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Data Collection Resources / Les Ressources en Matière de Collecte de Données

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Clinical Screening Questionnaires Reference Table: An Introduction

Purpose of Clinical Questionnaires Table:

The purpose of this reference document is to provide information to service providers about each clinical questionnaire completed by YWHO clients, including number of items, purpose, frequency of administration, alerts, scoring, and relation of scores to intensity level of services offered.

Time to Complete Clinical Questionnaires:

Based on YWHO youth clients who have completed the tools on the Dacima platform thus far, it takes, on average, approximately 15 - 30 minutes to answer all of the clinical questionnaires.

Some General Examples of Low Medium High Level Intensity Services at YWHO Sites (*not a comprehensive list; Low, Medium, and High intensity services will differ across hubs, depending on services and interventions each site has available*):

  • Low Intensity: Solution Focused Brief Therapy; Motivational Enhancement Therapy (MET) or Cognitive Behavioural Therapy (CBT; 1 4 sessions); individual or group peer support
  • Medium Intensity: Evidence based structured psychotherapy for mental health concerns (Dialectical Behavioural Therapy (DBT) skills, CBT; 6-12 sessions); Evidence based group treatments for substance use/concurrent disorder concerns (MET, CBT, DBT; 6-12 sessions); Family support; Supported education/employment/housing, if relevant.
  • High Intensity: YWHO based psychiatric response ( telepsychiatry or in person); medication consult; access to crisis supports; linkage to other existing higher intensity youth/young adult mental health and/or addictions services (e.g., long term psychotherapy, day treatment, inpatient, residential, ongoing psychiatric services, addiction medicine, specialist addiction treatment, withdrawal support).


Notes/Disclaimer:
  • None of the screening instruments/clinical questionnaires listed in the document operate in isolation. Service providers should take into account findings from other screening questionnaires, and use their clinical judgment and discussions with clients and their families to make the most appropriate decisions regarding assessment and interventions for clients available at their specific YWHO site.
  • For further information, please contact Janis Wolfe: janis.wolfe@youthhubs.ca.

Clinical Screening Questionnaires Before Session:

Clinical Questionnaire Name

# of times

PurposeFirst VisitSubsequent Visit 
(less than 7 days)

Subsequent Visit

(8 days to less than 29 days)

Subsequent Visit

(30 days or more)

Scores on YWHO Data Collection Platform:

Over time via progress tracker or single point in time?

Items Flagging

Immediate Risk/Action

Scores Mapping onto low (L) - Medium (M) - High (H)

Intensity Services (Hub-Specific)

Kessler Psychological Distress Scale (K10)








Kessler Psychological Distress Scale (Past Week) – (K10W)








Self-Rated Health (SRH)








Self-Rated Mental Health (SRMH)








Global Appraisal of Individual Needs: Short Screener (GAIN - SSS)








YWHO Substance Monitoring Form








Patient Health Questionnaire (PHQ-9)








Outcome Rating Scale (ORS)









Goal-Based Outcomes (GBO)










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