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program) referrals. The program is not intended to serve the families of all newborns, only those <br />determined to be at risk. <br />The screening process covers 15 issues. If the screen results are positive, the worker moves <br />seamlessly into a 10 point assessment. <br />15 Point Screen: <br />1. Unmarried <br />2. Partner unemployed <br />3. Inadequate income <br />4. Unstable housing <br />5. No phone <br />6. Education under 12 years <br />7. Inadequate emergency contacts <br />8. History of substance abuse <br />9. Inadequate prenatal care <br />10 History of abortions <br />11. History of psychiatric care <br />12. Abortion unsuccessfully sought or attempted <br />13. Adoption sought or attempted <br />14. Marital or family problems <br />15. History of depression <br />Positive Screen: True score on either item numbers 1, 9, 12; two or more true scores, seven or <br />more unknowns. <br />10 Point Assessment: <br />1. Childhood history of being abused <br />2. Substance abuse, mental illness or criminal history <br />3. Previous or current Child Protective Services involvement <br />4. Low self-esteem, poor coping ability <br />5. Multiple life stressors <br />6. Potential for violent temper outbursts <br />7. Unrealistic expectations for child's development <br />8. Harsh punishment of child <br />9. Perceives child as being difficult or provocative <br />10. Child unwanted or risk of poor bonding <br />Scoring: O=No problem, S=Mild problem, 10=Severe problem <br />A "positive" assessment of 30 or more for either parent triggers a referral to Healthy Start. <br />Healthy Start <br />FAQ -2- <br />