In general, the CANS Lifetime reads as an assessment for children.  Some clinical staff may have difficulty administering to adults especially if they have limited exposure to working with children.  It will be difficult for one assessment to accurately assess across the lifespan.  

I'm additionally concerned at some of the ratings which suggest immediate action is needed. For example, what if a person has uncontrolled and/or untreated diabetes.  The individual has free will, but we have an assessment dictating immediate action needed.  What if the person refuses?  This assessment is said to guide treatment planning, but where does the individuals voice and choice fit in.  Similarly, what if a person is homeless, but has no income?  Many of our rural areas do not have shelters or day programs.   Sadly, there is often no immediate action that can be taken.   Who assumes this liability if immediate action is not or cannot be taken. 

How are CSB's expected to manage Same Day Access and implement an assessment such as this?  Not only is this burdensome for an assessor. It creates a barrier to accessing services for individuals with some of the highest needs. Already our assessment process is overwhelming to the individuals we serve. Adding an additional, time-consuming step is disappointing to say the least.  Furthermore, many of our agencies are short staffed. This will further limit our capacity to assist those in need.  

I assume that each program will have policy regarding how often the CANS Lifetime is administered.  How often is it expected to be administered per the guidelines or suggestions of those who developed it?