Vulnerability Screening Tool
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1. Consumer Characteristics
1
. Mental Health Needs
Mental Health Needs
0 No evidence.
1 History or suspicion of symptoms associated with a mental disorder.
2 Clear evidence of symptoms of a mental health disorder that interferes with life functioning in one or more life domains.
3 Clear evidence of a dangerous level of mental health/psychiatric symptoms requiring frequent use of screening centers or other psychiatric facilities.
2
. Chemical Dependency Needs
Chemical Dependency Needs
0 No evidence
1 History or suspicion of substance use
2 Clear evidence of substance abuse that interferes with life functioning in any life domain
3 Has a drug or alcohol addiction or requires detox
3
. Physical/Health Condition
This rating includes both health problems and chronic/acute physical condition
Physical/Health Condition This rating includes both health problems and chronic/acute physical condition
0 No evidence of physical or medical problems
1 Mild or well-managed physical or medical problems are indicated. This might include well managed chronic conditions like diabetes or asthma.
2 Chronic physical or moderate medical problems are present
3 Severe, life threatening physical or medical condition exists
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