"Prevention Assessment Tool - Interview Guide" - Florida

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Download "Prevention Assessment Tool - Interview Guide" - Florida

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Prevention Assessment Tool:
Interview Guide
Youth Name: _________________________________________
Date: _____________________
Interviewer Name: ____________________________________
o Prior to conducting the initial interview with the youth, review all available collateral information. Items
with an asterisk (*) before them should be corroborated with collateral sources if possible.
o These are sample statements. You do not need to read all statements verbatim.
o Questions in italics are sample questions that can be used for younger youth (ages 6 – 12).
o For Initial Assessments, current means behaviors during the last 6 months.
o For Re-assessments, current means behaviors during the last 4 weeks or if a program of less than 4
weeks, current means during the length of the program.
SAMPLE INTRODUCTORY/SET-UP STATEMENT
REMINDERS
Introduce yourself and ask youth how s/he is doing.
Introduce yourself
This interview is to help me get to know you better.
Ask the youth how he/she
is doing and
Hopefully, this will also help us to find the best ways to work with you so you
REFLECT
don’t get into any trouble in the future, and to help you be successful.
Remember to explain the
assessment in general and
Because this kind of assessment is so important, we will use multiple sources
of information like any prior arrest records, information from your teachers and
positive terms and in a way
that the youth
employers, things like that.
understands.
I’m going to take a few notes now and then, just to help me remember what we
talk about better. If you have any questions about anything we talk about,
please stop me and ask at any time.
Do you have any questions before we get started?
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Prevention Assessment Tool:
Interview Guide
Youth Name: _________________________________________
Date: _____________________
Interviewer Name: ____________________________________
o Prior to conducting the initial interview with the youth, review all available collateral information. Items
with an asterisk (*) before them should be corroborated with collateral sources if possible.
o These are sample statements. You do not need to read all statements verbatim.
o Questions in italics are sample questions that can be used for younger youth (ages 6 – 12).
o For Initial Assessments, current means behaviors during the last 6 months.
o For Re-assessments, current means behaviors during the last 4 weeks or if a program of less than 4
weeks, current means during the length of the program.
SAMPLE INTRODUCTORY/SET-UP STATEMENT
REMINDERS
Introduce yourself and ask youth how s/he is doing.
Introduce yourself
This interview is to help me get to know you better.
Ask the youth how he/she
is doing and
Hopefully, this will also help us to find the best ways to work with you so you
REFLECT
don’t get into any trouble in the future, and to help you be successful.
Remember to explain the
assessment in general and
Because this kind of assessment is so important, we will use multiple sources
of information like any prior arrest records, information from your teachers and
positive terms and in a way
that the youth
employers, things like that.
understands.
I’m going to take a few notes now and then, just to help me remember what we
talk about better. If you have any questions about anything we talk about,
please stop me and ask at any time.
Do you have any questions before we get started?
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*Check in with the youth related to any contact they may have had with police. If none, move to the next
section.
DOMAIN 1: RECORD OF REFERRALS
SAMPLE LEAD-IN/PROBES
REMINDERS
To start, let’s talk about any previous experience you have had with the
Be sure to use OARS:
juvenile justice system.
O=Open Ended Questions
A=Affirmations
R=Reflections
S=Summarizations
 Have you ever been charged with anything by the police?
If no to both questions,
(If no) Have you ever been there when a friend or family member was
skip to Domain 3
arrested?
Tell me more about what happened.
Who was you with?
What time of day was it?
What were you thinking at the time?
Assessing attitudes
How did you feel?
Feelings?
What did your parents do?
Assessing family
relationships
What happened as a result of the arrest?
Consequential thinking
How did it affect you?
Assessing
attitudes/empathy
How did it affect your family/friends?
Assessing skill level
Was anyone else was affected? How so?
Eliciting self-motivational
statements
What do you think about it now?
Consequential thinking
How do you feel about what happened?
Assessing Attitudes
Would you do anything different if the same situation happened again?
Problem solving
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DOMAIN 3: SCHOOL
SAMPLE PROBES
REMINDERS
Now, let’s talk a little bit about school.
Use OARS!
Are you currently enrolled in school?
ITEM CHECKLIST:
Do you go to school?
 Special Education
___
(If yes) How has school been going for you this year?
need
 Current Enrollment
Do you like it? Do you have friends at school?
___
 Behavior/conduct
___
 Number of
___
 Talk to me about your attendance at school this term.
expulsions and
Do you go every day?
suspensions
 Attendance
___
 Grades/GPA
___
Tell me about any problems you’ve had at school this term.
What do you like the best/least about school?
 Talk to me about the grades you get in school?
What grades did you get on your report card?
 Are you failing any classes?
 Have you been suspended or expelled from school this term? How many
times? What happened?
 Do you know if you have any special education needs, or have you had any
diagnosis of a special education need?
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DOMAIN 4: USE OF FREE TIME
SAMPLE PROBES
REMINDERS:
Use OARS!
Tell me what you like to do when you have some free time?
What do you like to do when you’re not in school?
ITEM CHECKLIST:
 Currently interested
__
 Currently
__
participates
Are you in any clubs or groups? Maybe some type of athletics? (Example:
football, Boy/Girl Scouts, etc.)
How often do you participate in those activities?
If you could choose what activities you could do, what would they be?
DOMAIN 5: EMPLOYMENT
SAMPLE PROBES
REMINDERS
 Use OARS!
Let’s switch gears and talk about employment.
 Don’t ask too many
questions in a row
Have you ever had a job? Do you have one now?
ITEM CHECKLIST:
 Current
(If not currently working) Are you looking for a job? How is that going? What
___
kinds of things have you been doing to help find a job?
Employment
 Understanding job
___
skills
What’s the longest you’ve ever held a job?
How do/did you get along with the people at work?
What’s the best part of the job? The worst part?
Talk to me about the most important things you think it takes to keep a job.
This may be the only appropriate question to ask a younger youth who is
mature enough: What do you think it takes to be a good employee?
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DOMAIN 6: RELATIONSHIPS
SAMPLE PROBES
REMINDERS
I want to ask you about your relationships with various people in your life.
ITEM CHECKLIST:
What adults, other than your parents (or guardians), have really been there for
 Number of positive
___
you or supportive of you in the past?
adult relationships
Are there any grownups that help you a lot besides your mom or dad?
(If the youth has worked) Did you feel close to any adults at your job? How did
you get along with other adults working there?
Tell me about any teachers you get along with really well, and why you think
that is.
Is there a teacher at school that you really like and get along with? Why do
you think you get along so well with him/her?
Why did/do you like spending time with these positive adults in your life?
LEAD-IN/RELATIONSHIP NETWORK PROBE
REMINDERS
I would like to get a better sense of what kind of friendships you have, and the
people you spend time with.
 Summarize
If you choose to use the friendship mapping exercise:
friendship network
I’m going to try and sketch a map of your main friends and companions and
try to identify who all is in your network. If we put you in the very center, and
expand out from there by including only people you hang-out with almost
every day in the next circle, who would we put in the first circle – you can just
tell me initials or nicknames if you like.
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