to Community/School Violence 28 War Affected 29 Terrorism Affected 30 Witness/Victim of Criminal Activity 31 Parental Criminal Behavior Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University 32 Disruptions in Caregiving/Attachment Losses 33 Reaction to Traumatic Life Experiences 34 Traumatic Grief & Separation 35 Intrusions/Reexperiencing 36 Hyperarousal 37 Attempts to Avoid Stimuli 38 Numbing 39 Dissociation 40 Emotional and/or Physical Regulation 44 Developmental/Intellectual 51 Sexual Development 59 Impulsivity/Hyperactivity 60 Depression and Anxiety 61 Psychosis (Thought Disorder) 62 Oppositional (Noncompliance with Authority) 65 Eating Disturbances 66 Anger Control 68 Duration of Mental Health Challenges 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University Family/Relationships CANS Ratings: Considerations: Strengths Items Family Members, Relatives, Friends, Neighborhood, Community, Relationship Status, Significant others, Separations, Divorces, Marriages, Widow/Widower, Orientation, Siblings, Birth Order, Extended Family, Adoptions, Other Caregivers, Custody/Guardianship Arrangements, 10 Family Strengths 11 Interpersonal Skills 18 Natural Supports 19 Relationship Permanence Needs Items Family Dynamics, Quality, Incarcerations, deaths, etc 41 Family Functioning 42 Living Situation 64 Attachment Difficulties 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University Safety/Crisis CANS Ratings: Considerations: Needs Items Suicide, Homicide, Self-Mutilation, Aggressiveness, Abuse, Separation Issues, Neglect, Runaway, family solutions, supports, systems, current plans, etc Suicide Risk Non-Suicidal SelfInjurious Behavior Other SelfHarm/Recklessness Danger to Others Runaway Fire Setting Sexually Aggressive Behavior 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University Legal CANS Ratings: Considerations: Needs Items Probation, Parole, Incarceration, Illegal Activities, Pending Charges, Criminal Associations, Court Orders, Judgments, Liens, etc Delinquent Behavior 48 Legal 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Substance Use/Addictions CANS Ratings: Considerations: Need Item Substances: Current and Previous, Use Behaviors, Patterns, Treatment History, support group, etc 63 Substance Use 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University 6 Educational/Vocational CANS Ratings: Considerations: Strengths Items Educational Setting, School, School District, Special Education: Category and Type, Educational Supports, Performance, Testing, Achievement, Behavior, IEPs, Other Educational Services, etc Employment Status, Trade, Employment History, Vocational Education or Services, Vocational Goals, Vocational Skills, etc 12 Educational Setting 13 Vocational Needs Items 52 School Behavior 53 School Attendance 54 School Achievement 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University 7 Health/Medical CANS Ratings: Considerations: Needs Items Health, Health Concerns, Accidents, Surgeries, Emergencies, Vision, Dental, Physical, Primary Care, Other Providers, Medications, Involvement/Appointments, etc 45 Sensory 49 Medical/Physical 50 Sleep 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Home/A Place to Live CANS Ratings: Considerations: NA Housing Status, Home Conditions, Family Satisfactions, System Satisfaction, Health and Safety Concerns, Changes, Moves, Location, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University Daily Living/Life Skills CANS Ratings: Considerations: Need Item Skills, Abilities, Resources, Tasks, Age and Developmentally Appropriate Skill Level, Assets, Goals, Support, etc 46 Self-Care/Daily Living Skills 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University 10 Cultural/Spiritual CANS Ratings: Considerations: Needs Items Race, Ethnicity, Affiliations, Community Involvement, Traditions, Values, Norms, Rituals, Celebrations, Holidays, Religion, Beliefs, Churches, Organizations, Groups, etc 55 Language 56 Cultural Identity 57 Cultural Events and Activities 58 Cultural Stress 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: 11 Financial CANS Ratings: Considerations: NA (Adults or Youth with an Independent Living Plan) Income, expenses, insurance, employment, system support, child support, budget, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University 10 12 Social/Recreational CANS Ratings: Considerations: Strengths Items Fun, Leisure Activities, Hobbies, Social Activities, Neighborhood Involvement, Clubs, Organizations, Athletic, Exercise, Civic, Youth Activities, Family Activities, Recreation, Talent, Satisfaction, etc 16 Talent and Interests 17 Community Connection Needs Items 43 Social Functioning 47 Recreational 67 Situational Consistency of Challenges 69 Service Permanence Family and Youth Involvement in Services and Supports, History, Systems, Consistency, Satisfaction, Life Domains Addressed, Formal, Informal, Natural, etc Strengths and Needs Summary: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University 11 Youth: Date: Family Member: Date: Family Member: Date: Youth Partner: Date: Family Partner: Date: Care Coordinator: Date: Wraparound Strengths & Needs Summary 6-20 | 020719 © 2018 Systems of Care Institute, Portland State University