Screening and Assessment in TANF\Welfare-to-Work: Local Answers to Difficult Questions. Appendix A: Selected Tools Used by the Study Sites to Screen for Unobserved Barriers

12/01/2001

  Question Characteristics Validated  ? Topics covered Mothod of Administration Notes About Implementation
Kansas
TANF AJS/EAP Initial Screening Guide 7 Yes/No questions No Education, employment history (mental health concerns, domestic violence, and substance abuse). Administered by a case manager.  
KSRS-EES Screening Guide and  Assessment 63 Yes/No and open-ended questions No Substance abuse, mental health, domestic violence, learning disabilities, education, work history, health information, domestic information, support services, and staff  observations. Administered by  a case manager. The instructions for this instrument state that the text is designed to serve asaguideandthatquestions may be added or deleted depending on an individual's circumstance.
SASSI 78 True/False and scales Yes Substance abuse Self-administered paper and pencil test. Staff must be trained to administer and score.
CAGE 4 Yes/No questions Yes Substance abuse Questions are asked as apart of the KSRS-EES Guide and Assessment. Two or more positive answers indicates a history of alcoholism.
 Adult Learning Disabilities Screen (ALDS) The tool is divided into three parts. Part I is a 25 item Selfrating Scale of frequency of difficulty  performing "activities of daily living." Part II is a 19-item Self-Administered Inventory requiring yes or no responses on an inventory of family and educational history. Part III includes follow-up questions that probe previous questions. Yes Learning disabilities Part I and Part II are selfadministered and Part III is administered by the case manager. Staff must be trained to administer and score.
Michigan Alcohol Screening Test (MAST) 25 Yes/No questions Yes Alcohol problems and mental health history. Self-administered paper and pencil test. Self-scoring test.
Kansas Client Placement Criteria (KCPC) Yes/ No questions and open ended questions No Employment, substance  abuse, and mental health history. Automated series of screens; Indepth interview conducted by a RADAC assessor. The RADAC assessor is free to adapt the wording of the questions as he or she moves through the assessment.
FCMH Psycho-Social Assessment Topical interview guide No Medical  history, family history, of  physical/ psychiatric illness,  chemical (alcohol/ drug) history, gambling history, sexual history, domestic violence history, education/ learning, social history, activities of daily living, employment, legal involvement, family participation, history of previous treatment, recent stressful life situations, mental status, client's strengths, and clinical impression. In-depth interview conducted by a therapist. Results determined by applying clinical criteria.
FCMH Extra Effort Assessment Topical interview guide No Housing, daily living, employment/ vocation, education, finance, insurance, credit/ budget, social supports, affection/ affirmation, health/ insurance, drug/ alcohol issues, leisure/ recreation, personal safety, stresses/ coping skills, and goals/ needs. In-depth interview conducted by the FCMH case manager.  
Kentucky
KY Works Assessment Form 26 Yes/No questions and 4 CAGE adapted questions No Basic skills, education, training, employment history, employment goals, and concerns/ barriers (disabilities substance abuse, family violence, transportation, clothes, lack of housing, and health care). Administered by a case manager. Receive form at orientation.
Transitional Assistance Self-Assessment Yes/No and Check all that apply No Client Information (marital status, drug/ alcohol abuse, health problems, abuse, housing, money problems), family information, employment information, and financial information. Self-administered Receive form at orientation.
UK TAP Orientation Screen 15 Yes/No questions No Substance abuse, mental health, domestic violence, and learning disabilities Self-administered Receive form at orientation.
UK Targeted Assessment and History Topical interview guide No Medical history, family history, of physical/ psychiatric illness, chemical (alcohol/ drug) history, gambling history, sexual history, domestic violence history, education/ learning, social history, activities of daily living, employment, legal involvement, family participation, history of previous treatment, recent stressful life situations, mental status, client's strengths, and clinical impression. In-depth interview conducted by a TAP Assessor. Results determined by applying clinical criteria.
RVBH Psycho-Social Evaluation Topical interview guide No Medical history, family history, of physical/ psychiatric illness, chemical (alcohol/ drug) history, gambling history, sexual history, domestic  violence history, education/ learning, social history, activities of daily living, employment, legal involvement, family  participation, history of previous treatment, recent stressful life situations, mental status, client's strengths, and clinical impression. In-depth interview conducted by a RVBH therapist. Results determined by applying clinical criteria.
Minnesota
MFIP Secondary Assessment (West-Metro) 37 Yes/No questions No Family status, program involvement, education, health (mental health, substance abuse problems, and learning disabilities), work history, work experience, military service, legal, and economic status. Administered by a employment service provider case manager.  
MFIP Secondary Assessment-Mental Health and Substance Abuse Screening Pilot 16 Yes/No questions Validation effort in progress Mental health and substance abuse Administered by a employment service provider case manager.  
Self-Administered Alcohol and Drug Screening Self-Assessment 4 CAGE questions Yes Substance abuse Self-administered Handed out at orientation.
IRIS Intake Application 48 Yes/No questions No Transportation, family status, medical history, activities (learning disabilities), psychological history (mental health and substance abuse), and criminal history. Administered by a vocational counselor.  
IRIS Social Needs Assessment 30 Yes/No questions No Housing, day care, child protection issues, health issues, domestic abuse, budgeting, support system, criminal history, and clothing/food. Administered by a social worker.  
IRIS Diagnostic Assessment Topical interview guide No Medical history, family history, of physical/ psychiatric illness, chemical (alcohol/ drug) history, gambling history, sexual history, domestic violence history, education/ learning, social history, activities of daily living, employment, legal involvement, family participation, history of previous treatment, recent stressful life  situations, mental status, client's strengths, and clinical impression. In-depth interview conducted by in-house psychologist.  
Nevada
NSWD Post-Approval Assessment Topical interview guide No Physical condition  (substance abuse), mental condition(mental health), family relationships (domestic violence), housing/living arrangements, social issues, transportation, education (learning disabilities), and employment. Administered by a case manager. Results determined by applying clinical criteria.
SASSI 78 True/False and scales Yes Substance abuse Self-Administered with guidance from social worker, paper and pencil test. Staff must be trained to administer and score. Optional; Administered if a substance abuse problem is suspected.
South Oaks Gambling Screen (SOGS) 16 Yes /No questions Yes Gambling problems Self administered If you answer yes to 3 or 4 there may be a problem and if 5 or more are answered than there is a problem. Optional; Administered if a gambling problem is suspected.
Domestic Violence Screen   No Domestic violence Administered by a social worker Optional; Administered if domestic violence is suspected.
Learning Needs Screening Tool Includes 13 yes/no questions designed to identify potential learning disabilities. Yes Learning disabilities Administered by a social worker. Optional; Administered to all TANF clients receiving social worker intervention.
Psycho-Social Assessment Topical interview guide No Medical history, family history, of physical/ psychiatric illness, chemical (alcohol/ drug) history, gambling history, sexual history, domestic violence history, education/ learning, social history, activities of daily living, employment, legal involvement, family participation, history of previous treatment, recent stressful life situations, mental status, client's strengths, and clinical impression. In-depth interview is conducted by a social worker in the client's home. Results determined by applying clinical criteria.
Virginia
Substance Abuse Pre-Screening Tool 10 Yes/No questions No Substance Abuse Administered by a case manager. If a client answers yes on one, two, or three of the questions, a referral should be considered. If a client answers yes to four or more than an automatic referral to the local substance abuse counselor is in order.
Domestic Violence Questionnaire 13 Yes/No questions No Domestic violence Administered by a case manager.  
Learning Needs Screening Tool Includes 13 yes/no questions designed to identify potential learning disabilities. Yes Learning disabilities Administered by a case manager.  
Washington
Virtual Integrated Employability Worksheet (VIEW) Progressive series of yes or no and open-ended questions No Domestic violence, current employment, child care, transportation, housing, listening and learning, substance abuse, criminal history, pregnancy, family planning, health, and clothing. Automated series of screens; questions asked by a case manager. If a client answers yes to any of the questions, the computer screen indicates that a client should be referred to a social worker or family violence counselor.
Learning Needs Screening Tool Includes 13 yes/no questions designed to identify potential learning disabilities. Yes Learning disabilities Administered by a case manager or social worker. Optional; Administered if learning disability is suspected.

 

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