Dear Collaborative: Frequently Asked Questions (FAQs)

Question 1:
I remember learning about "the masking principle" in training but I don't remember what it was-can you help?
When we use the TCOM tools we want to rate the needs and strengths based on the person, NOT the person in care. Treatment interventions that are already in place can "mask" or cover up symptoms that would indicate a need for action if they were not already being addressed. It is important to rate the items on the CANS or ANSA for the person in their natural environment to ensure that the tool highlights all actionable areas. E.g., If a client is prescribed medication for ADHD that "masks" their hyperactivity, you will rate the impulsivity/hyperactivity item as if they did not have that intervention in place. This will ensure that staying on medication/other interventions are part of your planning in that area.

Question 2:
Do I have to take all the CANS tests listed on the testing page to work with all those ages?
No! You just need to test once. The testing website gives you the ability to choose what age you'd like your testing vignette client to be so that you can test with a person who is similar to the ages you work with most. You only have to test and pass once and you will then be certified to use the CANS or the ANSA with any age client for one year!

Question 3:
Why are there "trigger items" that make me rate more items? 
Trigger items are items that allow you to dig deeper and better describe aspects of a particular need item. E.g., If your client has a ratable need for the "school behavior" item, you will want to know if the need is related to tardiness or bullying or discipline or something else. The extra items allow you to drill down and better identify the actionable need in a more focused way so you know what to create an action plan for.