Get Instruction Manual Staff Impression Rating Scale ... - Colorado.gov - Colorado

The Instruction Manual Staff Impression Rating Scale-Revised (SIRS-R) is an essential tool designed to evaluate youth admitted to Colorado Division of Youth Corrections (DYC) facilities. This guide provides clear and systematic steps to help users fill out the form accurately and efficiently.

Follow the steps to complete the SIRS-R form online.

1. Press the ‘Get Form’ button to access the document and open it for editing.
2. Begin by establishing rapport with the youth. Introduce yourself and ask about their background. Ensure they understand the purpose of the questions you'll be asking.
3. Proceed with the first question regarding the youth's current feelings and stressors. Record their responses accurately.
4. Inquire about any medications the youth is currently taking. If they affirm, list all medications as indicated in the form.
5. Ask if any medications did not arrive with the youth. If applicable, note the names of those medications to facilitate follow-up.
6. Assess whether the youth is under the influence of drugs or alcohol. Document their response and any observations of intoxication.
7. Evaluate any withdrawal symptoms by asking the youth about their experiences. Capture any significant symptoms reported.
8. Inquire about the youth's past experiences with suicidal thoughts or behaviors, recording the details that assist in assessing their current situation.
9. Ask if the youth has any current thoughts of self-harm and whether they have a specific plan. This response is critical and must be carefully recorded.
10. Determine if the youth has thoughts of harming others, again noting any plans, as this is also a critical question.
11. Finally, record any experiences of hallucinations and specify the type. Ensure to note incidences that may indicate a need for further evaluation.
12. After all questions are answered, evaluate the responses. Check for 'Yes' answers in critical items and determine risk levels accordingly.
13. Complete the assessment ratings section based on the gathered information, detailing any action taken to ensure the youth's safety.
14. Sign the form and ensure the Shift Supervisor reviews and signs it as well to validate the assessment.

Take the necessary steps to complete the SIRS-R form online today.