Mental Health Youth Questions

Question 7

(This field is required for mental health youth services. It is optional for substance abuse youth services).

Have you ever had nightmares or flashbacks as a result of being involved in some traumatic/terrible event?

• Sometimes it is difficult to determine if there is a connection between nightmares a youth is experiencing and a traumatic/terrible event.

• Even if the connection to a traumatic event is uncertain, select yes, if the client reports experiencing these symptoms.

• If a full Assessment is completed on the client, also document details of nightmares in the Medical section of the Assessment.

 

Question 8

(This field is required for mental health youth services. It is optional for substance abuse youth services).

Have you ever given in to an aggressive urge or impulse, on more than one occasion that resulted in serious harm to others or led to the destruction of property?  

• The focus of this question is aggression that has resulted in serious harm to others or destruction of property.
• If the client describes only one incident (i.e. destruction of property one time) select no.
• If the client describes any combination of two or more incidents of harm to others and destruction of property, select Yes.
• To document the client’s response to this question, CLICK ON the Yes or No button matching the client’s answer.
• To view examples of how to answer this question CLICK ON an example below.

Example 1

• The client tells you that when in middle school, he became very angry at the football coach after being kept on the bench for two games. One night, he came to school, broke into the locker room and ransacked the equipment room causing quite a bit of damage. The client indicates this is the only time he ever did anything destructive in his life and has never harmed anyone. The Clinician selected No.

Example 2

• The client reports that he get very angry at his younger sister when she refuses to “get lost” when his friends come over. He feels embarrassed by her belittling comments. He gets the idea that he should “punish” her and although he tries not to do it, he always gives in. When his parents are at work, he beats his sister causing large bruises and swelling. He threatens her and she usually does not tell their parents. One time he broke her nose. The client says lately, he has had thoughts that he could use a knife and that she might finally stop bothering him. The Clinician selected ‘Yes’.

Example 3

• The client says she frequently hears people talking about her behind her back and she will just turn around and start punching. She has done this on the school bus, in the grocery store and while waiting to see the doctor at the clinic. The client reports she has been arrested several times for assault but was let go because she was a juvenile. The client says “When I hear that whispering, I just can’t stand it and I start punching. Nothing can stop me.” The Clinician selected ‘Yes’

 

 

Question 9

(This field is required for mental health youth services. It is optional for substance abuse youth services)

Have you ever had spells or attacks when you suddenly felt anxious frightened to the extend that you experienced:

1. Sweating?
2. Rapid heartbeat?
3. Shaking or trembling?
4. Dizziness,
5. Unsteadiness or felt faint?

• Select Yes if the client indicates yes to one or more of the symptoms listed.
• To document the client’s response to this question, CLICK ON the Yes or No button matching the client’s answer.

 

 

Question 10

(This field is required for mental health youth services. It is optional for substance abuse youth services)

Have you ever had a persistent, lasting thought or impulse to do something over and over that caused you considerable distress and interfered with normal routines, work, or your social relations?

 

• To document the client’s response to this question, CLICK ON the Yes or No button matching the client’s answer.
• To view examples of how to answer this question CLICK ON an example below.

Example 1

• The client tells you that she becomes very anxious after leaving the house for school every morning, because of thoughts that she may have left on the hair curler. The thoughts are so strong that the client returns to the house to check, even if she has already walked several blocks toward the bus stop. She says this happens as often as three or four times every morning and has caused her to be tardy and receive in-school suspension 4 times this year. The Clinician selected Yes.

Example 2

• The client reports that every day he has repeated thoughts that he will loose his homework before getting to school in the morning. After getting in bed at night, these thoughts trouble the client so much that he repeatedly gets out of bed to check that his homework is still in his backpack. The behavior continues for 30 to 90 minutes every night, interfering with his sleep and often resulting in tardiness the next morning when he does not wake up in time for the bus. The Clinician selected Yes.

Example 3

• The client says that she worries a lot about her 3-year-old daughter when she plays alone in their backyard. The client has repeated thoughts that her daughter might fall or otherwise get hurt so she frequently checks on her. When asked how often she checks, the client says about every 5 minutes. When asked if these thoughts have interfered with her ability to complete her housework or caused her great distress, the client says “No”. The Clinician selected No.