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					                                                            Adult Consumer A-10
Field Label   Field Description                                                                                              Position in
                                                                                                                             File
UCI           MACSIS UCI#                                                                                                    1-12
UPID          Provider ID #                                                                                                  13-24
INSTRUM       Instrument type                                                                                                25-26
ADMINST       Survey administration number                                                                                   27
ADMISSDT      Date of Admission                                                                                              28-35
ADMINDT       Administration date                                                                                            36-43
COMPCODE      Company Code                                                                                                   44-48
GROUP         Group                                                                                                          49-52
DIAGTYPE      Diagnosis Type                                                                                                 53
PDIAG         Primary Diagnosis                                                                                              54-58
LNAME         Consumer’s Last Name                                                                                           59-61
DOB           Date of Birth                                                                                                  62-69
GENDER        Gender                                                                                                         70
EDUCAT        Last school grade completed                                                                                    71-72
RACEW         White                                                                                                          73
RACEN         Native American/Pacific Islander                                                                               74
RACEB         Black/African American                                                                                         75
RACEH         Hispanic/Latino                                                                                                76
RACEA         Asian                                                                                                          77
RACEO         Other                                                                                                          78
RACEU         Unknown                                                                                                        79
MARITAL       What is your current marital status?                                                                           80
LIVSIT        What is your current living situation?                                                                         81
EMPLOY        What is your current employment status?                                                                        82
MANDATED      Are you in treatment because you want to be?                                                                   83
TRANSTYPE     Transaction type                                                                                               84
REFUSAL       Refusal type                                                                                                   85
SDIAG         Secondary Diagnosis                                                                                            86-90
FRIENDSH      The amount of friendship in your life                                                                          91
MONEY         The amount of money in your life                                                                               92
MCOMFORT      How comfortable and well-off are you financially                                                               93
MFUN          How much money you have to spend for fun                                                                       94
MEANING       The amount of meaningful activity in your life (such as work, school, volunteer activity, leisure activities   95
FREEDOM       The amount of freedom you have                                                                                 96
FAMRSHIP      The way you and your family act toward each other                                                              97
PERSONAL      Your personal safety                                                                                           98
NEIGHBOR      The neighborhood in which you live                                                                             99
HOUSING       Your housing/living arrangements                                                                               100
HEALTH        Your health in general                                                                                         101
TIMEWITH      How often do you have the opportunity to spend time with people you really like                                102
PHYSICAL      How often does your physical condition interfere with your day-to-day functioning                              103
MEDICAT       Concerns about my medications (such as side effects, dosage, type of medication) are addressed                 104
STIGMAMH      I have been treated with dignity and respect at this agency.                                                   105
STIGMAP       How often do you feel threatened by people's reactions to your mental health problems?                         106
NERVES        Nervousness or shakiness inside                                                                                107
SCARED        Being suddenly scared for no reason                                                                            108
FEARFUL       Feeling fearful                                                                                                109
TENSE         Feeling tense or keyed up                                                                                      110
PANIC         Spells of terror or panic                                                                                      111
RESTLESS      Feeling so restless you couldn't sit still                                                                     112
HEAVY         Heavy feelings in arms or legs                                                                                 113
HOMEALON      Feeling afraid to go out of your home alone                                                                    114
WORTHLES      Feeling of worthlessness                                                                                       115
LONEWITH      Feeling lonely even when you are with people                                                                   116
WEAK          Feeling weak in parts of your body                                                                             117
BLUE          Feeling blue                                                                                                   118
LONELY        Feeling lonely                                                                                                 119
UNINTER       Feeling no interest in things                                                                                  120
AFRAID        Feeling afraid in open spaces or on the streets                                                                121
SYMPTREC      How often can you tell when mental or emotional problems about to occur?                                       122
SYMPTPRE      When you can tell, how often can you take care of the problems before they become worse?                       123
SELFDET       I can pretty much determine what will happen in my life                                                        124
LIMIT         People are only limited by what they think is possible                                                         125
                                                                Page 1 of 14
                                                         Adult Consumer A-10
Field Label   Field Description                                                                 Position in
                                                                                                File
JOINPOW       People have more power if they join together as a group                           126
ANGRY         Getting angry about something never helps                                         127
POSATTIT      I have a positive attitude about myself                                           128
CONFIDEN      I am usually confident about the decisions I make                                 129
NOANGER       People have no right to get angry just because they don't like something          130
MISFORT       Most of the misfortunes in my life were due to bad luck                           131
CAPABLE       I see myself as a capable person                                                  132
WAVES         Making waves never gets you anywhere                                              133
TEAMWORK      People working together can have an effect on their community                     134
BARRIERS      I am often able to overcome barriers                                              135
OPTIMISM      I am generally optimistic about the future                                        136
PLANS         When I make plans, I am almost certain to make them work                          137
CHANGE        Getting angry about something is often the first step toward changing it          138
ALONE         Usually I feel alone                                                              139
EXPERTS       Experts are in the best position to decide what people should do or learn         140
ABLE          I am able to do things as well as most people                                     141
ACCOMP        I generally accomplish what I set out to do                                       142
LIVE          People should live their lives the way they want to                               143
CITYHALL      You can't fight city hall (authority)                                             144
POWERLES      I feel powerless most of the time                                                 145
UNSURE        When I am unsure about something, I usually go along with the rest of the group   146
WORTH         I feel I am a person of worth, at least on an equal basis with others             147
DECISION      People have a right to make their own decisions, even if they are bad ones        148
QUALIT        I feel I have a number of good qualities                                          149
ACTION        Very often a problem can be solved by taking action                               150
COMMUNIT      Working with others in my community can help change things for the better         151
FINAN         Quality of Life: financial                                                        152-155
SELFEST       Self- esteem/efficacy subscale                                                    156-159
POWER         Power/ powerlessness subscale                                                     160-163
COMM          Community activism & autonomy subscale                                            164-167
OPTIM         Optimism and control over the future subscale                                     168-171
ANGER         Righteous anger subscale                                                          172-175
EMPOWER       Overall empowerment score                                                         176-179
SDS           Overall symptom distress                                                          180-181
INSERT_DT     Date the record was inserted into the production database                         182-189
UPDATE_DT     Date the record was updated in the production database                            190-197
F2R           Name of the file the last record was received in                                  198-218




                                                             Page 2 of 14
Adult Consumer A-10




   Page 3 of 14
Adult Consumer A-10




   Page 4 of 14
                                                           Adult Provider A-11



Field Label   Field Description                                                                                               Position
                                                                                                                              in File
UCI           MACSIS UCI#                                                                                                     1-12
UPID          Provider ID #                                                                                                   13-24
INSTRUM       Instrument type                                                                                                 25-26
ADMINST       Survey administration number                                                                                    27
ADMISSDT      Date of Admission                                                                                               28-35
ADMINDT       Administration date                                                                                             36-43
COMPCODE      Company Code                                                                                                    44-48
GROUP         Group                                                                                                           49-52
DIAGTYPE      Diagnosis Type                                                                                                  53
PDIAG         Primary Diagnosis                                                                                               54-58
LNAME         Consumer’s Last Name                                                                                            59-61
TRANSTYPE     Transaction type                                                                                                62
REFUSAL       Refusal type                                                                                                    63
SDIAG         Secondary Diagnosis                                                                                             64-68
SOCIALC       Does the client initiate non­ professional social contact or respond to others’ initiation of social contact?   69

SOCIALIN      How effectively does this client interact with others?                                                          70
SOCIALSU      How effective is the client’s social support network in helping the client meet his/her needs?                  71

HOUSTAB       Please rate the client’s housing stability                                                                      72
FORCED        Has the client been forced/ compelled to move from his/her living arrangements?                                 73
PERSHYG       Personal Hygiene                                                                                                74
DRESS         Dress                                                                                                           75
NUTRIT        Nutrition                                                                                                       76
TRANSPOR      Transportation                                                                                                  77
SHOPPING      Shopping                                                                                                        78
LAUNDRY       Laundry                                                                                                         79
HSEKEEP       Housekeeping                                                                                                    80
MANMONEY      Managing Money                                                                                                  81
WORK          Work                                                                                                            82
SCHOOL        School                                                                                                          83
VOLUN         Volunteer Activity                                                                                              84
PARENT        Parenting                                                                                                       85
HOMEMAKE      Homemaking                                                                                                      86
LEISURE       Leisure Activity                                                                                                87
PRIMARY       Of the roles listed above, in general how well is the client performing in his/her primary role?                88

ADDICTIV      How frequently is the client's functioning compromised by addictive or compulsive behaviors?                    89

CRIMINAL      Has the client abided by the law sufficiently to avoid incarceration and/or criminal justice involvement?       90

AGGRESS       Has the client attempted to or actually physically harmed someone?                                              91
RAPE          Rape                                                                                                            92
ASSAULT       Assault                                                                                                         93
THREATS       Threats                                                                                                         94
EXPLOIT       Exploitation                                                                                                    95
HARASS        Harassment                                                                                                      96
SUICATT       Suicide attempt                                                                                                 97
OTHERHAR      Other type of harm to self                                                                                      98
HATECRIM      Hate crimes                                                                                                     99
THEFT         Theft, robbery, vandalism                                                                                       100
ADL           Overall activities of daily living                                                                              101-104
INSERT_DT     Date the record was inserted into the production database                                                       105-112
UPDATE_DT     Date the record was updated in the production database                                                          113-120
F2R           Name of the file the last record was received in                                                                121-141




                                                               Page 5 of 14
                                                      Adult Consumer B-20

Field Label   Field Description                                                                                              Position
                                                                                                                              in File
UCI           MACSIS UCI#                                                                                                    1-12
UPID          Provider ID #                                                                                                  13-24
INSTRUM       Instrument type                                                                                                25-26
ADMINST       Survey administration number                                                                                   27
ADMISSDT      Date of Admission                                                                                              28-35
ADMINDT       Administration date                                                                                            36-43
COMPCODE      Company Code                                                                                                   44-48
GROUP         Group                                                                                                          49-52
DIAGTYPE      Diagnosis Type                                                                                                 53
PDIAG         Primary Diagnosis                                                                                              54-58
LNAME         Consumer’s Last Name                                                                                           59-61
DOB           Date of Birth                                                                                                  62-69
GENDER        Gender                                                                                                         70
EDUCAT        Last school grade completed                                                                                    71-72
RACEW         White                                                                                                          73
RACEN         Native American/Pacific Islander                                                                               74
RACEB         Black/African American                                                                                         75
RACEH         Hispanic/Latino                                                                                                76
RACEA         Asian                                                                                                          77
RACEO         Other                                                                                                          78
RACEU         Unknown                                                                                                        79
MARITAL       What is your current marital status?                                                                           80
LIVSIT        What is your current living situation?                                                                         81
EMPLOY        What is your current employment status?                                                                        82
MANDATED      Are you in treatment because you want to be?                                                                   83
TRANSTYPE     Transaction type                                                                                               84
REFUSAL       Refusal type                                                                                                   85
SDIAG         Secondary Diagnosis                                                                                            86-90
FRIENDSH      The amount of friendship in your life                                                                          91
MONEY         The amount of money in your life                                                                               92
MCOMFORT      How comfortable and well-off are you financially                                                               93
MFUN          How much money you have to spend for fun                                                                       94
MEANING       The amount of meaningful activity in your life (such as work, school, volunteer activity, leisure activities   95
FREEDOM       The amount of freedom you have                                                                                 96
FAMRSHIP      The way you and your family act toward each other                                                              97
PERSONAL      Your personal safety                                                                                           98
NEIGHBOR      The neighborhood in which you live                                                                             99
HOUSING       Your housing/living arrangements                                                                               100
HEALTH        Your health in general                                                                                         101
TIMEWITH      How often do you have the opportunity to spend time with people you really like                                102
PHYSICAL      How often does your physical condition interfere with your day-to-day functioning                              103
MEDICAT       Concerns about my medications (such as side effects, dosage, type of medication) are addressed                 104
STIGMAMH      I have been treated with dignity and respect at this agency.                                                   105
STIGMAP       How often do you feel threatened by people's reactions to your mental health problems?                         106
NERVES        Nervousness or shakiness inside                                                                                107
SCARED        Being suddenly scared for no reason                                                                            108
FEARFUL       Feeling fearful                                                                                                109
TENSE         Feeling tense or keyed up                                                                                      110
PANIC         Spells of terror or panic                                                                                      111
RESTLESS      Feeling so restless you couldn’t sit still                                                                     112
HEAVY         Heavy feelings in arms or legs                                                                                 113
HOMEALON      Feeling afraid to go out of your home alone                                                                    114
WORTHLES      Feeling of worthlessness                                                                                       115
LONEWITH      Feeling lonely even when you are with people                                                                   116
WEAK          Feeling weak in parts of your body                                                                             117
BLUE          Feeling blue                                                                                                   118
LONELY        Feeling lonely                                                                                                 119
UNINTER       Feeling no interest in things                                                                                  120
AFRAID        Feeling afraid in open spaces or on the streets                                                                121
SYMPTREC      How often can you tell when mental or emotional problems about to occur?                                       122
SYMPTPRE      When you can tell, how often can you take care of the problems before they become worse?                       123
FINAN         Quality of Life: financial                                                                                     124-127
SDS           Overall symptom distress                                                                                       128-129
INSERT_DT     Date the record was inserted into the production database                                                      130-137
UPDATE_DT     Date the record was updated in the production database                                                         138-145
F2R           Name of the file the last record was received in                                                               146-166


                                                           Page 6 of 14
                                                  Ohio Scales Youth - 30

Field Label   Field Description                                                                             Position
                                                                                                            in File
UCI           MACSIS UCI#                                                                                   1-12
UPID          Provider ID #                                                                                 13-24
INSTRUM       Instrument type                                                                               25-26
ADMINST       Survey administration number                                                                  27
ADMISSDT      Date of Admission                                                                             28-35
ADMINDT       Administration date                                                                           36-43
COMPCODE      Company Code                                                                                  44-48
GROUP         Group                                                                                         49-52
DIAGTYPE      Diagnosis Type                                                                                53
PDIAG         Primary Diagnosis                                                                             54-58
LNAME         Youth’s Last Name                                                                             59-61
DOB           Date of Birth                                                                                 62-69
GENDER        Gender                                                                                        70
EDUCAT        Youth’s Current Grade Level                                                                   71-72
RACEW         White                                                                                         73
RACEN         Native American/Pacific Islander                                                              74
RACEB         Black/African American                                                                        75
RACEH         Hispanic/Latino                                                                               76
RACEA         Asian                                                                                         77
RACEO         Other                                                                                         78
RACEU         Unknown                                                                                       79
TRANSTYPE     Transaction type                                                                              80
REFUSAL       Refusal type                                                                                  81
SDIAG         Secondary Diagnosis                                                                           82-86
YARGUING      Arguing with others                                                                           87
YFIGHTS       Getting into fights                                                                           88
YYELL         Yelling, swearing, or screaming at others                                                     89
YANGER        Fits of anger                                                                                 90
YREFUSE       Refusing to do things teachers or parents ask                                                 91
YTROUBLE      Causing trouble for no reason                                                                 92
YDRUGS        Using drugs or alcohol                                                                        93
YBREAK        Breaking rules or breaking the law (out past curfew, stealing)                                94
YSKIP         Skipping school or classes                                                                    95
LYING         Lying                                                                                         96
YENERGY       Can't seem to sit still, having too much energy                                               97
YHURT         Hurting self (cutting or scratching self, taking pills)                                       98
YDEATH        Talking or thinking about death                                                               99
YWORTH        Feeling or worthless or useless                                                               100
YLONELY       Feeling lonely or having no friends                                                           101
YANXIOUS      Feeling anxious or fearful                                                                    102
YWORRY        Worrying that something bad is going to happen                                                103
YSAD          Feeling sad or depressed                                                                      104
YNIGHT        Nightmares                                                                                    105
YEATING       Eating problems                                                                               106
YRSHIP        Overall, how satisfied are you with your life right now?                                      107
YCAPAB        How energetic and healthy do you feel right now?                                              108
YSTRESS       How much stress or pressure is in your life right now?                                        109
YOPTIM        How optimistic are you your future right now?                                                 110
YSERVICE      How satisfied are you with the mental health services you have received so far?               111
YTREAT        How much are you included in deciding your treatment?                                         112
YLISTEN       Mental health workers involved in my case listen to me and know what I want.                  113
YSAY          I have a lot of say about what happens in my treatment?                                       114
YFRIENDS      Getting along with friends                                                                    115
YFAMILY       Getting along with family                                                                     116
YDATING       Dating or developing relationships with boyfriends or girlfriends                             117
YADULTS       Getting along with adults outside the family (teachers, principal)                            118
YNEAT         Keeping neat and clean, looking good                                                          119
YHEALTH       Caring for health needs and keeping good health habits (taking medicines or brushing teeth)   120
YEMOTION      Controlling emotions and staying out of trouble                                               121
YMOTIV        Being motivated and finishing projects                                                        122
YHOBBIES      Participating in hobbies (baseball cards, coins, stamps, art)                                 123
YACTIV        Participating in recreational activities (sports, swimming, bike riding)                      124
YCHORES       Completing household chores (cleaning room, other chores)                                     125
                                                        Page 7 of 14
                                                  Ohio Scales Youth - 30

Field Label   Field Description                                            Position
                                                                           in File
YSCHOOL       Attending school and getting passing grades in school        126
YSKILLS       Learning skills that will be useful for future jobs          127
YSELF         Feeling good about self                                      128
YDECIS        Thinking clearly and making good decisions                   129
YCONCEN       Concentrating, paying attention, and completing tasks        130
YMONEY        Earning money and learning how to use money wisely           131
YSUPERV       Doing things without supervision or restrictions             132
YRESPON       Accepting responsibility for actions                         133
YEXPRESS      Ability to express feelings                                  134
PSEVER        Problem severity subscale                                    135-137
HOPE          Hopefulness subscale                                         138-139
SATIS         Satisfaction subscale                                        140-141
FUNC          Functioning subscale                                         142-143
INSERT_DT     Date the record was inserted into the production database    144-151
UPDATE_DT     Date the record was updated in the production database       152-159
F2R           Name of the file the last record was received in             160-180




                                                       Page 8 of 14
                                                  Ohio Scales Parent - 31



Field Label   Field Description                                                                            Position
                                                                                                           in File
UCI       MACSIS UCI#                                                                                      1-12
UPID      Provider ID #                                                                                    13-24
INSTRUM   Instrument type                                                                                  25-26
ADMINST   Survey administration number                                                                     27
ADMISSDT Date of Admission                                                                                 28-35
ADMINDT   Administration date                                                                              36-43
COMPCODE Company Code                                                                                      44-48
GROUP     Group                                                                                            49-52
DIAGTYPE  Diagnosis Type                                                                                   53
PDIAG     Primary Diagnosis                                                                                54-58
LNAME     Youth’s Last Name                                                                                59-61
DOB       Date of Birth                                                                                    62-69
GENDER    Gender                                                                                           70
EDUCAT    Youth’s Current Grade Level                                                                      71-72
RACEW     White                                                                                            73
RACEN     Native American/Pacific Islander                                                                 74
RACEB     Black/African American                                                                           75
RACEH     Hispanic/Latino                                                                                  76
RACEA     Asian                                                                                            77
RACEO     Other                                                                                            78
RACEU     Unknown                                                                                          79
TRANSTYPE Transaction type                                                                                 80
REFUSAL   Refusal type                                                                                     81
SDIAG     Secondary Diagnosis                                                                              82-86
PFORM     Form completed by                                                                                87
PARGUING Arguing with others                                                                               88
PFIGHTS   Getting into fights                                                                              89
PYELL     Yelling, swearing, or screaming at others                                                        90
PANGER    Fits of anger                                                                                    91
PREFUSE   Refusing to do things teachers or parents ask                                                    92
PTROUBLE Causing trouble for no reason                                                                     93
PDRUGS    Using drugs or alcohol                                                                           94
PBREAK    Breaking rules or breaking the law (out past curfew, stealing)                                   95
PSKIP     Skipping school or classes                                                                       96
PLYING    Lying                                                                                            97
PENERGY   Can’t seem to sit steal, having too much energy                                                  98
PHURT     Hurting self (cutting or scratching self, taking pills)                                          99
PDEATH    Talking or thinking about death                                                                  100
PWORTH    Feeling worthless or useless                                                                     101
PLONELY   Feeling lonely or having no friends                                                              102
PANXIOUS Feeling anxious or fearful                                                                        103
PWORRY    Worrying that something bad is going to happen                                                   104
PSAD      Feeling sad or depressed                                                                         105
PNIGHT    Nightmares                                                                                       106
PEATING   Eating problems                                                                                  107
PRSHIP    Overall, how satisfied are you with your relationship with your child right now?                 108
PCAPAB    How capable of dealing with your child’s problems do you feel right now?                         109
PSTRESS   How much stress or pressure is in your life right now?                                           110
POPTIM    How optimistic are you about your child’s future right now?                                      111
PSERVICE  How satisfied are you with the mental health services your child has received so far?            112
PTREAT    To what degree have you been included in the treatment planning process for your child?          113
PLISTEN   Mental health workers involved in my case listen to and value my ideas about treatment planning 114
          for my child.
PSAY      To what extent does your child’s treatment plan include your ideas about your child’s treatment? 115

PFRIENDS      Getting along with friends                                                                  116
PFAMILY       Getting along with family                                                                   117
PDATING       Dating or developing relationships with boyfriends or girlfriends                           118
PADULTS       Getting along with adults outside the family (teachers, principal)                          119



                                                       Page 9 of 14
                                                Ohio Scales Parent - 31



Field Label   Field Description                                                                             Position
                                                                                                            in File
PNEAT         Keeping neat and clean, looking good                                                          120
PHEALTH       Caring for health needs and keeping good health habits (taking medicines or brushing teeth)   121
PEMOTION      Controlling emotions and staying out of trouble                                               122
PMOTIV        Being motivated and finishing projects                                                        123
PHOBBIES      Participating in hobbies (baseball cards, coins, stamps, art)                                 124
PACTIV        Participating in recreational activities (sports, swimming, bike riding)                      125
PCHORES       Completing household chores (cleaning room, other chores)                                     126
PSCHOOL       Attending school and getting passing grades in school                                         127
PSKILLS       Learning skills that will be useful for future jobs                                           128
PSELF         Feeling good about self                                                                       129
PDECIS        Thinking clearly and making good decisions                                                    130
PCONCEN       Concentrating, paying attention, and completing tasks                                         131
PMONEY        Earning money and learning how to use money wisely                                            132
PSUPERV       Doing things without supervision or restrictions                                              133
PRESPON       Accepting responsibility for actions                                                          134
PEXPRESS      Ability to express feelings                                                                   135
PSEVER        Problem severity subscale                                                                     136-138
HOPE          Hopefulness subscale                                                                          139-140
SATIS         Satisfaction subscale                                                                         141-142
FUNC          Functioning subscale                                                                          143-144
INSERT_DT     Date the record was inserted into the production database                                     145-152
UPDATE_DT     Date the record was updated in the production database                                        153-160
F2R           Name of the file the last record was received in                                              161-181




                                                     Page 10 of 14
                                                 Ohio Scales Worker - 32



Field Label   Field Description                                                Position
                                                                               in File
UCI           MACSIS UCI#                                                      1-12
UPID          Provider ID #                                                    13-24
INSTRUM       Instrument type                                                  25-26
ADMINST       Survey administration number                                     27
ADMISSDT      Date of Admission                                                28-35
ADMINDT       Administration date                                              36-43
COMPCODE      Company Code                                                     44-48
GROUP         Group                                                            49-52
DIAGTYPE      Diagnosis Type                                                   53
PDIAG         Primary Diagnosis                                                54-58
LNAME         Youth’s Last Name                                                59-61
DOB           Date of Birth                                                    62-69
GENDER        Gender                                                           70
EDUCAT        Youth’s Current Grade Level                                      71-72
RACEW         White                                                            73
RACEN         Native American/Pacific Islander                                 74
RACEB         Black/African American                                           75
RACEH         Hispanic/Latino                                                  76
RACEA         Asian                                                            77
RACEO         Other                                                            78
RACEU         Unknown                                                          79
TRANSTYPE     Transaction type                                                 80
REFUSAL       Refusal type                                                     81
SDIAG         Secondary Diagnosis                                              82-86
COMPLETE      Form completed by                                                87
WARGUING      Arguing with others                                              88
WFIGHTS       Getting into fights                                              89
WYELL         Yelling, swearing, or screaming at others                        90
WANGER        Fits of anger                                                    91
WREFUSE       Refusing to do things teachers or parents ask                    92
WTROUBLE      Causing trouble for no reason                                    93
WDRUGS        Using drugs or alcohol                                           94
WBREAK        Breaking rules or breaking the law (out past curfew, stealing)   95
WSKIP         Skipping school or classes                                       96
WLYING        Lying                                                            97
WENERGY       Can't seem to sit still, having too much energy                  98
WHURT         Hurting self (cutting or scratching self, taking pills)          99
WDEATH        Talking or thinking about death                                  100
WWORTH        Feeling worthless or useless                                     101
WLONELY       Feeling lonely or having no friends                              102
WANXIOUS      Feeling anxious or fearful                                       103
WWORRY        Worrying that something bad is going to happen                   104
WSAD          Feeling sad or depressed                                         105
WNIGHT        Nightmares                                                       106
WEATING       Eating problems                                                  107
JAIL          Jail                                                             108-109
JUVDET        Juvenile detention/youth corrections                             110-111
INPATIENT     Inpatient psychiatric hospital                                   112-113
DRUGREH       Drug/alcohol rehab center                                        114-115
MEDHOSP       Medical hospital                                                 116-117
RESTX         Residential treatment                                            118-119
GROUPEM       Group emergency shelter                                          120-121
VOCCTR        Vocational center                                                122-123
GROUPHO       Group home                                                       124-125
THERFOST      Therapeutic foster care                                          126-127
EMERSHEL      Individual home emergency shelter                                128-129
SPECFOST      Specialized foster care                                          130-131
FOSTER        Foster care                                                      132-133
SPRVIND       Supervised independent living                                    134-135



                                                      Page 11 of 14
                                                Ohio Scales Worker - 32



Field Label   Field Description                                                                             Position
                                                                                                            in File
FRHOME        Home of a family friend                                                                       136-137
ADHOME        Adoptive home                                                                                 138-139
RELHOME       Home of a relative                                                                            140-141
DORM          School dormitory                                                                              142-143
BIOFATH       Biological father                                                                             144-145
BIOMOTH       Biological mother                                                                             146-147
BIOPAREN      Two biological parents                                                                        148-149
INDWFR        Independent living with friend                                                                150-151
INDSELF       Independent living by self                                                                    152-153
ARRESTS       Arrests                                                                                       154-155
SUSPEN        Suspensions from school                                                                       156-157
DETEN         Days in detention                                                                             158-159
SCHMISS       Days of school missed                                                                         160-161
SELFHARM      Self-harm attempts                                                                            162-163
WFRIENDS      Getting along with friends                                                                    164
WFAMILY       Getting along with family                                                                     165
WDATING       Dating or developing relationships with boyfriends or girlfriends                             166
WADULTS       Getting along with adults outside the family (teachers, principal)                            167
WNEAT         Keeping neat and clean, looking good                                                          168
WHEALTH       Caring for health needs and keeping good health habits (taking medicines or brushing teeth)   169
WEMOTION      Controlling emotions and staying out of trouble                                               170
WMOTIV        Being motivated and finishing projects                                                        171
WHOBBIES      Participating in hobbies (baseball cards, coins, stamps, art)                                 172
WACTIV        Participating in recreational activities (sports, swimming, bike riding)                      173
WCHORES       Completing household chores (cleaning room, other chores)                                     174
WSCHOOL       Attending school and getting passing grades in school                                         175
WSKILLS       Learning skills that will be useful for future jobs                                           176
WSELF         Feeling good about self                                                                       177
WDECIS        Thinking clearly and making good decisions                                                    178
WCONCEN       Concentrating, paying attention, and completing tasks                                         179
WMONEY        Earning money and learning how to use money wisely                                            180
WSUPERV       Doing things without supervision or restrictions                                              181
WRESPON       Accepting responsibility for actions                                                          182
WEXPRESS      Ability to express feelings                                                                   183
PSEVER        Problem severity subscale                                                                     184-186
ROLES         ROLES score                                                                                   187-190
FUNC          Functioning subscale                                                                          191-192
INSERT_DT     Date the record was inserted into the production database                                     193-200
UPDATE_DT     Date the record was updated in the production database                                        201-208
F2R           Name of the file the last record was received in                                              209-229




                                                     Page 12 of 14
                                         CAFAS-33


Field Label   Field Description                                                    Position
                                                                                   in File
UCI           MACSIS UCI#                                                          1-12
UPID          Provider ID #                                                        13-24
INSTRUM       Instrument type                                                      25-26
ADMINST       Survey administration number                                         27
ADMISSDT      Date of Admission                                                    28-35
ADMINDT       Administration date                                                  36-43
COMPCODE      Company Code                                                         44-48
GROUP         Group                                                                49-52
DIAGTYPE      Diagnosis Type                                                       53
PDIAG         Primary Diagnosis                                                    54-58
LNAME         Consumer’s Last Name                                                 59-61
WDOB          Date of Birth                                                        62-69
WSEX          Gender                                                               70
TRANSTYPE     Transaction type                                                     71
REFUSAL       Refusal type                                                         72
SDIAG         Secondary Diagnosis                                                  73-77
ADMIN2        CAFAS administration                                                 78-79
TIME          Time period rated for CAFAS                                          80
RP            Role Performance                                                     81-82
RPSW          Role Performance: School work                                        83-84
RPH           Role Performance: Home                                               85-86
RPC           Role Performance: Community                                          87-88
BEHAV         Behavior Toward Others                                               89-90
MSH           Moods/Self Harm                                                      91-92
ME            Moods/Emotions                                                       93-94
MSHB          Self Harmful Behavior                                                95-96
SUBSTAN       Substance Use                                                        97-98
THINK         Thinking                                                             99-100
TOTAL5        Total for youth based on 5 scales                                    101-103
TOTAL8        Total for youth based on 8 scales                                    104-106
CAREGIV       Scale scores for caregiver’s resources                               107
MATNEED       Material Needs                                                       108-109
SOCSUP        Social Support                                                       110-111
SUICIDE       Has made a serious suicide attempt or is considered to be actively   112
              suicidal or possibly suicidal
HARM                                                                               113
AGRESS        Aggression                                                           114
AGSCH         Aggression at School                                                 115
AGHOME        Aggression at Home                                                   116
AGCOM         Aggression in the Community                                          117
AGBEH         Aggression in Behavior in general                                    118
SEXBEH        Sexual Behavior                                                      119
FIRE          Fire Setting                                                         120
RUN           Runaway Behavior                                                     121
PSYCHOT       Psychotic or organic symptoms in the context of sever impairment     122
SEVSU         Severe Substance Use                                                 123
CGRES         Youth’s needs far exceed caregiver’s resources                       124
INSERT_DT     Date the record was inserted into the production database            125-132
UPDATE_DT     Date the record was updated in the production database               133-140
F2R           Name of the file the last record was received in                     141-161


                                        Page 13 of 14
                                        PECFAS-34


Field Label   Field Description                                                 Position
                                                                                in File
UCI           MACSIS UCI#                                                       1-12
UPID          Provider ID #                                                     13-24
INSTRUM       Instrument type                                                   25-26
ADMINST       Survey administration number                                      27
ADMISSDT      Date of Admission                                                 28-35
ADMINDT       Administration date                                               36-43
COMPCODE      Company Code                                                      44-48
GROUP         Group                                                             49-52
DIAGTYPE      Diagnosis Type                                                    53
PDIAG         Primary Diagnosis                                                 54-58
LNAME         Consumer’s Last Name                                              59-61
WDOB          Date of Birth                                                     62-69
WSEX          Gender                                                            70
TRANSTYPE     Transaction type                                                  71
REFUSAL       Refusal type                                                      72
SDIAG         Secondary Diagnosis                                               73-77
PADMIN2       PECFAS administration                                             78-79
PTIME         Time period rated forPECFAS                                       80
PRP           Role Performance                                                  81-82
PRPSW         Role Performance: School work                                     83-84
PRPH          Role Performance: Home                                            85-86
PRPC          Role Performance: Community                                       87-88
PBEHAV        Behavior Toward Others                                            89-90
PMSH          Moods/Self Harm                                                   91-92
PME           Moods/Emotions                                                    93-94
PMSHB         Self Harmful Behavior                                             95-96
PTHINK        Thinking                                                          97-98
TOTAL5        Total for youth based on 5 scales                                 99-101
TOTAL7        Total for youth based on 8 scales                                 102-104
PCAREGIV      Scale scores for caregiver’s resources                            105
PMATNEED      Material Needs                                                    106-107
PSOCSUP       Social Support                                                    108-109
INSERT_DT     Date the record was inserted into the production database         110-117
UPDATE_DT     Date the record was updated in the production database            118-125
F2R           Name of the file the last record was received in                  126-146




                                       Page 14 of 14     232cb60e-db44-45aa-81f6-e0ca03cb0101.xls

				
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