In the last 3 months, have you attended school/college, homeschool, or vocational training regularly?
RequiredotherB4
Implementation question, answered from program records
A yes/no question about your own program. You answer it from program records, so there is no data to collect.
Answer categories: Enrolled, attending regularly | Enrolled, not attending regularly | Not enrolled | Prefer not to answer | Thank you for completing this baseline form. | Public reporting burden for this collection of information is estimated to average 10 minutes per response. Send | comments regarding this burden estimate, or any other aspect of this collection of information, to the Substance | Abuse and Mental Health Services Administration (SAMHSA) Reports Clearance Officer, Room 15E57B, 5600 | Fishers Lane, Rockville, MD 20857. An agency may not conduct or sponsor, and a person is not required to | respond to, a collection of information unless it displays a currently valid Office of Management and Budget | (OMB) control number. The control number for this project is 0930-0400. | [OFFICE USE ONLY] RECORD MANAGEMENT – YOUTH / CLIENT / BASELINE | CLIENT ID | | | | | | | | | | | | | SITE ID | | | | | | | | | | | | GRANT ID | | | | | | | | | | 1. Was this assessment conducted with the client/caregiver? | Yes – Client | Yes – Caregiver/Proxy | No | 1a. [IF QUESTION 1 IS YES] When? | | | | / | | | / | | | | | MM / DD / YYYY | 1b. [IF QUESTION 1 IS NO] Why not? Choose the primary reason. | Client/Caregiver was unable to provide consent | Client was not reached for assessment | Client no longer in care
- Instrument
- SUPRT-C
- Reporting
- baseline
- Target
- No target rule stated