TX HHS Form 5103. Risk and Protective Factor Screening

The TX HHS Form 5103, Risk and Protective Factor Screening, is a tool designed to help identify and address potential issues in youth prevention programs. This form is typically used by professionals working with young people who are at risk of substance abuse or other negative behaviors. By completing this screening, individuals can gain valuable insights into the factors that contribute to these problems and develop targeted strategies for intervention.

The form asks a series of questions about the individual's experiences and relationships, including their academic performance, social connections, and exposure to substances. It also provides an opportunity to identify specific areas where difficulties are being experienced, such as at school or home. This information can be used to inform the development of personalized support plans and interventions.

• This form is intended for use in youth prevention programs, particularly those focused on indicated prevention (YPI).
• It is designed to help professionals identify risk factors and protective factors that may influence an individual's behavior or well-being.