Contents

9.1 Screen Completion Date 
9.2 Time to Complete Screen
9.3 Final Notes

The screen completion date is the date when all sections were completed by the certified screener, not the date information is entered into the computer. Indicate the date on which all sections of the CLTS FS were complete. It may take more than one day to complete all sections, especially if a screener must wait for information from health care providers. It is acceptable for one person to enter the demographic information (module 2) and for the certified screener to complete the clinical entries (modules 3-10). However, all of the screen entry time should be combined and put under the certified screener's name.

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9.2 Time to Complete Screen

Face-to-Face Contact with Child and Parent(s) or Guardian
This is the amount of time the screener spent face-to-face meeting with the child and/or their parent(s) or primary caregiver. Face-to-Face contact includes the entire time spent at a home visit with the immediate family even if the child is only seen for part of that visit. For example, if the screener is at the home for 1½ hours but the child was only present for the last 30 minutes, the screener would put 1 hour, 30 minutes under face-to-face contact.

Collateral Contacts
This is the amount of time the screener spent face-to-face meeting with collateral contacts (extended family members, teachers, therapists, health care providers, etc). And/or the amount of time the screener spent on the phone talking with collateral contacts. This includes phone conversations with the child's parent(s) or guardian. Do not include conversations with others who are present at a home visit. For example, if the screener is at the home visit and the child's teacher is also at the home visit, the entire time spent in the home is recorded as face-to-face contact not collateral contact.

Paper Work
This is the amount of time the screener spent doing paperwork and paper research to complete the CLTS FS. Phone contact with the parent or primary caregiver should be included in this category. This does not include intake preparation.

Travel Time
This is the amount of time the screener spent traveling to and from appointments associated with the gathering of information necessary to complete the CLTS FS.

• Write all times as hours and minutes rounded to the nearest 15 minutes.
• The CLTS FS application will sum them up for the total time.

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9.3 Final Notes

This space is provided for the screener to enhance or support the items they have checked (or did not check) on the CLTS FS. Some screeners may use the note section to complete necessary requirements for individual programs (e.g., narrative assessment for Waivers). However, this is NOT the primary purpose of the note sections as they relate to the CLTS FS. The PRIMARY purpose or expectation is that notes will be made to strengthen and corroborate items checked on the screen. If notes are added to existing notes on a page, the most current notes should always be at the top of the list. If a screener does not agree with previous notes on a page, or those notes are no longer applicable for the child, notes from previous screens can be deleted. Notes are always saved on the original screen and can be found in the History Screens section. Notes are to be entered in the following format:

Date (mm/dd/yy): Comments… Screener initials / program affiliation

By adhering to this format, a screener's comments are securely written between the date of the note and their initials. This reduces the opportunity for other screeners to inadvertently add comments to someone else's notes. Screeners are responsible for the notes they create.

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Last Revised: February 04, 2011
Wisconsin Department of Health Services
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