• Image field 53
  •  

    The Youth (Y) Ohio Scales is to be filled out by the Minor Client (middle school aged or older).

     

     

    Parent/ Guardian Please DO NOT fill out these forms for your Child

     

    We recognized that it may seem unusual for some of the questions to be asked of your minor child. Please know that we ask every child of middle school age or higher to complete these forms so that we can provide the best, most comprehensive evaluation for your child.

    Thank you for your cooperation.

  • Ohio Mental Health Consumer Outcomes System Ohio Youth Problem,  Functioning, and Satisfaction Scales

    Ohio Mental Health Consumer Outcomes System Ohio Youth Problem, Functioning, and Satisfaction Scales

    Youth Rating – Short Form (Ages 12-18)
  • Y  

  • *Please turn device hoizontal to view form correctly

  • Date*
     - -
  • Date of Birth:*
     - -
  • Sex:*
  • Rows
  • Copyright © Benjamin M. Ogles & Southern Consortium for Children – January 2000 (Youth-1)

    01/01/2007

  • 1. Overall, how satisfied are you with your life right now?*
  • 2. How energetic and healthy do you feel right now?*
  • 3. How much stress or pressure is in your life right now?*
  • 4. How optimistic are you about the future?*
  • 1. How satisfied are you with the mental health services you have received so far?*
  • 2. How much are you included in deciding your treatment?*
  • 3. Mental health workers involved in my case listen to me and know what I want.*
  • 4. I have a lot of say about what happens in my treatment.*
  • Rows
  • Copyright © Benjamin M. Ogles & Southern Consortium for Children – January 2000 (Youth-2)

    01/01/2007

  • Should be Empty: