The Child and Adolescent Needs and Strengths (CANS) is a multiple purpose information integration tool that is designed to be the output of an assessment process. The site is secure. As such, completion of the CANS is The CANS is designed to be used for decision support (e.g. As such, traditional psychometrics including internal consistency and factorial validity may not be applicable. Parenting is one of the most complex and challenging jobs you'll face in your lifetime -- but also the most rewarding. Texas Health & Human Services Commission. ), 3 (Indicates a child with a severe psychotic disorder. If something happened 45 days ago that is relevant to current service planning, this is factored into the ratings. 2013 Oct;49(5):499-506. doi: 10.1007/s10597-011-9476-8. MeSH The Child and Adolescent Needs and Strengths (CANS) tool facilitates communication regarding issues and strengths that should be considered during treatment. Information provided can be closely linked to treatment planning. PDF Child and Adolescent Needs and Strengths (CANS) - Contra Costa County strengths are: 0 - indicates a centerpiece strength. From upcoming podcasts to video series and conferences, weve got you covered. 8. First, items that are initially rated a 2 or 3 are monitored over time to determine the percent of youth who move to a rating of 0 or 1 (resolved need, built strength). It uses a 30-day window unless otherwise specified. Results suggest that there is substantial variation across individuals on the presence of strengths and the potential for development. J Am Psychiatr Nurses Assoc. Unlike most assessments, CANS completed in the field can be audited for accuracy. Screening, Identification, and Assessment, Intellectual and Developmental Disabilities, Trauma-Informed Organizational Assessment, National Minority Mental Health Awareness Month, Sensitive to Theoretically Distinct Groups. Anderson, R.L., Lyons, J.S., Giles, D.M., Price, J.A., & Estle, G. (2003). The Child and Adolescent Needs and Strengths (CANS) tool facilitates communication regarding issues and strengths that should be considered during treatment. A .mass.gov website belongs to an official government organization in Massachusetts. Which CANS do I The item incorporates a solid focus on strengths, consistent with strength-based treatment planning guidelines. In terms of quality improvement activities, a number of settings have utilized a fidelity model approach to look at service/treatment/action planning based on the CANS assessment. Objective: Please limit your input to 500 characters. CHILD & ADOLESCENT NEEDS AND STRENGTHS (CANS-SD): An Information Integration Tool for Children and Adolescents with Issues of Sexual Development, 6. All rights reserved. Sacramento, CA95814 30 days) can be over-ridden based on action levels. The CANS items will become the language by which these issues are discussed. The Child and Adolescent Needs and Strengths (CANS) is a multi-purpose tool developed for childrens services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. Anchors are given for each point in a scale. PDF The Validity of the Child and Adolescent Needs and Strengths Assessment The Child and Adolescent Needs and Strengths (CANS) is a multi-purpose tool developed for childrens services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. 2003 Jun;111(6 Pt 2):1541-71. The Child and Adolescent Needs and Strengths assessment is a comprehensive trauma-informed behavioral health evaluation and communication tool. The most detailed CANS-MH interrater reliability study, Anderson & Huffine (2003), examined interrater reliability (intraclass correlations) with 60 randomly selected cases (children aged 7 days to 17.5 years). Use this button to show and access all levels. Finally, the CANS can be used to monitor outcomes. National Library of Medicine Discussions about agreement on how the childs needs and strengths are described provide the foundation for agreement about what approaches to take to address those needs and identify and build strengths. Child and Adolescent Needs and Strengths (CANS) NAME / MRN MHC-118 Rev 09-2020 Child and Adolescent Needs and Strengths Page 1 of 4 Assessment Date: DOB: Gender: Ethnicity: Provider ID: Fac/Prog: Form Status: Initial Subsequent Annual Discharge AGES 6-20 BEHAVIORAL/EMOTIONAL NEEDS CULTURAL FACTORS Thank you for your website feedback! Versions of the CANS are currently used in 50 states in child welfare, mental health, juvenile justice, and early intervention. In addition, the relationship between strengths and clinical and functional . *Providers not using the CANS in a Magellan program may contact the Praed Foundation for other certification options. There are four levels of each item with anchored . CHILD & ADOLESCENT NEEDS AND STRENGTHS (CANS-CW): An Information Integration Tool for Children and Adolescents with Child Welfare Involvement, 2. For needs: 0 indicates no evidence, no need for action 1 indicates watchful waiting/prevention 2 indicates action 3 indicates immediate/intensive action For strengths 0 indicates a centerpiece strength, something so powerful it can be the focus of a strength-based plan 1 indicates a useful strength 2 indicates that a potential strength has been identified but must be developed 3 indicates no strength has been identified The CANS is also unique in that: There is a large body of research demonstrating that the CANS is reliable both in training and field applications. Specific ratings window (e.g. 2=moderate degree and/or need for action Civic Research Institute, New York Lyons, JS (2009), Communimetrics: A measurement theory for human service enterprises. Anderson, R. L., & Huffine, C. (2003). Social Follow us on Twitter Follow us on YouTube Nevertheless, the CANS-MH would provide a measure of clinically significant change. The author provided feedback, which was integrated into the review. Results: The way the CANS works is that each item suggests different pathways for recovery treatment. Psychiatric Services, 54(10), 1339-1341. Strengths of children and adolescents in residential settings The copyright is held by the Praed Foundation in order to maintain its intellectual integrity. HHS Vulnerability Disclosure, Help Child and Adolescent Needs and Strengths (CANS-MH) - Magellan Provider official website and that any information you provide is encrypted FAQ | Illinois DCFS CANS | Northwestern Medicine *Responses could take up to 1 business day depending on volume, 550 North Kingsbury St. Suite 101Chicago IL. 6. Any need items on the CANS which have been rated a 2 or 3 should be addressed in the treatment plan. The Child and Adolescent Needs and Strengths assessment is a comprehensive trauma-informed behavioral health evaluation and communication tool. The CANS-MH provides a comprehensive assessment of the type and severity of clinical and psychosocial factors that may impact treatment decisions and outcomes. The CANS-MH is designed to affect clinical decision making with the intensity of treatment indicated by the number and severity of presenting risk factors. An official website of the Commonwealth of Massachusetts, This page, Child and Adolescent Needs and Strengths (CANS), is, Accessing the CANS Application through the Virtual Gateway, Archived issues of "CANSNews" from 2010 to 2014. There are four levels of each item with anchored definitions; however, these definitions are designed to translate into action levels (separate for needs and strengths). Many agencies have embedded the CANS directly into their planning processes. There are few published articles examining the psychometrics of the CANS-MH. As such, completion of the CANS is . The required use of an internationally recognized assessment instrument, provides a comprehensive multi-purpose tool developed for mental health services to support decision making, including selection of the level of care, recovery or treatment planning, quality improvement initiatives, and monitoring of service outcomes. (916) 651-6600 Oruche UM, Gerkensmeyer JE, Carpenter JS, Austin JK, Perkins SM, Rawl SM, Wright ER. Symptoms are dangerous to the child or other. Children's Behavioral Health Initiative (CBHI), Behavioral Health and Developmental Screening in Primary Care. The Child and Adolescent Needs and Strengths is a multi-purpose tool developed to support care planning and level of care decision-making, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. Rawal, Lyons, MacIntyre, & Hunter (2004) reported interrater reliabilities of .67-.87 across all raters in study using residential treatment data from four states. The https:// ensures that you are connecting to the The feedback will only be used for improving the website. Epub 2013 Aug 13. For help on some common issues, see here. 0 = No evidence1 = Watchful waiting/prevention2 = Action3 = Immediate/Intensive Action, 0 = Centerpiece strength1 = Strength that you can use in planning2 = Identified strength must be built3 = No strength identified. When you initiate a treatment planning process, you can use a recently completed CANS to guide the planning process. The validity of the CANS has been demonstrated with its correlation with other measures and with its demonstrated ability to identify children and youth who will benefit through placement in different programs and levels of care. Epub 2022 Aug 3. Prax Kinderpsychol Kinderpsychiatr. In addition, the relationship between strengths and clinical and functional characteristics is studied. Training and annual certification is expected for appropriate use. In order to be certified in the CANS, you must demonstrate reliability on a case vignette of 0.70 or greater. Family Functioning 11. Praeger, Westport CT. Lyons, JS & Weiner, DA (EDS) (2008). Positive attributes in children and reduced risk of future psychopathology. Lyons, MacIntyre, Lee, Carpinello, Zuber, & Fazio (2004) reported weighted interrater reliability across all reviewers and all items as .86. The face validity has been demonstrated through its utility in communicating with family members and judges about the needs and strengths of children. Learn the more, Certification is mandated for all casework staff and supervisors (including POS) in the state of Illinois. Schor EL; American Academy of Pediatrics Task Force on the Family. Psychiatric Services, 54(12), 1629-1634. PDF Child and Adolescent Needs and Strengths - University of California Other Training to Administer and Interpret: Populations with which Measure Has Demonstrated Reliability and Validity: The NCTSN is funded by the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services and jointly coordinated by UCLA and Duke University. The Child and Adolescent Needs and Strengths (CANS) Comprehensive Assessment is a multi-purpose tool developed to support care planning and level of care decision-making, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. Epub 2011 Dec 11. Chicago: Buddin Praed Foundation. PDF Child and Adolescent Needs and Strengths - Revised - Contra Costa County Validity is demonstrated with the CANS relationship to level of care decisions and other similar measures of symptoms, risk behaviors, and functioning. Certification is mandated for all casework staff and supervisors (including POS) in the state of Illinois. Integrated Services Unit The information on this page has been adopted from the John Praed Foundation. In Illinois, use of a simple decision model for residential treatment resulted in savings of approximately $80 million per year in residential treatment in the late 1990s. Algorithms can be localized for sensitivity to varying service delivery systems and cultures. PDF CHILD AND ADOLESCENT NEEDS AND STRENGTHS (CANS) - Indiana It is intended to prevent duplicate assessments by multiple parties, decrease unnecessary psychological testing, aid in identifying placement and treatment needs, and inform case planning decisions. 2002 May-Jun;28(3 Pt 1):234-40. Versions of the CANS are currently used in 50 states in child welfare, mental health, juvenile justice, and early intervention. Please remove any contact information or personal data from your feedback. The CANS is auditable and audit reliabilities demonstrate that the CANS is reliable at the item level. Reliability was reported as follows: 1. See the links below for information on the training certification. and transmitted securely. FOIA The purpose of the CANS Comprehensive is to accurately represent the shared vision of the child/youth serving systemchildren, youth, and families. DFPS - CANS Assessment - A Guide to Medical Services at CPS - Texas Hopes for the day https://quizizz.com/join?gc=156633 Child enters OOHC Screening completed by DCBS Staff within 10 days Services and supports provided via the TRR model are expected to result in improved behavioral and emotional functioning. What exists is promising, but more research is needed on the test-retest reliability and validity. As such, completion There are four levels of each item with anchored definitions; however, these definitions are designed to translate into the following action levels (separate for needs and strengths). In addition, the uniform assessment is used to determine authorization for community mental health services and the appropriate level of care recommended under Texas Resiliency and Recovery services. Accessibility A comprehensive, multi-system version exists as well. If you have questions related to training on our TCOM tools or the TCOM Training site, please reach out to support@tcomtraining.com. Human services, including health care, are often complex because of the number of different people involved in the process of care. 4. The CANS is an open domain tool that is free to use. Encephale. The child's speech may be at times quite tangential or illogical. Since the Illinois Department of Children and Family Services has made improvement in the awareness and treatment of trauma a priority, the IDCFS version of the CANS includes items from the CANS-Trauma Experiences and Adjustment tool developed in collaboration with sites of the National Child Traumatic Stress Network. Along with the CANS, versions for developmental disabilities, juvenile justice, and child welfare, this information integration tool is designed to support individual case planning and the planning and evaluation of service systems. The average reliability of the CANS is 0.75 with vignettes, 0.84 with case records, and can be above 0.90 with live cases. 2013 Nov-Dec;19(6):335-44. doi: 10.1177/1078390313498509. Clipboard, Search History, and several other advanced features are temporarily unavailable. The CANS is a great tool for facilitating the exchange of information about patients because it provides a common language regarding an array of important areas of symptomatology and functioning. 0 No evidence1 Watchful waiting/prevention2 Action3 Immediate/Intensive Action, FOR STRENGTHS:0 Centerpiece strength1 Strength that you can use in planning2 Identified-strength-must be built3 No strength identified. Child and Adolescent Needs and Strengths (CANS) | Mass.gov 2007 Oct;48(10):996-1004. doi: 10.1111/j.1469-7610.2007.01813.x. PDF Child and Adolescent Needs and Strengths - Early Childhood This can be accomplished in two ways. Some page levels are currently hidden. The assessment is easy to learn and is well liked by recipients, family members, providers, and other partners in the services system because it is easy to understand and is a collaborative tool. CANS How to Access Manage Outcomes Provider Web Reports. [Vulnerability to depression in children and adolescents: update and perspectives]. Social Functioning 13. The Child and Adolescent Needs and Strengths (Cans) The Child and Adolescent Needs and Strengths (CANS) is a multiple purpose information integration tool that is designed to be the output of an assessment process. PDF Child and Adolescent Needs and Strengths (CANS-SCREEN) These scores can be compared over the course of treatment. Epub 2014 Oct 30. Questions/concerns about the CANS? However, the manual asks that those who wish to obtain permission to use the measure contact Melanie Buddin Lyons. You can also visit us at the IPH Center atiph.uky.edu. In general the rating for scales is as follows: 0=no evidence and/or no need for action It is, however, important to note that the parent measure, the Childhood Severity of Psychiatric Illness, has been used in 12 additional published articles. With regard to the child or adolescent's needs, the scale ranges from '0' - no evidence, no need for action to '3' - clear evidence, immediate or intensive action. Prax Kinderpsychol Kinderpsychiatr. 2. The child may be somewhat tangential in speech or evidence somewhat illogical thinking (age inappropriate). Lyons, JS (2004). The CANS is intended to be a communication tool. Strength items rated 0 or 1 can be used for strength-based planning while those rated 2 or 3 should be addressed through strength identification and building activities. Decision support applications include the development of specific algorithms for levels of care including treatment foster care, residential treatment, intensive community services, and traditional outpatient care. About the child, not about the service. Method: This study assesses the prevalence of 30 strengths for a random sample of children and adolescents in residential placements in Florida. 8600 Rockville Pike Item anchors are relevant to clinical decision-making. 1990 Nov;29(6):847-53. doi: 10.1097/00004583-199011000-00001. Level of strengths predicted success in the reduction of risk behaviors during the child/adolescent's stay. treatment planning, level of care), quality improvement, and outcomes monitoring activities. Rate needs when masked by interventions. It is expected that all CANS users will hold a minimum of a Bachelors Degree. Unauthorized use of these marks is strictly prohibited. 5. There are multiple versions of the CANS, which are available from http://www.buddinpraed.org/. 1. The CANS has demonstrated reliability and validity. Adjustment to Trauma LIFE FUNCTIONING DOMAIN 0=no evidence 2=interferes with functioning; 1=history or suspicion; monitor 3=disabling, dangerous; immediate action needed 10. It is intended to prevent duplicate assessments by multiple parties, decrease unnecessary psychological testing, aid in identifying placement and treatment needs, and inform case planning decisions. Child & Adolescents Needs & Strengths | The National Child Traumatic The Impact of Internalizing Symptoms on Impairment for Children With ADHD: A Strength-Based Perspective. Training and certification are required for the use of the CANS. 2005. The CANS-TEA is a version specific to children who have experienced trauma. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Praed Foundation When you are monitoring whether a plan was successful or needs to be adjusted a recently completed CANS will tell you whether needs have been resolved and strengths created.