Welcome to ADAPT©

Advanced Designated Analysis Planning and Tracking Tool

ADAPT© is a new on-line mental health screening instrument designed specifically for children and youth in the child welfare system. It was developed by a psychologist and a psychiatrist with many years of clinical experience in the field. ADAPT organizes and integrates information regarding the complex issues of these children. It delivers a detailed report that can serve as an important step in treatment planning


ADAPT is an on-line instrument available 24/7 to authorized users. It takes approximately 20 minutes to complete. If requested information is not immediately available, the instrument can be paused indefinitely while the information is obtained, resulting in a more complete and accurate screening. A printable report is available immediately upon completion. Analysis of collected data can assist agencies in program development, strategic planning, and resource alignment. ADAPT also provides a convenient way to demonstrate compliance with policies mandating timely screening. In these ways, ADAPT advances efforts to improve the mental health care of these children.


Unlike other currently available mental health screening instruments, ADAPT is designated for use by those charged with the care of children in the child welfare system. It is designated for this population because of their unique clinical needs. The report remains stored in the ADAPT data base and can be accessed anytime, anywhere immediately.


Based upon the BioPsychoSocial model recommended by the American Academy of Child and Adolescent Psychiatry, ADAPT analyzes the whole child from three perspectives: Biological, Psychological, and Social. It then integrates these perspectives into a more complete, holistic understanding of the child.


Because ADAPT synthesizes the broad range of BioPsychoSocial issues impacting children in care, it can be a valuable contribution to the caregiver and agency for appropriate planning. ADAPT provides an individualized report of each child’s particular potential mental health care needs.


Because ADAPT can be retaken at regular intervals, it provides a simple, consistent method of tracking a child’s response to care over time and across agencies. This allows for timely interventions and appropriate alterations to the treatment plan.

ADAPT Summary Reports

ADAPT Generates Summary Reports that provide information about the child in the following areas:

  1. Unidentifiable Demographic Information such as age, gender, grade in school, etc.
  2. Traumatic Childhood Events sustained by the child and a list of validated outcome risks. Studies looking at how these children do into adulthood have found associations to the kinds of trauma they experienced when young. Knowing in advance the potential outcomes for a child can show how high the risks actually are. It can also help with treatment planning by addressing problems preemptively.
  3. Psychological/Behavioral Problems Early identification can go a long way towards improving the treatment plan. Psychologists, psychotherapists, counselors, and social workers are in a much better position to help both the child and his/her family if they have a clear understanding of the child’s thoughts, feelings, and behaviors from the beginning.
  4. Potential Areas for Immediate Consideration require actions to ensure the safety of the child and others living in the home. For example, if a child has sexual behavior problems, runs away, sets fires, or is prone to hurting herself or others, parents must work with helping professionals to put safety plans into place immediately.
  5. Placement Instability Risk helps to determine the child’s risk and protective factors related to remaining in a stable, continuous placement. Predicting the risk level of a failed placement or other negative outcomes allows for appropriate supportive and preventive interventions to be made.
  6. Psychiatric Disorder Risks drawn from the DSM-V*, lists the possible psychiatric diagnoses that fit the child or youth. If there is a reasonable likelihood of one of these disorders being present, valuable time can be saved by an immediate referral to a psychiatrist for further evaluation and treatment if indicated.
  7. Psychotropic Medication Utilization, based upon guidelines for children in foster care by the Texas Department of Family and Protective Services, can identify the over and/or underuse of medications, the appropriateness of the child’s medications, and the need to have these checked by a physician.
  8. Medical Concerns are of obvious importance in mental health screening. When children are sick their symptoms are often behavioral, e.g., crying, not eating, sleeping poorly, etc. These also happen to be some of the primary symptoms of Depression. Mistakenly attributing symptoms of medical illness to mental illness and vice versa can be avoided or reduced. And children in care have an astoundingly high rate of medical as well as mental illness.
  9. Strengths of the child related to resiliency and recovery. All children and youth have strengths, talents, skills, hopes, and dreams. It is vitally important that these be recognized and nurtured for overall health and wellness.
  10. Findings and Considerations offers an integrated plan for further assessment if indicated and treatment options specific to the child’s needs.

ADAPT reports are suitable for use as initial and follow-up documentation for the court.

*Diagnostic and Statistical Manual, American Psychiatric Association, Edition 5

A 3-D View of Foster, Kinship, and Adopted Children

Using the Bio-Psychosocial Model to Better Understand Children with Multiple Negative Impacts.

A 3-D View examines the “big picture” of troubled foster, kinship and adopted children. Eschewing a single, narrow perspective of these struggling children, the authors support a three-dimensional viewpoint. The 3-D approach integrates information from biological, psychological, and social dimensions to furnish depth and breadth to the understanding and treatment of at-risk children. The book describes:

  • Foster, kinship, and adopted children who have suffered from “multiple negative impacts”, e.g. prenatal exposure to drugs and/or alcohol, chronic child maltreatment (“complex trauma”), and a growing list of caregivers and placements.
  • How damaging individual factors (negative impacts) add to and sometimes multiply the destructive influences of other factors.
  • Use of the “bio-psychosocial model” for a more complete, integrated understanding of multiply-impacted children and their mental health problems.
  • Practical design of treatment plans and interventions for troubled foster, kinship, and adopted children.
Wow, this book is fantastic...so much of value to caregivers in such a few pages...Excellent resource for all tenured and new foster, kinship, and adoptive parents. A must read.
A 3-D View is a gift...It makes sense of the complex world of foster, kinship, and adopted children...(and) should be required reading...Successful parenting begins with this book.
I find this comprehensive perspective and approach to parenting interventions very practical and thorough…This book contributes greatly to our field…
I have not found a more concise, usable, accurate and clear description of what goes wrong with kids, and what to do about it.
This book is for anyone who is on the road to healing with a child who has experienced the biological, psychological, and social impacts of abuse or neglect. A 3-D View is a great resource!
Training & Workshops
ADAPT Trainings

ADAPT is available to agencies who wish to screen many or all of the children in their care. It may be advantageous for caseworkers or other staff to have an “inservice training” on the background and “nuts and bolts” of ADAPT prior to distributing, explaining, collecting, interpreting results, and recommending programmatic changes based upon the data generated. For this reason, trainings are available in person or via webinar.

A 3-D View of Foster, Kinship, and Adopted Children Workshops

Workshops based upon the book and presented by the author(s) are available.

Special Requests

Dr’s. Kagan and Delaney are available to provide talks, seminars, workshops, and webinars.


For information on ADAPT orders, scheduling trainings and/or book orders, contact:

icon 2 970-223-5125

icon 3contact@a3-dview.com

If you think you are having a medical or mental health emergency, call your doctor or 911 immediately. Do not rely on communication through this website for immediate, urgent medical or mental health needs. This website is not designed to facilitate medical or mental health emergencies.