"Community Assessment Tool Full Assessment" - Florida

Community Assessment Tool Full Assessment is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on January 1, 2019;
  • The latest edition currently provided by the Florida Department of Juvenile Justice;
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Community Assessment Tool
Full Assessment
DOMAIN 1: Record of Referrals
1. Age at first offense:
Over 16
O
16
O
15
O
13 to 14
O
12 and Under
O
None or one
O
2. Misdemeanor referrals:
Two
O
Three or four
O
Five or more
O
None
3. Felony referrals:
O
One
O
Two
O
Three or more
O
None
4. Confinements in secure detention where youth was held for at least 48 hours:
O
One
O
Two
O
Three or more
O
None
5. Commitment orders where youth served at least one day confined under
O
One or more
residential commitment:
O
DOMAIN 2: Demographics
Male
1. Youth’s Gender:
O
Female
O
Over 16
2. Youth’s Current Age:
O
16
O
15
O
13 to 14
O
12 and Under
O
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2019
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Community Assessment Tool
Full Assessment
DOMAIN 1: Record of Referrals
1. Age at first offense:
Over 16
O
16
O
15
O
13 to 14
O
12 and Under
O
None or one
O
2. Misdemeanor referrals:
Two
O
Three or four
O
Five or more
O
None
3. Felony referrals:
O
One
O
Two
O
Three or more
O
None
4. Confinements in secure detention where youth was held for at least 48 hours:
O
One
O
Two
O
Three or more
O
None
5. Commitment orders where youth served at least one day confined under
O
One or more
residential commitment:
O
DOMAIN 2: Demographics
Male
1. Youth’s Gender:
O
Female
O
Over 16
2. Youth’s Current Age:
O
16
O
15
O
13 to 14
O
12 and Under
O
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2019
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DOMAIN 3: School
Enrolled full-time
1. Youth’s current enrollment status, regardless of
O
Enrolled part-time
attendance:
O
Dropped out/Expelled
O
Has Diploma/GED and NOT pursuing further
O
education
Has Diploma and IS pursuing further
O
education
Youth not in school in current term
2. Youth’s conduct in the most recent term: Fighting or
O
No problems with school conduct
threatening students; threatening teachers/staff;
O
Problems with school conduct
overly disruptive behavior; crimes (e.g., theft,
O
vandalism); lying, cheating, dishonesty.
Youth not in school in current term
3. Youth’s school attendance in the most recent term:
O
No problems with school attendance
O
Problems with school attendance
O
Youth not in school in current term
4. Youth’s academic performance in the most recent
O
Mostly As, or mostly As and Bs
school term:
O
Mostly Bs and Cs, no Fs
O
Some Ds and/or Fs, or worse
O
Believes getting an education is of value
5. Youth believes there is value in getting an education:
O
Somewhat believes education is of value
O
Does not believe education is of value
O
Believes school is encouraging
6. Youth believes school provides an encouraging
O
Somewhat believes school is encouraging
environment for him or her:
O
Does not believe school is encouraging
O
Not close to any teachers, staff or coaches
7. Teachers, staff, or coaches the youth likes or feels
O
Close to 1 or 2
comfortable talking with:
O
Close to 3 or more
O
Involved in 2 or more activities
8. Youth’s involvement in school activities during most
O
Involved in 1 activity
recent term:
O
Interested but not involved in any activities
O
Not interested in school activities
O
9. Interviewer's assessment of likelihood the youth will
Very likely to stay in school and graduate
O
stay in and graduate from high school:
Uncertain if youth will stay and graduate
O
Not very likely to stay and graduate
O
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DOMAIN 4: Use of Free Time
Currently involved in 2 or more structured
O
1. Current interest and involvement in structured
activities
recreational activities:
Currently involved in 1 structured activity
O
Currently interested but not involved
O
Currently not interested in any structured
O
activities
 None
2. Types of structured recreational activities in which
 Community/cultural group
youth currently participates:
 Hobby, group or club
(Check all that apply)
 Athletics
 Religious group/church
 Volunteer organization
Currently involved in 2 or more pro-social
O
3. Current active involvement in pro-social unstructured
hobbies
hobbies:
Currently involved in 1 pro-social hobby
O
Not interested or involved in any pro-social
O
hobbies
DOMAIN 5: Employment
 Too young for employment consideration
1. Youth’s employment history:
 Never been employed
(Check all that apply)
 Has been successfully employed
 Has been fired or quit due to problems
Lacks knowledge of what it takes
O
2. Youth understands what is required to
Has knowledge of what it takes
O
maintain a job:
Has demonstrated ability to maintain a job
O
Too young for employment consideration
O
3. Youth’s employment status:
Not employed and not interested in employment
O
No employed but interested in employment
O
Employment is currently going well
O
Having problems with current employment
O
Not currently employed
O
4. Current positive personal relationship(s) with
Employed but no positive relationships
O
employer(s) or adult coworker(s):
At least 1 positive relationship
O
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DOMAIN 6: Relationships
1. History of anti-social friends/companions:
 Never had consistent friends or companions
 Had pro-social friends
(Check all that apply)
 Had anti-social friends
 Been a gang member/associate
2. Current friends/ companions youth actually
 No consistent friends or companions
spends time with:
 Pro-social friends
 Anti-social friends
(Check all that apply)
 Gang member/associate
3. Current positive adult non-family relationships
No positive adult relationships
O
not connected to school or employment:
1 or 2 positive adult relationship
O
3 or more positive adult relationships
O
4. Current pro-social community ties:
No pro-social community ties
O
Some pro-social community ties
O
Has strong pro-social community ties
O
Not romantically involved with anyone
O
5. Currently in a “romantic”, intimate, or sexual
Romantically involved with a pro-social person
O
relationship:
Romantically involved with an anti-social person
O
6. Currently admires/imitates anti-social peers:
Does not associate with anti-social peers
O
Does not admire, imitate anti-social peers
O
Admires, emulates anti-social peers
O
Does not associate with anti-social peers
O
7. Current resistance to anti-social peer influence:
Usually resists going along with anti-social peers
O
Rarely resists or leads anti-social peers
O
DOMAIN 7: Family
No history of running away/being kicked out
O
1. History of running away or getting kicked out of
1 instance of running away/being kicked out
O
home: Include times the youth did not voluntarily
2 to 3 instances of running away/kicked out
O
return within 24 hours, and include incidents not
4 or more instances of running away/kicked out
O
reported by or to law enforcement.
No
O
2. Youth lost a biological parent to separation,
Yes
O
divorce, abandonment, or death:
No jail/imprisonment history in family
O
3. History of jail/imprisonment of persons who were
Jail/imprisonment history in family
O
ever involved in the household for at least 3
months:
No jail/imprisonment currently in family
O
4. History of jail/imprisonment of persons who are
Jail/imprisonment currently in family
O
currently involved with the household:
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 No problem history of parents in
5. Problem history of parents/guardians who are currently
household
involved with the household:
 Parental alcohol problem history
(Check all that apply)
 Parental drug problem history
 Parental physical health problem history
 Parental mental health problem history
 Parental employment problem history
 No siblings currently in household
6. Problem history of siblings who are currently involved
 No problem history of siblings in
with the household:
household
(Check all that apply)
 Sibling alcohol problem history
 Sibling drug problem history
 Sibling physical health problem history
 Sibling mental health problem history
 Sibling employment problem history
Consistently willing to support youth
O
7. Family willingness to help support youth:
Inconsistently willing to support youth
O
Little or no willingness to support youth
O
Hostile, berating, and/or belittling of youth
O
8. Family member(s) youth feels close to or has good
 Does not feel close to any family member
relationship with:
 Feels close to mother/female caretaker
 Feels close to father/male caretaker
(Check all that apply)
 Feels close to male sibling
 Feels close to female sibling
 Feels close to extended family
Some conflict that is well managed
O
9. Level of conflict between parents, between youth and
Verbal intimidation, yelling, heated
O
parents, among siblings:
arguments
Threats of physical abuse
O
Domestic violence: physical/ sexual abuse
O
Youth usually obeys and follows rules
O
10. Current parental authority and control:
Sometimes obeys or obeys some rules
O
Consistently disobeys, and/or is hostile
O
No
O
11. History of out-of-home DCF placements:
Yes
O
No support network
O
12. Support network for family:
Some support network
O
Strong support network
O
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