Vulnerability Screening Tool Survey

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

Vulnerability Screening Tool
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1. Consumer Characteristics

1. Mental Health Needs

2. Chemical Dependency Needs

3. Physical/Health Condition

This rating includes both health problems and chronic/acute physical condition

Vulnerability Screening ToolExit this survey

1. Consumer Characteristics

1. Mental Health Needs

2. Chemical Dependency Needs

3. Physical/Health Condition This rating includes both health problems and chronic/acute physical condition

Vulnerability Screening Tool
Exit this survey

3. Physical/Health Condition

This rating includes both health problems and chronic/acute physical condition