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What the Cassie is, and I've given you a lot of hand outs just look through them and see if you find some of their matches what I'm talking about the Cassie consists of six risk dimensions and some of them are about the kid and some of them are about the kids environment and other aspects of the kid these are the dimensions right here and then the second part of the Cassie R is the service intensity, so you have a kind of continuum of service intensity beginning in basic services then to secure 24-hour services with psychiatric monitoring which we would know in our system as acute inpatient psychiatric program okay so what happens is you score each of these Deming dimensions you get a total score and that points to the level of intensity okay, so that's basically the all the working parts all right and one of the core ideas to get about the Cassie that's different that how we do mental health in San Antonio or in Texas is that this is not a level of care idea this is intensity of care we live in an in a level of care world in San Antonio this is about intensity of care okay it says a pair of basic services you have a certain intensity a certain amount of coordination and communication that needs to happen and that as you go each level into that the need the resources that are really needed for communicating and coordinating it expands geometrically not linearly if you're doing a system of care okay which we don't do a system would care here all right so why now as some of you talked about we need to be able to determine the intensity of services that children adolescents need, so we're presented a lot of times with these complex chronic cases a lot of crisis of the day the week the year okay and so question is how do we get focused on the level that's needed and stay focused when there's every week as something new it seems like okay also we need to be able to communicate children's mental health service needs you know one of the things that I see, and we really focus on in here is that people from different disciplines have different values attitudes beliefs about what kids need so how do we get a standardized language to talk about treatment needs its one of the intentions of the Cassie we need to justify funding right we need to justify funding okay and to do that we need to be able to broad this from an old United Way campaign I love this idea inform educate and convinced I get informed a lot educated a lot I don't get convinced that much, but the idea is to have a way to convince people that we know what we're talking about when it comes to determining a kid's treatment needs advantages its so this I think you're going to see this is simple but a comprehensive formulation it's easy as fast to use talk to a psychologist who's responsible for training on the Cassie in Nevada he says that people that are really proficient get to where they can do in a couple of minutes it's not a new assessment it's taking the assessment material that you have...
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