HEADS-ED Patient Profile


* The HEADS-ED is a screening tool and is not intended to replace clinical judgment. Please read the terms and conditions of use.
Age years old
Sex  Female    Male  
Preferred language  English    French    No preference  
 
No action needed
Needs action but not immediate
Needs immediate action
H ome
Supportive
Conflicts
Chaotic/Dysfunctional
E ducation
On track
Grades dropping / absenteeism
Failing / not attending school
A ctivities and peers
No change
Reduced / peer conflicts
Fully withdrawn / significant peer conflicts
D rugs and alcohol
No or infrequent
Occasional
Frequent/daily
S uicidality
No thoughts
Ideation
Plan or gesture
E motions, behaviours, thought disturbance
Mildly anxious / sad / acting out
Moderately anxious / sad / acting out
Significantly distressed / unable to function / out of control / bizarre thoughts
D ischarge resources
Ongoing / well connected
Some / not meeting needs
None / on wait list / non-compliant
I have read and agree to the terms and conditions of use.
eMentalHealth.ca Children's Hospital of Eastern Ontario University of Ottawa CHEO Research Institute
© 2014 HEADS ED
Home Page | Site map | Admin Login
Administrator Login
^ Back to Top