The Crisis Stabilization Scale (CriSS) is a clinician-rated instrument to be used with adolescents identified for crisis services. The clinician rates the extent to which an adolescent client has met specific goals related to crisis stabilization. Scores may be compared to a normative sample or pre-established criteria to determine the extent to which clients meet specific goals related to safety, coping, and additional follow-up services.
The CriSS was developed specifically for adolescents who are in crisis -- a danger to self or others. In such cases, adolescents are often referred and admitted to acute care psychiatric hospitals/crisis stabilization units, and it was for this specific scenario that the CriSS was originally developed. The CriSS may be used to track progress toward stabilization for adolescents in crisis, inform clinical decisions, and indicate treatment or program effectiveness.
Copyright © 2014 by Richard S. Balkin
Features of the CriSS
Purpose: Measure goal completion related to crisis stabilization in adolescents.
Length: 25 items
Average completion time: 10 minutes
Target population: Adolescents who are in crisis - a danger to self or others
Administration: For individual administration
Uses of the CriSS
The CriSS is a 25-item instrument consisting of two subscales, coping and commitment to follow-up.
The coping subscale consists of items that address goals related to the client's ability to commit to safety, identify relevant problem areas, and process coping skills.
The follow-up subscale addresses goals related to the client's ability and willingness to pursue continued services beyond crisis stabilization.
The following studies comprise a chronological annotated bibliography describing past studies using the CriSS, formerly known as the Goal Attainment Scale of Stabilization (GASS).
Balkin, R. S. (2013). Validation of the Goal Attainment Scale of Stabilization. Measurement and Evaluation in Counseling and Development, 46, 261-269. doi: 10.1177/0748175613497040
Balkin, R. S., Flores, S. A., & Casillas, C. (2011). Differences in therapeutic goal attainment for adolescents with substance abuse issues in general and dual diagnosis crisis residence programs. Counseling Outcome Research and Evaluation, 2, 1-7. doi: 10.1177/2150137811401020
Balkin, R. S., Leicht, D. J., Sartor, T., & Powell, J. (2011). Assessing the relationship between therapeutic goal attainment and psychosocial characteristics for adolescents in crisis residence. Journal of Mental Health, 20, 32-42. doi: 10.3109/09638237.2010.537402
Balkin, R. S., Casillas, C., Flores, S. A., & Leicht, D. J. (2011). A systemic perspective to understanding predictors of therapeutic goal attainment for adolescents in crisis residence. The Family Journal, 19, 36-40. doi: 10.1177/1066480710387243
Balkin, R. S., & Roland, C. B. (2007). Reconceptualizing stabilization for counseling adolescents in brief psychiatric hospitalization: A new model. Journal of Counseling & Development, 85, 64-72. doi: 10.1002/j.1556-6678.2007.tb00445.x
Balkin, R. S., & Roland, C. B. (2005). Identification of differences in gender for adolescence in crisis residence. Journal of Mental Health, 14, 637-646. doi: 10.1080/09638230500347707