Annual Risk Assessment

SBHC providers should annually assess children and adolescents to gauge potential environmental, social, emotional, and behavioral threats to their wellbeing; create opportunities to intervene early; and organize a response for students who are at highest or immediate risk for harm.

Annual Risk Assessment Case Examples

SBHC providers in Connecticut implemented routine Rapid Assessment for Adolescent Preventive Services (RAAPS) screenings of clients to identify students with risk behaviors who might have been missed for intervention they hadn’t been screened. These providers not only identified students with behavioral health needs, but also those who were being bullied, physically or sexually abused, or engaging in risky sexual behaviors.

Other Resources

Do you have a promising strategy or resource you believe would be helpful to other SBHCs working to increase the number of SBHC clients with a well child visit? Share it with us by sending an email to and we’ll post it here!

Frequently Asked Questions

  • Conduct a risk assessment at every new patient visit then annually thereafter.
  • Deliver a risk assessment in conjunction with other SBHC visits, including but not limited to the well-child visit.
  • Identify SBHC clients who have had a documented WCV in the past 12 months but don’t have any risk assessment documentation. Schedule risk assessments with those clients.
  • If your SBHC has the ability to conduct the necessary follow-up, work with your school administrators to complete risk assessments of all students.
  • Collaborate with a network of mental health providers to complete screening and follow-up, especially if the number of students with needs exceeds your available staff resources.
  • When screening for risk behaviors, use an electronic tool such as a tablet or computer so both the medical and behavioral health providers can access the results of the screen.
  • If your comprehensive WCV already includes a risk assessment, you can count those visits toward the number of students with a risk screen.
  • You can also create a discrete field in your EHR to note that a risk assessment was completed as a separate service from the WCV.

Telehealth Ideas