This rating includes repetitive, physically harmful behavior that generally serves as a self-soothing function to the child.

0 | No evidence of any forms of self-mutilation (e.g. cutting, burning, face slapping, head banging)

1 | History of self-mutilation but none evident in the past 30 days.

2 | Engaged in self-mutilation that does not require medical attention.

3 | Engaged in self-mutilation that requires medical attention.

This rating includes reckless and dangerous behaviors that, while not intended to harm self or others, place the child or others at some jeopardy. Suicidal or self-mutilative behaviors are NOT rated here.

0 | No evidence of behaviors that place the child at risk of physical harm.

1 | History of behavior other than suicide or self-mutilation that places child at risk of physical harm. This includes reckless and risk-taking behavior that may endanger the child.

2 | Engaged in behavior other than suicide or self-mutilation that places him/her in danger of physical harm. This includes reckless behavior or intentional risk-taking behavior.

3 | Engaged in behavior other than suicide or self-mutilation that places him/her at immediate risk of death. This includes reckless behavior or intentional risk-taking behavior.

This rating includes actual and threatened violence. Imagined violence, when extreme, may be rated here. A rating of 2 or 3 would indicate the need for a safety plan.

0 | Child has no evidence or history of aggressive behaviors or significant verbal aggression towards others (including people and animals).

1 | History of aggressive behavior or verbal aggression towards others but no aggression during the past 30 days. History of fire setting (not in past year) would be rated here.

2 | Occasional or moderate level of aggression towards others including aggression during the past 30 days or more recent verbal aggression.

3 | Frequent or dangerous (significant harm) level of aggression to others. Child or youth is an immediate risk to others.

Sexually abusive behavior includes both aggressive sexual behavior and sexual behavior in which the child or adolescent takes advantage of a younger or less powerful child through seduction, coercion, or force.

0 | No evidence of problems with sexual behavior in the past year.

1 | Mild problems of sexually abusive behavior. For example, occasional inappropriate sexually aggressive/harassing language or behavior.

2 | Moderate problems with sexually abusive behavior, For example, frequent inappropriate sexual behavior. Frequent disrobing would be rated here only if it was sexually provocative. Frequent inappropriate touching would be rated here.

3 | Severe problems with sexually abusive behavior. This would include the rape or sexual abuse of another person involving sexual penetration.

In general, to classify as a runaway or elopement, the child is gone overnight or very late into the night. Impulsive behavior that represents an immediate threat to personal safety would also be rated here.

0 | This rating is for a child with no history of running away and no ideation involving escaping from the present living situation.

1 | This rating is for a child with no recent history or running away but who has expressed ideation about escaping present living situation or treatment. Child may have threatened running away on one or more occasions or have a history (lifetime) of running away but not in the past year.

2 | This rating is for a child who has run away from home once or run away from one treatment setting within the past year. Also rated here is a child who has run away to home (parental or relative) in the past year.

3 | This rating is for a child who has (1) run away from home and/or treatment settings within the last 7 days or (2) run away from home and/or treatment setting twice or more overnight during the past 30 days. Destination is not a return to home of parent or relative.

N/A | Not applicable

This rating includes both criminal behavior and status offenses that may result from child or youth failing to follow required behavioral standards (e.g. truancy). Sexual offenses should be included as criminal behavior.

0 | Child shows no evidence or has no history of criminal or delinquent behavior.

1 | History of criminal or delinquent behavior but none in the past 30 days. Status offenses in the past 30 days would be rated here.

2 | Moderate level of criminal activity including a high likelihood of crimes committed in the past 30 days. Examples would include vandalism, shoplifting, etc

3 | Serious level of criminal or delinquent activity in the past 30 days. Examples would include car theft, residential burglary, gang involvement, etc.

N/A | Not applicable

This item describes the child’s decision-making processes and awareness of consequences.

0 | No evidence of problems with judgement or poor decision making that result in harm.

1 | History of problems with judgement in which the child makes decisions that are in some way harmful (e.g. a child who has a history of hanging out with other children who shoplift.)

2 | Problems with judgement in which the child makes decisions that are in some way harmful to his/her development and/or well-being that may place him/her at moderate risk of harm.

3 | Problems with judgement that place the child at risk of significant imminent physical harm.

N/A | Not applicable

This item refers to behavior involving the intentional setting of fires that might be dangerous to the child or others. This does not include the use of candles or incense or matches to smoke.

0 | No evidence or history of fire setting behavior

1 | History of fire-setting but not in past six months

2 | Recent fire setting behavior (in past six months) but not of the type that has endangered the lives of others (e.g. playing with matches) OR repeated fire setting behavior over a period of at least two years even if not in the past six months.

3 | Acute threat of fire setting. Set fire that endangered the lives of others (e.g. attempting to burn down a house).

N/A | Not applicable

This rating describes intentional obnoxious social behaviors that a child engages in to intentionally force adults to sanction him/her. This item should reflect problematic social behaviors (socially unacceptable behavior for the culture and community in which he/she lives) that put the child at some risk of sanctions.

0 | Child shows no evidence of problematic social behaviors.

1 | Mild level of problematic social behaviors that force adults to sanction the child. Provocative comments or behavior in social settings aimed at getting a negative response from adults might be included at this level.

2 | Moderate level of problematic social behaviors. Child may be intentionally getting in trouble in school or at home and the sanctions or threat of sanctions that result are causing problems in the child’s life.

3 | Severe level of problematic social behaviors. This would be indicated by frequent seriously inappropriate social behavior that force adults to seriously and/or repeatedly sanction the child. Social behaviors are sufficiently severe (cause harm to others) that they place the child at risk of significant sanctions (e.g. expulsion, removal from the community).

N/A | Not applicable

**LOOK OUT**

This item is rating behavior which results in punishment the child knows will happen–the child is intentionally seeking sanctions. Examples could include a child that intentionally acts out in school knowing they will be suspended. A child does not have any social connections would not be rated here.

Sexually reactive behavior includes both age-inappropriate sexualized behaviors that may place a child at risk for victimization or risky sexual practices.

0 | No evidence of problems with sexually reactive behaviors or high-risk sexual behaviors.

1 | Some evidence of sexually reactive behavior. Child may exhibit occasional inappropriate sexual language or behavior, flirts when age-inappropriate, or engages in unprotected sex with single partner. This behavior does not place child at great risk. A history of sexually provocative behavior would be rated here.

2 | Moderate problems with sexually reactive behavior that place child at some risk. Child may exhibit more frequent sexually provocative behaviors in a manner that impairs functioning, engage in
promiscuous sexual behaviors or have unprotected sex with multiple partners.

3 | Significant problems with sexually reactive behaviors. Child exhibits sexual behaviors that place child or others at immediate risk.