|
|
Question |
Question Help |
Answers |
Points |
|
|
Risk |
Pro-tective |
||||
|
|
Assessment Date(required field) |
Enter the date the assessment was initiated. If today’s date, CTRL O will automatically enter today’s date |
Date format 00/00/0000 |
|
|
|
|
Office |
Enter name of county where assessment was conducted |
(County Name) |
|
|
|
|
Assessor |
Enter the name of person who conducted the assessment (this may be different than the person entering the assessment in JJIS) |
Last Name, First Name) |
|
|
|
|
Locked Date |
You will be prompted for this date when you close the assessment. Skip for now. |
Date format 00/00/0000 |
|
|
|
|
Assessment(Required field. It links the current reassessment to a prior assessment) |
(Mandatory- Creates Data Link) Some JCP RE-Assessment questions are automatically answered based on information in a previous JCP Assessment. See JJIS User Guide instructions “Link Assessments to Prior Assessments”.
|
Name of linked assessment
Date of linked assessment
|
|
|
|
1.1 |
Is English youth’s primary language? |
To help determine if English is youth's primary language, ask youth what language he or she prefers to speak. Also ask what language is spoken at home, how many years the youth has lived in an English-speaking country, and how long the youth has attended a school where English is the primary language. In general, if English is not spoken at home, the youth has lived in an English-speaking country less than three years, or has attended a school where English is the primary language for less than three years, use of an interpreter should be strongly considered. |
Yes No |
|
|
|
1.2 |
[IF NOT] Ask youth to describe his/her understanding of English: |
If English is not youth's first language, ask youth to rate his/her understanding of English (would the youth say it is "poor”, "fair", or "very good"? |
Poor Fair Very Good |
|
|
|
1.3 |
If youth’s primary language is not English, what is it? |
Go to the "Answer" drop down menu in bottom section of screen. Use the arrow to scroll down to the selection of languages. Highlight the best response, and check OK
|
Chinese (Mandarin) Hmong Russian Spanish Vietnamese Other non-English (specify) |
|
|
|
1.4 |
Self-identified race/ ethnicity/ cultural heritage |
Ask youth to self-identify his/her race, ethnicity and/or cultural heritage. The youth can pick as many categories as he or she feels applies. S/he does not need to distinguish between "race" and "ethnicity". The selection may be different from that recorded in the "Youth Information" section of JJIS, where the selection is limited, and not necessarily self-identified. |
Black or African-American White Asian Chinese Indian Japanese Korean Vietnamese Native American/Alaskan Native Native Hawaiian/Pacific Islander Mexican Other (specify_ Not reported |
|
|
|
1.5 |
Blank |
This space may later be used for an additional question regarding race/ethnicity |
|
|
|
|
2.1 |
Significant school attachment/ commitment (has significant involvement/ commitment to school). |
Youth has significant attachments, beliefs, commitment and/or involvement with and within his/her school; youth motivated to do well in school. |
Yes
More Information Needed
No |
|
|
|
2.2 |
Academic failure (recently failed, or currently failing two more classes) |
Youth failed two or more classes on most recent report card or is currently failing two or more classes. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
2.3 |
Chronic truancy (skips school at least once a week, or has more than four unexcused absences in past month) |
Youth skips school at least once a week, or has missed more than four days of school in the past month without excused absences [do not count if graduated or completed/working on GED]. |
Yes
More Information Needed
No |
|
|
|
2.4 |
School drop-out (has stopped attending school or is not enrolled). |
Youth has stopped attending school or is not enrolled [do not count if graduated or completed/working on GED]. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
2.5 |
Suspension(s) or expulsion(s) during past 6 months |
Youth has been suspended or expelled from school in the past six months. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
2.6 |
Suspensions(s) or expulsion(s) from school during past month. |
This item will be used to measure change in behavior between time of initial screen and time of interim review. It does not count as a risk indicator. Disabled if response to 2.5 is "no" |
Yes
More Information Needed
No |
Yes = 1 |
|
|
2.7 |
Family actively involved in helping youth succeed in school |
Family member(s) ask the youth about homework and school activities, provide a quiet place for homework, assist the youth with homework, provide transportation if needed, communicate with the youth's teachers, or get the youth extra help when needed. |
Yes
More Information Needed
No |
|
|
|
3.1 |
Friends disapprove of unlawful behavior |
Youth associates on a regular basis with friends who disapprove of unlawful acts such as stealing, hurting others physically, vandalism, etc.). |
Yes
More Information Needed
No |
|
|
|
3.2 |
Friends engage in unlawful or serious acting-out behavior |
|
Yes
More Information Needed
No |
Yes = 1 |
|
|
3.3 |
Has friends who have been suspended or expelled or dropped out of school |
|
Yes
More Information Needed
No |
Yes = 1 |
|
|
3.4 |
Has friends who are academic achievers |
Youth has developed friendships and meaningful acquaintances with more than one other youth achieving academic excellence.
|
Yes
More Information Needed
No |
|
|
|
4.1 |
Chronic aggressive, disruptive behavior at school starting before age 13 (stealing, fighting, bullying, threatening, shunning, starting rumors/malicious gossiping) |
Starting before age 13, chronic aggressive, disruptive behavior, such as stealing, fighting, and bullying, or relational aggression, such as nasty looks, shunning, starting rumors, gossiping. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.2 |
Aggressive, disruptive behavior at school during past month (stealing, fighting, bullying, threatening, shunning, starting rumors/malicious gossip)
|
This Item will be used to measure change in behavior between time of initial screen and time of interim review. It does not count as a risk indicator. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.3
|
Three or more referrals for criminal offenses (misdemeanor or felony charges; exclude status offenses, violations, infractions) |
Misdemeanor or felony charges, such a burglary, theft, assault, vandalism. Exclude status offenses, including curfew violations, truancy, runway, minor in possession (MIP) of alcohol or tobacco, and incorrigibility. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.4 |
Referral for a criminal offense at age 13 or younger (misdemeanor or felony charges; exclude status offenses, violations, infractions)
|
Misdemeanor or felony charge. Exclude status offenses, including curfew violations, truancy, runaway, minor in possession (MIP) of alcohol or tobacco, and incorrigibility. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.5 |
Involved in constructive extra-curricular activities (sports, clubs, music, theater, arts, etc.)
|
Youth is involved in extra-curricular or after-school activities (within or outside of the school), such as sports, clubs, student or religious groups, practice of music, theatre, or other arts. |
Yes
More Information Needed
No |
|
|
|
4.6 |
Chronic runaway history
|
(Repeated episodes [3 or more] of running away for short periods [1 to 3 days] or single episode of running away for an extended period [1 week or more]. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.7 |
Recent runaway (in past month, has run away)
|
|
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.8 |
Behavior hurts others or puts them in danger (check if true at any time in past)
|
Youth has carried a handgun or other illegal weapon, youth has stolen a vehicle, youth has been in a fight using a weapon, youth has attacked someone with the idea of seriously hurting him/her, youth has driven a vehicle after drinking or using illegal drugs. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.9 |
In past month, behavior hurts others or puts them in danger (carries illegal weapon, steals vehicle, fighting using weapon, sexual assault, DUII)
|
Youth has carried a handgun or other illegal weapon, youth has stolen a vehicle, youth has been in a fight using a weapon, youth has attacked someone with the idea of seriously hurting him/her, youth has sexually assaulted someone, youth has driven a vehicle after drinking or using illegal drugs. This item will be used to measure change in behavior between time of initial screen and time of interim review. It does not count as a risk indicator. Disabled if response to 4.8 is “no”. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.10 |
Behavior hurts youth or puts her/him in danger (check if has been true at any time in the past) (suicide, excessive risk-taking)
|
Youth has attempted suicide, has ridden in a vehicle with a teenage driver who had been drinking of using drugs, has done something dangerous because someone dared her/him to. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
4.11 |
In past month, youth's behavior has hurt or put her/him in danger (suicide, excessive risk-taking)
|
Youth has attempted suicide, has ridden in a vehicle with a teenage driver who had been drinking or using drugs, has done something dangerous because someone dared her/him to. This item will be used to measure change in behavior between the time of the initial screen and the time of the interim review. It does not count as a risk indicator. Disabled if response to 4.10 is “no”. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
5.1 |
Communicates effectively with family members (both verbal and nonverbal shared communication with healthy relationship boundaries) |
Youth routinely interacts with other family members at variety of levels. This shared communication is both verbal and nonverbal and includes establishing and maintaining healthy relationship boundaries. |
Yes
More Information Needed
No |
|
|
|
5.2 |
Poor family supervision and control (don’t know where youth goes, what youth does, and has little influence in such matters) |
The family does not know where the youth goes, what he or she does, or with whom, and has little or no influence in such matters. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
5.3 |
Serious family conflicts (family often yell at or insult each other in ways that make the youth uncomfortable or unhappy |
People in youth’s family often yell at and insult each other, in ways that make the youth uncomfortable or unhappy. |
Yes
More Information Needed
No |
Yes = 1 |
|
|
5.4 |
History of reported child abuse/neglect or domestic violence |
Reports of abuse or neglect of this youth are being investigated or have been substantiated. |
Yes
More Information Needed
No |
||