MHYR Needs Assessment Form

The following form will help you determine if MHYR is a suitable program for your troubled teens needs. The first set of checkboxes are conditions that we treat at MHYR. The second set of checkboxes with criteria marked in red are conditions that you will need to contact a MHYR admissions counselor to determine enrollment eligibility.

Defiance toward authority figures
Poor/declining relationship with family members
Lack of self-esteem and/or confidence
Out of control behavior in the home, school, and/or community
Emotional outbursts/inability to channel anger appropriately
Poor personal motivation
Emotional immaturity
More concerned with possessions than with people
Social phobias
Running Away
Truancy or lack of participation in educational opportunities
Underachieving
Minor delinquencies or legal offenses
AD(H)D- Attention Deficit Disorder with or without the hyperactivity
ODD- Oppositional Defiant Disorder
Non-psychotic depression
Low ego strength
Impulsive behavior
Lying/manipulative action
Stealing and/or lack of respect for property of others
Experimentation with drugs and/or alcohol
Poor interpersonal skills
Choosing a negative peer group/easily influenced by friends
Treatment Resistant

If any checkboxes below are marked please contact a MHYR admissions counselor to see if an exception can be made for your teen. The admissions number is: (866) 781-2450

History of violent episodes that have required physical or medical restraint
A need for substance abuse detoxification
Serious criminal charges
Sexual Offenders
Long history of serious drug/alcohol abuse
Pregnancy
Major medical problems that have not been stabilized (we can not accept students that are diabetic or epileptic)
A psychiatric condition that has not been controlled through use of medication
History of or substantial potential for suicidal attempt
Schizophrenic or sociopath personality disorders
Very poor physical condition or physical impairments
Obesity
Intelligent Quotients (IQ) below 80