TX HHS Form 5103. Risk and Protective Factor Screening

The TX HHS Form 5103, "Risk and Protective Factor Screening", is a tool used to identify potential risks and strengths in youth. This form helps solve the problem of assessing the well-being and resilience of young individuals, allowing for targeted interventions and support.

This screening form requires information on the individual's experiences with friends doing well in school, substance use, and areas where they are currently facing challenges. Important sections include questions about substances used by friends, current problems faced, and sources of drugs if desired. The form also asks about community drug use and how drugs would be obtained.

The TX HHS Form 5103 is typically used in the Youth Prevention Program-Youth Prevention Indicated (YPI) to assess youth who are experiencing difficulties or exhibiting risk behaviors. This form should be completed when working with youth who may benefit from targeted interventions, such as those experiencing bullying, finding food or a place to sleep, or struggling with substance use.