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Current Status: Active PolicyStat ID: 4279392Date Issued: 9/1/1998Last Approved Date: 11/28/2017Last Revised Date: 11/28/2017Next Review: 11/27/2020Owner: Dana James:

21011004-QualityAssurance Coordinator

Policy Area: Wraparound (REACH,O'YEAH)-Care Cord.

References:

#026- Achenbach Assessment AdministrationRATIONALE

POLICY

PROCEDURE

• YOUTH SELF REPORT FOR AGES 11-18 (Achenbach) - Attachment 1• THE CHILD BEHAVIOR CHECKLIST FOR AGES 4-18 (Achenbach) - Attachment 2.

NOTE: If the youth is 18 years old and in an independent living placement, the CBCL tool isrecommended but not required.

A. Child Behavior Checklist (CBCL).

◦ It shall be completed by the primary caregiver who has been involved with the youth for the last 6months (i.e., the parent or guardian, foster parent, group home parent, or the RCCCY caregiver.)

◦ Additional CBCL's can be completed by other significant adults who have participated in the youth'slife.

Repeated measurement of parent and youth perceived behavioral competencies and problems allows foroutcome monitoring on both the individual Child & Family Team and program levels. Outcome measurement isa core value of Wraparound Milwaukee and allows for analyses that can result in better service delivery andbroader program improvements over time. Wraparound Milwaukee's Theory of Change would predict thatquality service delivery that matches the strengths and needs of the youth and family would result in animprovement in parent and youth perceived behavioral competencies and problems over the course ofWraparound Milwaukee enrollment.

The Achenbach System of Empirically Based Assessment (ASEBA) is an instrument designed to providestandardized descriptions of behavioral functioning. Well constructed and maintaining strong validity andreliability attributes, the Achenbach is a powerful tool to measure improvement in the clinical profile of youth. Itcan be used in treatment planning, treatment monitoring and assessment of outcomes.

It is the policy of Wraparound Milwaukee/REACH that every youth enrolled has the appropriate number ofcompleted Achenbach System of Empirically Based Assessments (ASEBA) that include the Child BehaviorChecklist (CBCL) and the Youth Self-Report (YSR) as dictated by the length of time enrolled in the program.

The following forms are included in the initial Wraparound enrollment packet of every enrollee:

#026- Achenbach Assessment Administration. Retrieved 11/29/2017. Official copy at http://milwaukeebhd.policystat.com/policy/4279392/. Copyright © 2017 Milwaukee County Behavioral Health

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B. Youth Self-Report (YSR).

◦ The YSR is completed by every youth, ages 11 to 18 years, enrolled in Wraparound Milwaukee.

◦ The YSR is not administered to youth under the age of 11 years.

C. General Administration.

1. Completion Time Frame.

a. Independently, the CBCL and YSR must be completed upon Intake, at 6 months, 1 year, 2years, 3 years, etc., and at disenrollment.Example: A youth that is in the program for 20 months should have the following:

▪ CBCL's – 3 plus 1 at disenrollment = 4.

▪ YSR's – 3 plus 1 at disenrollment = 4.

2. Exceptions at Disenrollment.

a. If evaluations were completed within the last 60 days prior to disenrollment, no disenrollmentevaluation forms are needed.Example: A youth has a 1-year anniversary on 4/10 and all of the evaluations are completed.The youth then disenrolls on 5/31. As the disenrollment date falls within 60 days of the 1-yearanniversary, no disenrollment evaluations are needed.

b. If the youth's disenrollment is a Transfer to or from Wraparound or REACH, Disenrollment toolsARE NOT required. Intake tools will be completed for the youth's new enrollment episode.

3. Time Frame for Completion.

a. CBCL and YSR pairs must be completed within 30 days of each time frame date (enrollmentdate, 6 month enrollment anniversary date, 1 year enrollment anniversary, etc.).

b. Forms that are not completed within these specified time periods will be considered delinquent.

4. Completion Procedures.

a. The CBCL and the YSR should be completed independently from each other.

b. Care Coordinators, together with families, should identify an allotted time to complete thesetools.

c. Care Coordinators should remain with the adult or the youth when they are completing theCBCL or the YSR respectively.

d. The protocols can be read to those completing the tool and explanations of the meaning ofquestions are allowed.

e. The responses should wholly reflect the view points of those completing the assessment tools.

f. Care Coordination Agency clerical staff will score and enter the scores into Synthesis and thenupload the tools in the Evaluation area of the youth's electronic record.

REMINDERS:

1. Assure that the forms are filled out as indicated with all necessary information.

2. Keep the original in the agency client chart under the Assessments area.

#026- Achenbach Assessment Administration. Retrieved 11/29/2017. Official copy at http://milwaukeebhd.policystat.com/policy/4279392/. Copyright © 2017 Milwaukee County Behavioral Health

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3. If necessary, the youth/family can be reimbursed for completing the forms. To request thisreimbursement, the Care Coordinator must submit the request on the Service Authorization Request(SAR) under Discretionary Funds – Incentive Money.

4. If you need assistance as to how to help families and youth complete the forms, please see yourimmediate supervisor.

5. A supply of blank forms will be kept at Wraparound Milwaukee.

◦ The tools are available in Spanish, if needed.

Attachments: 1: Youth Self-Report for Ages 11-182: Child Behavior Checklist for Ages 6-18

Approval Signatures

Step Description Approver Date

Michael Lappen: 11008000-BHD Administrator 11/28/2017

MaryJo Meyers: 11003003-Director Wraparound Program 11/20/2017

Pamela Erdman: 12008005-Placement Resources Manager 11/20/2017

Dana James: 21011004-Quality Assurance Coordinator 11/17/2017

#026- Achenbach Assessment Administration. Retrieved 11/29/2017. Official copy at http://milwaukeebhd.policystat.com/policy/4279392/. Copyright © 2017 Milwaukee County Behavioral Health

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