THE CHILD AND ADOLESCENT NEEDS AND STRENGTHS (CANS)​

WHAT IS CANS?

El CANS es una herramienta de dominio abierto que es gratuita para que cualquiera la use. Existe una comunidad de personas que utilizan las distintas versiones de los CANS y comparten experiencias y elementos adicionales y herramientas complementarias.

FOR NEEDS:

a. No evidence
b. Watchful waiting/prevention
c. Action
d. Immediate/Intensive Action

FOR STRENGTHS:

1.Centerpiece strength
2. Strength that you can use in planning
3. Identified-strength-must be built
4. No strength identified

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The Child and Adolescent Needs and Strengths (CANS) is a multi-purpose tool developed for children’s services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. Versions of the CANS are currently used in 50 states in child welfare, mental health, juvenile justice, and early intervention applications.

A comprehensive, multi-system version exists as well. The CANS was developed from a communication perspective so as to facilitate the linkage between the assessment process and the design of individualized service plans including the application of evidence-based practices. The CANS is easy to learn and is well liked by parents, providers and other partners in the services system because it is easy to understand and does not necessarily require scoring in order to be meaningful to an individual child and family. The way the CANS works is that each item suggests different pathways for service planning. 

There are four levels of each item with anchored definitions; however, these definitions are designed to translate into the following action levels (separate for needs and strengths)

RESEARCH

SIX KEY COMPONENTS OF A COMMUNIMETRIC TOOL

  1. Items are selected based on relevance to planning.
  2. Action levels for all items
  3. Consider culture and development before establishing the action level
  4. Agnostic as to etiology—descriptive, no cause and effect
  5. About the child, not about the service. Rate needs when masked by interventions.
  6. Specific ratings window (e.g. 30 days) can be over-ridden based on action levels