Name: Score:
234 Multiple choice questions
Definition 1 of 234
3 - Feedback: The recommended response is 3 because intensive and/or immediate action is
required to address the his acute risk behavior to himself and others. He has shown a
commitment and want to set fires.
Mood Disturbance: Vicki has a history of manic behavior when she was younger but has
since controlled it with medication.
Educational Attainment / Job Attainment: Clyde has no educational goals.
Exploitation: Jude was raped by a stranger on her visit to the city last month.
Fire Setting: 12-year-old Austin is a self-described pyromaniac. He states that he loves
fire and the bigger the better. He has twice been caught trying to set fires in a nearby
park where all of the neighborhood kids play.
Definition 2 of 234
1 - Feedback: The recommended response is 1 because a mother does not have transportation
for her daughter's appointments and needs someone to teacher her how to take the bus. These
needs would be no more than weekly and not require a special vehicle.
Regulatory: Body Control/Emotional Control: 7-year-old Tina is unable to calm herself
down when upset and requires help from her parents and teachers.
Exploitation: Jude was raped by a stranger on her visit to the city last month.
Attention/Concentration: Denis is a 14-year-old with attention problems that interfere
with his school work.
Transportation (Caregiver): A Mother requires transportation to get her daughter to her
doctor's appointments once a week. She does not have a car and needs someone to
teach her how to take the bus to her daughter's appointments.
,Definition 3 of 234
represent the shared vision of the child/youth serving system—children, youth, and families.
Involvement with care - caregiver resources and needs domain
The purpose of the CANS is to accurately
Listening using the cans - be empathic.
Six key principles of the cans - culture and development should be considered prior to
establishing the action levels.
Definition 4 of 234
This item describes the individual's development as compared to standard developmental
milestones, as well as rates the presence of any developmental (motor, social and speech) or
intellectual disabilities. It includes Intellectual Developmental Disorder (IDD) and Autism
Spectrum Disorders. Rate the item depending on the significance of the disability and the
related level of impairment in personal, social, family, school, or occupational functioning
- 0 No evidence of developmental delay and/or individual has no developmental problems or
intellectual disability.
- 1 There are concerns about possible developmental delay. Individual may have low IQ, a
documented delay, or documented borderline intellectual disability (i.e. FSIQ 70-85). Mild
deficits in adaptive functioning are indicated.
- 2 Individual has mild developmental delays (e.g., deficits in social functioning, inflexibility of
behavior causing functional problems in one or more settings) and/or mild to moderate
Intellectual Disability/Intellectual Disability Disorder. (If available, FSIQ 55-69.) IDD impacts
communication, social functioning, daily living skills, judgment, and/or risk of manipulation by
others.
- 3 Individual has severe to profound intellectual disability (FSIQ, if available, less than 55)
and/or Autism Spectrum Disorder with marked to profound deficits in adaptive functioning in
one or more areas: communication, social participation and independent living across multiple
environments
RECREATIONAL - Life Functioning Domain
Residential Stability: Johnny has lost his housing and is homeless.
FAMILY STRESS - Caregiver Resources and Needs Domain
DEVELOPMENTAL/INTELLECTUAL - Life Functioning Domain
,Definition 5 of 234
2
Educational Setting: 13-year-old Tracey has an IEP in place and it appears to be
effective.
Frequency of Running: Penelope runs away every few weeks.
Sensory: Ashton is an 8-year-old with Fetal Alcohol Syndrome symptoms who is easily
overwhelmed by too much sensory input and becomes unable to function.
Sexually Reactive Behavior: Tara was sexually abused by her stepfather, but does not
show any evidence of sexually reactive behavior.
Definition 6 of 234
in the rare instances where an item does not apply to that particular youth.
The rating of 'N/A' for 'not applicable' is available for a few items under specified
circumstances. For those items where the 'N/A' rating is available, it should be used only
Attention/Concentration: Denis is a 14-year-old with attention problems that interfere
with his school work.
Knowledge of Child's Needs and Strengths: The adoptive parents of 5-year-old Stephen
become very angry when he acts out sexually and they punish him. He was adopted at
age 3 after being removed from his parents due to sexual abuse.
People will be talking about difficult things and it is important to acknowledge that.
Simple acknowledgement such as "I hear you saying that it can be difficult when ..."
demonstrates
, Definition 7 of 234
These symptoms include antisocial behaviors like shoplifting, lying, vandalism, cruelty to
animals, and assault. This item would include the symptoms of conduct disorder as specified in
DSM
- 0 No evidence of serious violations of others or laws.
- 1 There is a history, suspicion or evidence of some problems associated with conduct
problems including but not limited to lying, stealing, manipulation of others, acts of sexual
aggression, or violence towards people, property or animals. The individual may have some
difficulties in school and home behavior. Problems are recognizable but not notably deviant
for age, sex and community.
- 2 Clear evidence of problematic conduct behavior including but not limited to lying, stealing,
manipulating others, sexual aggression, violence towards people, property, or animals. An
individual rated at this level will likely meet criteria for a diagnosis of Conduct Disorder.
- 3 Evidence of a severe level of aggressive or antisocial behavior, as described above, that
places the individual or community at significant risk of physical harm due to these behaviors.
This could include frequent episodes of unprovoked, planned aggressive or other antisocial
behavior.
JUDGMENT - Risky Behaviors Domain
REPETITIVE BEHAVIORS - Developmental Needs Module
ANXIETY - Behavioral/Emotional Needs Domain
CONDUCT - Behavioral/Emotional Needs Domain
Definition 8 of 234
basis of a treatment or service plan.
The purpose of the CANS is to accurately
MEDICATION COMPLIANCE - Transition to Adulthood Domain
TRIANGULATION/MANIPULATION - Behavior/emotional Needs Domain
The CANS also helps identify strengths, which can be the