Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Modified Mini Screen

Get Modified Mini Screen

LDSS5064 (Rev. 5/15) Modified Mini Screen (MMS) Scoring and Instructions Indicate if the client chose not to complete the MMS by marking X in the box below. Incomplete screenings should not be scored.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Modified Mini Screen online

The Modified Mini Screen (MMS) is an important tool for assessing the mental health needs of clients. This guide provides user-friendly, step-by-step instructions on how to effectively fill out the form online, ensuring clarity and accuracy in the process.

Follow the steps to complete the Modified Mini Screen online accurately.

  1. Press the ‘Get Form’ button to retrieve the document and open it in the online editor.
  2. Indicate if the client chose not to complete the MMS by marking an ‘X’ in the designated box.
  3. For the paper Mental Health Screening Questionnaire, total all ‘Yes’ responses. Ensure to include responses from question 7 part (a) or both (a) and (b) in your count.
  4. Record either a ‘Yes’ or ‘No’ response to Question 4. Remember that unanswered questions should be considered as a ‘No’.
  5. For the computer-assisted MMS, ensure to record the score on the completion screen.
  6. Mark either a ‘Yes’ or ‘No’ response to Question 4, indicated by a ‘Y’ or ‘N’ following the score.
  7. If the MMS score meets or exceeds the district cutoff score, refer the client for a mental health evaluation per district guidelines.
  8. Fill in the client’s name, worker initials, CIN, date, and case number in the appropriate fields.
  9. Calculate and record the total number of ‘Yes’ responses.
  10. Make a note of the district cutoff score and include any additional notes in the provided section.
  11. Once completed, you can save your changes, download the form, print it, or share it as needed.

Start filling out the Modified Mini Screen online today to ensure effective assessment and support.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Modified Mini Screen (MMS) - NC DHHS
Modified Mini Screen (MMS). Page 1 of 2. CO-OCCURRING DISORDERS PROGRAM: SCREENING AND...
Learn more
Modified Mini Screen (MMS) - NC DHHS
Modified Mini Screen (MMS). Page 1 of 2. CO-OCCURRING DISORDERS PROGRAM: SCREENING AND...
Learn more
Abbreviated mental test score - Wikipedia
General Practitioner Assessment Of Cognition – a brief screening tool for cognitive...
Learn more

Related links form

Withdrawal Or Appearance - Judicial Branch Assent For Summary Administration - Judicial Branch - Nh Instructions For Completing Motion For Commissioner Of Insolvency ... - Courts State Nh Motion For Order Of Distribution - New Hampshire Judicial Branch

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

The Kessler Psychological Distress Scale (K6+) is a widely-used, brief, 6-item self- report measure of psychological distress designed to screen for risk of a serious mental health condition in the general population.

How should the modified Mini Screen be scored? Scoring of the Modified Mini Screen is straightforward and additive—each YES in the screen counts as 1. The clinician adds all the positive responses for a total score which ranges from 1 to 22.

The MHSF-III is scored by totaling the “yes” responses (1 point each), for a maximum score of 17. A “yes” response to any of the items on questions 3 through 17 suggests that a qualified mental health specialist should be consulted to determine whether follow-up, including a diagnostic interview, is warranted.

Mental Health Screening Form–III (MHSF–III) Page 1 of 2. Instructions: In this program, we help people with all their problems, not just their addictions. This commitment includes helping people with emotional problems.

The Modified Mini Screen (MMS) is a 22 item scale designed to identify persons in need of an assessment in the domains of Mood Disorders, Anxiety Disorders and Psychotic Disorders.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Modified Mini Screen
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program