Abstract
Providing a comprehensive assessment is a key step in identifying how to best address the needs of traumatized children and families, and delivering trauma-informed services and interventions within child welfare settings. A comprehensive and trauma-informed approach to assessment gathers information across several key domains; gathers information from multiple perspectives or informants; utilizes a range of assessment techniques; assesses child and caregiver needs and strengths over time; and translates and integrates assessment findings for use in practice. The CANS-Trauma Comprehensive is a multi-purpose assessment tool designed to be applicable in a range of service settings, with an emphasis on assessing a broad range of trauma experiences and areas of need exhibited by traumatized children and their caregiving systems; assessing strengths or contextual factors and systems that can support a child’s adaptation from trauma; and supporting and guiding trauma-informed and strengths-based treatment and service planning for children and adolescents with exposure to trauma. The CANS approach is designed to address some of the existing challenges of assessment within child welfare through supporting clinical decision making, including level of care and placement decisions; linking assessment findings directly to individualized service and treatment plans; engaging family members in the assessment process; and facilitating the planning and evaluation of service, systems. This chapter overviews the use of the CANS-Trauma in the context of trauma-informed, child welfare practice, including how its use aligns with the key child welfare outcomes of safety, permanency and well-being.
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Administration for Children and Families. (2012). Promoting social and emotional well-being for children and youth receiving child welfare services [Information Memorandum]. Washington, D.C.: Department of Health and Human Services.
Anderson, R. L., Lyons, J. S., Giles, D. M., Price, J. A., & Estes, G. (2003). Reliability of the child and adolescent needs and strengths-mental health (CANS-MH) scale. Journal of Child and Family Studies, 12, 279–289.
Bell, C. C. (2001). Cultivating resiliency in youth. Journal of Adolescent Health, 29, 375–381.
Blaustein, M., & Kinniburgh, K. (2010). Treating traumatic stress in children and adolescents: How to foster resilience through attachment, self-regulation, and competence. New York, NY: Guilford Press.
Caliwan, J., & Furrer, S. (2009). A statewide implementation of an information management and decision support system for children and families in New Jersey. In J. S. Lyons & D. A. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management (pp. 5.2–5.31). Kingston, NJ: Civic Research Institute.
Center for Child Trauma Assessment and Service Planning. (2015). Use of the CANS in trauma-informed treatment and service planning. Retrieved from http://cctasp.northwestern.edu/resources/
Center for Child Trauma Assessment and Service Planning & Family-Informed Trauma Treatment Center. (2015). The meaningful use of the CANS-Trauma and FANS-Trauma assessments with youth and families: A Breakthrough Series Collaborative, collaborative change framework. Unpublished manuscript.
Chor, K. H. B., McClelland, G. M., Weiner, D. A., Jordan, N., & Lyons, J. S. (2012). Predicting outcomes of children in residential treatment: A comparison of a decision support algorithm and a multidisciplinary team decision model. Children and Youth Services Review, 34, 2345–2352.
Chor, K. H. B., McClelland, G. M., Weiner, D. A., Jordan, N., & Lyons, J. S. (2015). Out-of-home placement decision-making and outcomes in child welfare: A longitudinal study. Administration and Policy in Mental Health, 42, 70–86.
Conradi, L., Wherry, J., & Kisiel, C. (2011). Linking child welfare and mental health using trauma-informed screening and assessment practices. Child Welfare, 90, 129–148.
Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., … van der Kolk, B. (2005). Complex trauma in children and adolescents. Psychiatric Annals, 35, 390–398.
Cornett, S., & Podrobinok, I. (2009). Use of the CANS – Early childhood in effecting change in the lives of young children and their families. In J. S. Lyons & D. A. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management (pp. 18.1–18.25). Kingston, NJ: Civic Research Institute.
D’Andrea, W., Stolbach, B., Ford, J., Spinazzola, J., & van der Kolk, B. A. (2012). Understanding interpersonal trauma in children: Why we need a developmentally appropriate trauma diagnosis. American Journal of Orthopsychiatry, 82, 187–200.
Davis, L.E.G., Torgersen, E., & Kisiel, C. (2016, April). Measuring change in child trauma assessment after a quality improvement intervention: Longitudinal metrics from a national Breakthrough Series Collaborative. Poster session presented at the Annual Lewis Landsberg Research Day at Northwestern University Feinberg School of Medicine, Chicago, IL.
Epstein, R. A., Schlueter, D., Gracey, K. A., Chandrasekhar, R., & Cull, M. J. (2015). Examining placement disruption in child welfare. Residential Treatment for Children & Youth, 32, 224–232.
Griffin, G., Martinovich, Z., Gawron, T., & Lyons, J. S. (2009). Strengths moderate the impact of trauma on risk behaviors in child welfare. Residential Treatment for Children & Youth, 26, 105–118.
Hirsch, S., Elfman, M., & Oberleithner, A. (2009). Managing treatment foster care with decision support and outcomes. In J. S. Lyons & D. A. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management (pp. 6.2–6.18). Kingston, NJ: Civic Research Institute.
Hunter, J. A., & Cruise, K. (2009). Use of the CANS-SD in the treatment and management of juvenile sexual offenders. In J. S. Lyons & D. A. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management (pp. 16.2–16.26). Kingston, NJ: Civic Research Institute.
Huyse, F. J., Stiefel, F. C., Söllner, W., Slaets, J. P. J., Lyons, J. S., Latour, C. H. M., … de Jong, P. (2009). Integrated care for the complex medically ill with the INTERMED method. In J. S. Lyons & D. A. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management (pp. 16.2–16.26). Kingston, NJ: Civic Research Institute.
Kisiel, C., Blaustein, M., Fogler, J., Ellis, H., & Saxe, G. N. (2009). Treating children with traumatic experiences: Understanding and assessing needs and strengths. In J. S. Lyons & D. A. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management (pp. 17.1–17.15). Kingston, NJ: Civic Research Institute.
Kisiel, C., Conradi, L., Fehrenbach, T., Torgersen, E., & Briggs, E. C. (2014). Assessing the effects of trauma in children and adolescents in practice settings. Child and Adolescent Psychiatric Clinics of North America, 23, 223–242.
Kisiel, C. & Fehrenbach, T. (2014, May). Application of the CANS in trauma-informed casework planning: How to use the CANS more effectively to support trauma-informed practices. Training conducted at Wisconsin Department of Children and Families, Waukesha, WI.
Kisiel, C., Fehrenbach, T., Small, L., & Lyons, J. S. (2009). Assessment of complex trauma exposure, responses, and service needs among children and adolescents in child welfare. Journal of Child & Adolescent Trauma, 2, 143–160.
Kisiel, C., Lyons, J.S., Blaustein, M., Fehrenbach, T., Griffin, G., Germain, J., Saxe, G., Ellis, H., Praed Foundation, & National Child Traumatic Stress Network. (2013). Child and adolescent needs and strengths (CANS) manual: The CANS- Trauma Comprehensive Version: A comprehensive information integration tool for children and adolescents exposed to traumatic events. Chicago, IL: Praed Foundation/Los Angeles, CA & Durham, NC: National Center for Child Traumatic Stress.
Kisiel, C., Maj, N., Torgersen, E., Villa, C., den Dunnen, W., & Fehrenbach, T. (2016). The measurement characteristics of the CANS-Trauma. Manuscript in preparation.
Lyons, J. S. (2004). Redressing the emperor: Improving our children’s public mental health system. Westport, CT: Praeger.
Lyons, J. S. (2009). Communimetrics: A communication theory of measurement in human service settings. New York, NY: Springer.
McGill, K. (2015). Incorporating the strengths & needs tool with wraparound values and the child family team process: Individual service planning [PowerPoint slides]. Retrieved from http://praedfoundation.org/wp-content/uploads/2015/10/TCOM-IMDS.Wrap_CFT-2015.pdf
Samuels, B., & Anderson, C. (2014). Well-being: Federal attention and implications. CW360 Attending to Well-Being in Child Welfare, Spring 2014. Retrieved from http://cascw.umn.edu/wp-content/uploads/2014/04/CW360_Spring2014_WEB.pdf
van der Kolk, B. A. (2005). Developmental trauma disorder: Toward a rational diagnosis for children with complex trauma histories. Psychiatric Annals, 35, 401–408.
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Kisiel, C., Torgersen, E., Weil, L.E.G., Fehrenbach, T. (2018). Use of a Structured Approach to Assessment Within Child Welfare: Applications of the Child and Adolescent Needs and Strengths-Trauma Comprehensive (CANS-Trauma). In: Strand, V., Sprang, G. (eds) Trauma Responsive Child Welfare Systems. Springer, Cham. https://doi.org/10.1007/978-3-319-64602-2_7
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DOI: https://doi.org/10.1007/978-3-319-64602-2_7
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