Consents Form 1a) Consent to Screen PHQ-9 18 y/o Form 1b) Consent to Screen PHQ-9 Youth Form 5a) Eligibility Adult Pre-Database Eligibility Form 58a) Pitt iCHART Child Assent Form 58) Pitt iCHART Parent Consent Form 59) Pitt iCHART Adult Consent Form 60a) CHOP iCHART Child Assent Form 60) CHOP iCHART Parent Consent Form 61) CHOP iCHART Adult Consent Form 62a) iCHART Continued Form 62) iCHART 18 yo Continued (Pitt/CHOP) Form 10) C-SSRS Baseline Added Week 2 Form 11) C-SSRS Follow Up Added Week 2 As Needed Forms Form 30) Vincent Payment Form Form 31) Protocol Deviation Screens/Measures Form 4a) Sociodemographics for Adults Updated Form 6) Social Media Use Form 13) Short Screening Scale for PTSD Form 14) C-MRS Child Mania Rating Scale Form 15) S2BI CRAFFT Form 16) ACIPS-A Form 17) PROMIS Sleep Disturbance Form 18) ABCD Discrimination Form 19) in-Person Victimization Measures Form 19) Peer Victimization Perpetration Questions Form 20) Online Victimization Form 21) Connectedness EDSTARS Form 23) Access to Lethal Means Form 25) Columbia Impairment Scale for Youth Form 26) Columbia Impairment Scale for Parents Form 27) Pediatric ACEs and Related Life Events Screen Form 28) GAD-7 Form 41) Accountable Health Communities Health Related Needs Screen Form 42) Modified PDS Form 50) MEIM Form 51) Protective Factors from ABCD Form 52) Emotion Regulation Protective Factors Form 53) Projects Choice Form Form 55) ROI-A Form 64) Intervention Activities Form Form 1) Consent to Screen PHQ-9 Parents Form 12a) CHOP Child Assent at Recruitment Form 12) CHOP Parent Consent at Recruitment Form 22a) Pitt Child Assent at Recruitment Form 22) Pitt Electronic Consent Parent at Recruitment Form 49) Electronic Consent for Adult Form 54) Verbal Informed Consent Tracking DB Form 56) CHOP ETUDES Center Study 18 yo Form 57) CHOP ETUDES Center Study Continued Participation Form 63) CHOP Child Assent at Recruitment Form 65a) Child Assent Social Media Form 65) Parent Consent Social Media Form 66) Adult Consent Social Media Form 67) Continued Consent Social Media Form 2a) PHQ-9 Modified for Teens Form 2) PHQ-9 Modified for Teens Form 2b) PHQ-9 Subsequent Questions Form 2) PHQ-9 for Follow Ups Form 3) PHQ-9 for Collection Pitt Only Sociodemographics Form 4a) Sociodemographics for Adults Form 4) Sociodemographics for Parent Form 8a) Sociodemographics 2 for Adult Form 8) Sociodemographics 2 for Parent Form 9) Baseline Demographics for Parent Form 24) Baseline Demographics for Child Form 29) Follow Up Sociodemographics for Child/Adult Eligibility Scripts Form 5) ETUDES Eligibility Script Form 32) Blind Broken Form 33) Unanticipated Problems Adverse Events Form 34) CASA Service Treatment Form 35) CASA Professional Help Form 36) CASA Medication Form 37) Insurance Questions Form 38) Suicide Protocol Form 39) Suicide Protocol Documentation Form 39) Suicide Protocol Documentation Updated Form 40) Suicide Protocol Follow Up Documentation Updated Form 43) COVID-19 ETUDES Form 44) Clinical Consultation Documentation Form 45) Violence HI Risk Documentation Form 46) Mandated Child Abuse Reports Form 47) Safety Plan Form 48) CASA Adolescent Form 68) Safety Plan Update Form 100) Withdrawal Termination
