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Guide) Child/Adolescent: CIS #: Behavioral Health Staff Person: Date (CIS Field # ): Dimension Rating 1 low I. Risk of Harm II. Functional Status III. Co-Occurrence of Conditions IV. Recovery Environment A. Environmental Stress B. Environmental Support V. Resiliency and/or Response to Services VI. Involvement in Services A. Child/Adolescent B. Parent and/or Primary Caretaker 5 high 1 1 1.

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