Clinical Decision Instrument · 1915(i) Readiness

Engage in Change™

Readiness & Service Fit Assessment

Step 1 of 4

Step 01 — The Opening Question

Ask, then listen fully.

Are you looking for help with your current situation, or are you looking to make changes so this doesn't keep happening?

↳ Pause. Do not fill the silence.

What best describes the client's response? "I just need help right now"Survival / stabilization focus "Both" — hesitant or vagueCurious but not yet committed "I want things to be different"Open to change "I'm ready to do something different"Ownership + readiness signaled Deflects, blames, or avoids the questionExternalized responsibility

Step 02 — Confirm With Behavior

What they'll do matters more than what they say.

What's one thing you're willing to do this week to move in that direction?

↳ Listen for specificity and ownership.

How would you describe their response? No clear answer — redirects or stays silentNot ready for behavioral commitment "I'll try" or similar — general and non-committalLow commitment signal Names a specific action, but uncertain howEmerging readiness Specific action with a timeframe or planReady for structured support

Step 03 — Final Classification

Confirm your placement.

Based on steps 1 and 2, select the classification that best reflects this client. Your prior responses suggest: —

Select final classification

Support-OnlyWants relief · No change readiness TCM

Support + CuriousOpen · Inconsistent effort TCM → Monitor

Change-AwareWilling · Unstructured 1915(i) Candidate

Change-EngagedTakes ownership · Action-oriented Strong 1915(i)

ResistantAvoids responsibility · External locus TCM (limited)

Does your selection match the client's demonstrated behavior? Yes — aligned with behaviorClassification reflects what you observed No — overriding based on contextRequires justification before proceeding

Justification for override (required)

↳ This note will be appended to the documentation line.

Step 04 — Assessment Result

Classification complete.

Classification

—

Best Fit: —
Readiness Level: —
Recommended Path: —
Reassessment Window: —
Override Applied: —

Documentation Line — Copy/Paste Ready

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Your Next Move

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Re-Entry Signals — Trigger Tracking

Mark signals heard during this session

Signals heard: 0 of 4

"I'm tired of this."
"This keeps happening."
"I need to do better."
"I don't know how to fix this."

          ↳ One or more re-entry signals detected. Consider re-running assessment at next contact.
        

Engage in Change™ · 1915(i) Readiness & Service Fit Assessment · For clinical use