Yoq Yoqsr Quick Guide

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COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH Program Support Bureau MHSA Implementation Unit [email protected] Purpose The YOQ is a brief yet comprehensive instrument that assesses parents’ perceptions of a variety of areas in which their child may be thriving for struggling. Because the YOQ is sensitive to clinical change, it can be administered at any time during the course of treatment to monitor progress. Critical items may reveal important information about children and youth who may need immediate intervention beyond standard outpatient treatment (e.g., #21: harm to self; #28: paranoia; #38: delusions, & #51: harm to others). Administration Parents/care providers of clients between the ages of 4 and 17 years complete the YOQ. Parents/care providers should be encouraged to answer every question as accurately as possible. Parents/care providers should indicate how true each statement is for his/her child during the past 7 days. The YOQ can be administered by non-clinical or clinical staff, but must be interpreted by a trained clinician. YOQ Quick Guide Completed by parent/care provider for ALL EBPs for children ages 4-17 years, during the first and last EBP treatment sessions, and every 6 months for EBPs exceeding 6 months. Intrapersonal Distress (ID) High scores (16) indicate parent/care provider is reporting his/her child is experiencing a great deal of emotional distress (i.e., symptoms of anxiety, depression, fearfulness, concerns regarding self-harm). Somatic (S) High scores (5) reflect a parent/care provider’s concern regarding the number of physical and/or somatic concerns their child/youth display or report (i.e., headache, stomach problems, bowel problems, dizziness, etc.). Interpersonal Relations (IR) High scores (4) indicate the parent/care provider reports the client experiences considerable interpersonal difficulty with parents/care providers, adults and/or peers (i.e., aggression, defiance, conflict). Social Problems (SP) High scores (3) suggest the child displays a number of behaviors that violate social norms and/or expectations (e.g., delinquent or aggressive behaviors, etc.). Behavioral Dysfunction (BD) High scores (12) indicate the parent/care provider reports the client is experiencing difficulty with attention, concentration, managing impulsive behaviors, organizing and completing tasks, and handling frustration. Critical Items (CI) High scores (5) indicate the parent identified one or more items that require more immediate clinical follow-up, such as: paranoia, suicidal ideation, hallucinations, delusions, etc. Total Score The total score reflects the parent’s/guardian’s perceptions of their child’s/youth’s overall mental health functioning. Intrapersonal Distress (ID) 16 Somatic (S) 5 Interpersonal Relations (IR) 4 Social Problems (SP) 3 Behavioral Dysfunction (BD) 12 Critical Items (CI) 5 Total Score 46 Scoring Information Please review to make sure parent/care provider has answered every item. Using the hand-scoring answer sheet, transfer each item response to the appropriate box in the far right- hand column. Subtotal each subscale on both sides of the sheet; then add the two subtotals for each subscale to derive subscale scores. Add all six subscale scores for the Total Score. Subscale Clinically Significant Score Youth Outcome Questionnaire ® 2.01 Subscale scores can be used to identify and target particularly problematic areas for treatment planning. Revised: September 6, 2011

Transcript of Yoq Yoqsr Quick Guide

COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH Program Support Bureau MHSA Implementation Unit [email protected]

Purpose The YOQ is a brief yet comprehensive instrument that assesses parents’ perceptions of a variety of areas in which their child may be thriving for struggling.

Because the YOQ is sensitive to clinical change, it can be administered at any time during the course of treatment to monitor progress.

Critical items may reveal important information about children and youth who may need immediate intervention beyond standard outpatient treatment (e.g., #21: harm to self; #28: paranoia; #38: delusions, & #51: harm to others).

Administration Parents/care providers of clients between the ages of 4 and 17 years complete the YOQ.

Parents/care providers should be encouraged to answer every question as accurately as possible.

Parents/care providers should indicate how true each statement is for his/her child during the past 7 days.

The YOQ can be administered by non-clinical or clinical staff, but must be interpreted by a trained clinician.

YOQ Quick Guide

Completed by parent/care provider for ALL EBPs for children ages 4-17 years, during the first and last EBP treatment sessions, and every 6 months for EBPs exceeding 6 months.

Intrapersonal Distress (ID) High scores (≥ 16) indicate parent/care provider is reporting his/her child

is experiencing a great deal of emotional distress (i.e., symptoms of anxiety, depression, fearfulness, concerns regarding self-harm).

Somatic (S) High scores (≥ 5) reflect a parent/care provider’s concern regarding the

number of physical and/or somatic concerns their child/youth display or report (i.e., headache, stomach problems, bowel problems, dizziness, etc.).

Interpersonal Relations (IR) High scores (≥ 4) indicate the parent/care provider reports the client

experiences considerable interpersonal difficulty with parents/care providers, adults and/or peers (i.e., aggression, defiance, conflict).

Social Problems (SP) High scores (≥ 3) suggest the child displays a number of behaviors that

violate social norms and/or expectations (e.g., delinquent or aggressive behaviors, etc.).

Behavioral Dysfunction (BD) High scores (≥ 12) indicate the parent/care provider reports the client is

experiencing difficulty with attention, concentration, managing impulsive behaviors, organizing and completing tasks, and handling frustration.

Critical Items (CI) High scores (≥ 5) indicate the parent identified one or more items that

require more immediate clinical follow-up, such as: paranoia, suicidal ideation, hallucinations, delusions, etc.

Total Score The total score reflects the parent’s/guardian’s perceptions of their

child’s/youth’s overall mental health functioning.

Intrapersonal Distress (ID)

≥ 16

Somatic (S) ≥ 5

Interpersonal Relations (IR)

≥ 4

Social Problems (SP) ≥ 3

Behavioral Dysfunction (BD)

≥ 12

Critical Items (CI) ≥ 5

Total Score ≥ 46

Scoring Information Please review to make sure parent/care provider has answered every item. Using the hand-scoring answer sheet, transfer each item response to the appropriate box in the far right-hand column. Subtotal each subscale on both sides of the sheet; then add the two subtotals for each subscale to derive subscale scores. Add all six subscale scores for the Total Score.

Subscale

Clinically Significant Score

Youth Outcome Questionnaire® 2.01

Subscale scores can be used to identify and target particularly problematic areas for treatment planning. Revised: September 6, 2011

COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH Program Support Bureau MHSA Implementation Unit [email protected]

Purpose The YOQ-SR provides useful information about the client’s functioning and concerns at intake.

While subscale scores may be useful in treatment planning, individual item responses provide useful clinical information for follow up during the early phase of treatment (e.g., “I have hurt myself on purpose.”).

Because the YOQ-SR is sensitive to change over short periods, it is useful for monitoring the client’s progress at any time during the course of treatment.

The YOQ-SR provides information, from the client’s perspective, regarding the client’s symptoms at the end of treatment and can be useful when planning termination.

Administration Clients between the ages of 12 and 18 years complete the YOQ-SR.

Clients should answer every question as accurately as possible.

Clients should indicate how true each statement is for him/her during the past 7 days.

The YOQ-SR can be administered by non-clinical or clinical staff, but must be interpreted by a trained clinician.

YOQ-SR Quick Guide

Completed for ALL EBPs by youth ages 12-18, during the first and last EBP treatment sessions, and every 6 months for EBPs exceeding 6 months.

Intrapersonal Distress (ID) High scores (≥ 17) indicate client is experiencing substantial emotional

distress (e.g., depressed, anxious, fearful, etc.).

Somatic (S) High scores (≥ 6) reflect client reports a high number of physical and/or

somatic concerns. Low scores indicate a lack of awareness or lack of concern about physical

or somatic complaints.

Interpersonal Relations (IR) High scores (≥ 3) indicate the client is reporting considerable interpersonal

difficulty (e.g., aggression, defiance, conflict). Low scores indicate the client is reporting cooperative attitude/interactions.

Social Problems (SP) High scores (≥ 3) identify the client is reporting engaging in behaviors or

activities, which violate social norms and/or expectations (e.g., substance abuse, vandalism, sexual problems, etc.).

Low scores indicate the client does not reportedly experience significant difficulty adhering to social expectations.

Behavioral Dysfunction (BD) High scores (≥ 11) suggest the client is experiencing difficulty with attention,

concentration, managing impulsive behaviors, etc. Low scores suggest the client is not experiencing difficulty managing his/her

behaviors and attention.

Critical Items (CI) High scores indicate the client responded to items that may necessitate

clinical follow up, such as: paranoia, obsessive-compulsive behaviors, hallucinations, delusions, suicide ideation, mania, and eating disorders (serious attention should be paid to high score on any single item).

Total Score The Total Score provides information about the client’s functioning and/or

level of distress.

Intrapersonal Distress (ID)

≥ 17

Somatic (S) ≥ 6

Interpersonal Relations (IR)

≥ 3

Social Problems (SP) ≥ 3

Behavioral Dysfunction (BD)

≥ 11

Critical Items (CI) ≥ 6

Total Score ≥ 47

Scoring Information Using the hand-scoring answer sheet, transfer each item response to the appropriate box in the far right-hand column. Sub-total each scale on both sides of the sheet; then sum the two sub-totals for each scale to derive scale scores. Sum all six scale scores for the Total Score.

Subscale

Clinically Significant Score

Youth Outcome Questionnaire® – Self Report 2.0

Revised: September 6, 2011

COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH Program Support Bureau MHSA Implementation Unit [email protected]

Purpose The OQ is sensitive to short-term changes, making it a good instrument for evaluating client progress at any point during treatment.

Provides the clinician with a “snapshot” of the client’s current functioning across a wide variety of disorders.

Assesses personal and socially relevant characteristics that contribute to one’s quality of life.

The OQ contains risk assessment items for potential suicide, substance abuse and workplace violence.

Administration Instructions are contained in the OQ and no additional instructions should be necessary.

Encourage clients to answer every question as accurately as possible.

Clients should indicate how true each statement is for him/her during the past week.

The OQ can be administered by non-clinical or clinical staff, but must be interpreted by a trained clinician.

OQ Quick Guide Completed by clients ages 19 years and older for ALL EBPs, during the first and last EBP treatment sessions, and every 6 months for treatment lasting 6 months or longer.

Symptom Distress (SD) High scores (> 36) indicate the client is reporting symptoms of anxiety,

depressed mood, difficulty adjusting to situational stressors, and/or concerns about physical/somatic issues.

Interpersonal Relations (IR) High scores (> 15) indicate the client is reporting significant dissatisfaction

with his/her quality of life, which may be related to loneliness, dissatisfaction with family and/or marriage.

Social Role (SR) High scores (> 12) reveal the client is reporting having difficulty fulfilling

common adult role expectations (worker, homemaker, student, etc.). High scores also indicate the client is distressed and dissatisfied with

work/school requirements and may subsequently have a higher number of conflicts than is typical.

Note: Low scores on items 12, 14 and 28 may be due to unemployment.

Total Score Is calculated by adding the three subscales Scores > 63 are significant and reflect increased distress related to

experiencing a high number of symptoms, interpersonal difficulties and decreased satisfaction and quality of life.

Symptom Distress (SD) ≥ 36

Interpersonal Relations (IR) ≥ 15

Social Role (SR) ≥ 12

Total Score ≥ 63

Scoring Information

Please review answer sheet to ensure client has answered all items. Using the hand-scoring answer sheet, transfer the score for each item to the

appropriate box in the far right-hand column. Add each column of numbers, and write the total in the space provided at

the bottom of the right-hand column. The three subtotals represent the three OQ subscale scores.

Add all three subscale scores for the Total Score. Missing Data: Review the client’s OQ responses to ensure the client has

answered each item. If a client leaves an item blank, total all answered items in the subscale, divide by the number answered, round to the nearest whole number, and insert this number for missing items.

Critical Items: Clinician should review and follow up with any critical items that were endorsed (e.g., Item 8: Suicide; Items 11, 26 & 32: Substance Abuse; Item 44: Violence).

Subscale

Clinically Significant Score

Outcome Questionnaire® 45.2

Subscale scores can be used to identify and target particularly problematic areas as a focus of treatment.

Revised: September 6, 2011