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Benzoni S., Bianchi S., D’Arrezzo A., Chinello, Parascenzo A., Di Troia A., A. Didoni A. e Tortorella R. (2024), Gli strumenti CANS come strategia per tradurre i mandati istituzionali in pratiche collaborative utili e sostenibili. Dalla delibera n. XI/7752 del 2022 di Regione Lombardia al Progetto terapeutico riabilitativo individualizzato nella comunità terapeutica per minori Omada, Gruppo di Betania, Milano, MINORIGIUSTIZIA, fascicolo 2023/3, pp. 205-220.

Chinello, A., Benzoni, S., Didoni, A., Di Troia A., Peronace F., Parascenzo A., Michelini G., Lyons J.S., e Costantino M. A., (2020), CANS (Child and Adolescent Needs and Strengths scale): validazione italiana di uno strumento per la valutazione multidimensionale e multiassiale di esito per i servizi di neuropsichiatria dell’infanzia e dell’adolescenza, Giornale di Neuropsichiatria dell’Età Evolutiva, vol. 40, pp. 1-7

Benzoni, S., Chinello, A., Didoni, A., Di Troia, A., Parascenzo, A., Peronace, F., & Costantino, A. (2019). Valutazione di esito nei servizi di Neuropsichiatria dell’Infanzia e dell’Adolescenza con gli strumenti della famiglia CANS. La salute mentale di bambini e adolescenti: bisogni emergenti e risposte dei servizi di NPIA, Giornale di Neuropsichiatria dell’Età Evolutiva, vol. 39, pp.176-181

Costantino M. A., Benzoni S., Didoni A., Di Troia A., Parascenzo A., Peronace F. e Chinello, A. (2019), Nuovi modelli per la valutazione di esito nelle situazioni psicosociali complesse, MINORIGIUSTIZIA, fascicolo 2019/2, pp. 158-165.

MARTA ZAMBALDO. LA CHILD AND ADOLESCENT NEEDS AND STRENGTHS (CANS): QUANDO I BISONI E I PUNTI DI FORZA DIVENGONO STRUMENTO TERAPEUTICO PER LA PREESA IN CARICO DEL PAZIENTE ADOLESCENTE (2021-2022). UNIVERSITA' DEGLI STUDI DI MILANO, Facoltà di Medicina e Chirurgia, Corso di Laurea in Tecnica della Riabilitazione Psichiatrica

GIULIA PALMAS. LA VALUTAZIONE DEGLI ESITI CLINICI NELL'ACUZIE PSICHIATRICA IN ADOLESCENZA: STUDIO RETROSPETTIVO SUI PAZIENTI IN CARICO AL PROGETTO PER.C.I.VAL (2021). UNIVERSITÀ DEGLI STUDI DI MILANO-BICOCCA, Dipartimento di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica e Neuropsicologia del Ciclo di Vita.

FRANCESCA FILOGRASSO. BISOGNI E RISORSE DEI MINORI NELLE COMUNITÁ TERAPEUTICHE: UNO STUDIO CON LO STRUMENTO CANS (CHILD AND ADOLESCENT NEEDS AND STRENGTHS) SUL TERRITORIO NAZIONALE (2020).  UNIVERSITÀ DEGLI STUDI DI MILANO-BICOCCA, Dipartimento di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica e Neuropsicologia del Ciclo di Vita. 

GIUSEPPINA PANARELLA. LO STRUMENTO «CAT» (Crisis Assessment Tool) NELE ACUZIE PSICHIATRICHE IN ADOLESCENZA. STUDIO DI CROSS-VALIDAZIONE DELLA VERSIONE ITALIANA (2020). UNIVERSITÀ DEGLI STUDI DI MILANO-BICOCCA, Dipartimento di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica e Neuropsicologia del Ciclo di Vita.

GIULIA SAGRADA. TRATTAMENTO DIALETTICO COMPORTAMENTALE PRESSO UN CENTRO DIURNO PSICHIATRICO PER ADOLESCENTI: BISOGNI E PUNTI DI FORZA COME FATTORI PER ORIENTARE I PERCORSI CLINICI (2020). UNIVERSITÀ DEGLI STUDI DI MILANO-BICOCCA, Dipartimento di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica e Neuropsicologia del Ciclo di Vita.

ALESSANDRA RIVA. ORIENTARE LE DECISIONI CLINICHE PRESSO IL CENTRO DIURNO 0-5 ANNI: TIPIZZAZIONE DI BISOGNI E PUNTI DI FORZA ATTRAVERSO LO STRUMENTO CANS (2020). UNIVERSITÀ DEGLI STUDI DI MILANO-BICOCCA, Dipartimento di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica e Neuropsicologia del Ciclo di Vita.

ADA VRAHORITI. TIPIZZAZIONE DEI BISOGNI E DEI PUNTI DI FORZA PER ORIENTARE LE DECISIONI CLINICHE NEI BAMBINI IN ETÀ PRESCOLARE ATTRAVERSO L’USO DELLO STRUMENTO CANS 0-5 (CHILD AND ADOLESCENT NEEDS AND STRENGTHS. BIRTH TO FIVE): L’ESPERIENZA DEL CENTRO DIURNO PICCOLI (2020). UNIVERSITÀ DEGLI STUDI DI MILANO, Facoltà di Medicina e Chirurgia, Corso di Laurea Magistrale in Medicina e Chirurgia.

CATIA LO RUSSO. INDICATORI DI COMPLESSITA’ CLINICA PER ADOLESCENTI IN COMUNITA’ TERAPEUTICA: UNO STUDIO CON GLI STRUMENTI CANS (2020). UNIVERSITA’ DEGLI STUDI DI MILANO-BICOCCA, Dipartimento di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica e Neuropsicologia del Ciclo di Vita.

CRISTINA STEFANIA. LO STRUMENTO CHILD AND ADOLESCENT NEEDS AND STRENGTHS (CANS) PER LA VALUTAZIONE DI BISOGNI E RISORSE DEGLI UTENTI SU UN CAMPIONE DI COMUNITA’ TERAPEUTICHE PER ADOLESCENTI IN ITALIA (2019). UNIVERSITÀ DEGLI STUDI DI MILANO-BICOCCA, Dipartimento di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica, dello Sviluppo e Neuropsicologia.

PIETRO CAPETTI. LA VALUTAZIONE DI ESITO NELL’ ACUZIE PSICHIATRICA DELL’ADOLESCENTE: STUDIO PRELIMINARE DI VALIDAZIONE DELLA VERSIONE ITALIANA DEL CRISIS ASSESSMENT TOOL (CAT) NELL’ESPERIENZA DEL PROGETTO (2019). UNIVERSITÀ DEGLI STUDI DI MILANO, Facoltà di Medicina e Chirurgia, Corso di Laurea Magistrale in Medicina e Chirurgia. 

MARTINA ANSELMI. COMUNITÀ TERAPEUTICHE PER MINORI: UN PRIMO STUDIO LONGITUDINALE CON LO STRUMENTO CHILD AND ADOLESCENT NEEDS AND STRENGHTS (2019). UNIVERSITÀ DEGLI STUDI DI MILANO-BICOCCA, Dipartimento di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica, dello Sviluppo e Neuropsicologia. 

GINEVRA TORLASCO. MINORI STRANIERI NON ACCOMPAGNATI CON DISTURBI PSICHIATRICI: ANALISI DEI BISOGNI E DEI PUNTI DI FORZA PER ORIENTARE I PERCORSI CLINICI (2019). UNIVERSITA’ DEGLI STUDI DI MILANO- BICOCCA, Facoltà di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica e Neuropsicologia nel Ciclo di Vita

LAURA PERSONENI. CENTRO DIURNO DIAGNOSTICO TERAPEUTICO PER BAMBINI 2-5 ANNI: TIPIZZARE BISOGNI E PUNTI DI FORZA PER ORIENTARE LE DECISIONI CLINICHE (2019). UNIVERSITÁ DEGLI STUDI DI MILANO-BICOCCA, Facoltà di Psicologia, Corso di Laurea Magistrale in Psicologia Clinica e Neuropsicologia nel Ciclo di Vita

CHIARA VINCENZI. L'UTILIZZO DELLA SCALA DI VALUTAZIONE GLOBALE “CAT – CRISIS ASSESSMENT TOOL”  E DELLA SCALA DI VALUTAZIONE DELL’INTENSITA’ DI CURA “HEADS-ED” NELL'EMERGENZA PSICHIATRICA IN ETA' EVOLUTIVA (2016). UNIVERSITA’ DI VERONA, SCUOLA DI MEDICINA E CHIRURGIA, Scuola di Specializzazione in Neuropsichiatria Infantile.

ALICE LISIGNOLI. PRESENTAZIONE DI UNO STRUMENTO DI VALUTAZIONE MULTIDIMENSIONALE PER LA PROGRAMMAZIONE DEGLI INTERVENTI ED IL MONITORAGGIO DEGLI ESITI IN BAMBINI CON DISTURBO DEL NEUROSVILUPPO (0-5 ANNI). UNIVERSITA’ DEGLI STUDI DI MILANO, Facoltà di Medicina e Chirurgia, Corso di Laurea in Terapia della Neuro e Psicomotricità dell’Età Evolutiva.

• Lyons, J. S. (2009). Communimetrics: A communication theory of measurement in human service settings. Springer Science & Business Media. 

• Anderson, R. L., Lyons, J. S., Giles, D. M., Price, J. A., & Estle, G. (2003). Reliability of the child and adolescent needs and strengths-mental health (CANS-MH) scale. Journal of Child and Family Studies, 12(3), 279-289. 

• Lyons, J. S., Weiner, D. A., & Lyons, M. B. (2004). Measurement as communication in outcomes management: The child and adolescent needs and strengths (CANS). The use of psychological testing for treatment planning and outcomes assessment: instruments for children and adolescents, 2, 461-76. 

• Cordell, K. D., Snowden, L. R., & Hosier, L. (2016). Patterns and priorities of service need identified through the Child and Adolescent Needs and Strengths (CANS) assessment. Children and Youth Services Review, 60, 129-135. 

• Cappelli, M., Gray, C., Zemek, R., Cloutier, P., Kennedy, A., Glennie, E., ... & Lyons, J. S. (2012). The HEADS-ED: a rapid mental health screening tool for pediatric patients in the emergency department. Pediatrics, 130(2), e321-e327. 

• Cappelli, M., Zemek, R., Polihronis, C., Thibedeau, N. R., Kennedy, A., Gray, C., ... & Cloutier, P. (2020). The HEADS-ED: Evaluating the clinical use of a brief, action-oriented, pediatric mental health screening tool. Pediatric emergency care, 36(1), 9-15. 

• Lyons, J., & Lyons, J. S. (2004). Redressing the emperor: Improving our children's public mental health system. Greenwood Publishing Group.

Additional CANS Bibliography

Anderson, RL (2003).  Use of community-based services by rural adolescents with mental health and substance use disorders.  Psychiatric Services, 54, 1339-1341.

Anderson, RL, Estle, G.  (2001). Predicting level of mental health care among children served in a delivery system in a rural state.  Journal of Rural Health, 17, 259-265.

Anderson, RL, Lyons, JS, Giles, DM, Price, JA, Estes, G.  (2002). Examining the Reliability of the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) Scale from two perspectives: A comparison of clinician and researcher ratings.  Journal of Child and Family Studies, 12, 279-289.

Duncan, Jennifer (2007). Predictive factors of success for adolescents in a residential treatment facility. Dissertation Abstracts International: Section B: The Sciences and Engineering, 67(7-B), 4102. State University of New York at Buffalo.


Effland, VS, Walton, BA, McIntyre,  JS (2011).  Connecting the Dots: Stages of Implementation, Wraparound Fidelity and Youth Outcomes,  Journal of Child and Family Studies,  20, 6, 736-746.

Epstein, RA, Jordan, N, Rhee, YJ, McClelland, GM, Lyons, JS (2009).  The relationship between caregiver capacity and intensive community service for children with a mental health crisis.  Journal of Child and Family Studies, 18, 303-311.

Epstein, RA, Bobo, WV, Cull, MJ, Gatlin, D (2011).  Sleep and school problems among children and adolescents in state custody.  Journal of Nervous and Mental Diseases, 199, 4, 251-256.

Fawley, K., Shalla, H., Griffin, G., Lyons, J. S. (2004) Addressing the mental health needs of detained juveniles. Correctional Health Care Report;  January/February, 7-8, 96.

Fontanella, C.A. (2008). The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents.  American Journal of Orthopsychiatry, 78, 187-198.

Greenham, SL, Bisnaire, L (2008).  An outcome evaluation of an inpatient crisis stabilization and assessment program for youth.  Residential Treatment for Children and Youth, 25, 123-144.

Griffin, G, Martinovich, Z, Gawron, T, Lyons, JS (2009).  Strengths moderate the impact of trauma on risk behaviors in child welfare.  Residential Treatment for Children and Youth, 26, 105-118.

Griffin, G., McEwan, E., Samuels, B. H., Suggs, H., Redd, J. L., & McClelland, G. M. (2011). Infusing protective factors for children in foster care. Psychiatric Clinics of North America, 34(1), 185-203.

He, XZ, Lyons, JS, Heinemann, AW. (2004).  Modeling crisis decision making for children in state custody.  General Hospital Psychiatry, 26, 378-383.

Kennedy A., Cloutier P., Glennie JE., Gray, C. (2010) Establishing Best Practice in Pediatric Emergency Mental Health: A Prospective Study Examining Clinical Characteristics. Pediatric Emergency Care. (in press).

Kisiel, C, Fehrenbach, T, Small, L, Lyons, JS (2009).  Assessment of Complex Trauma Exposure, Responses and Service Needs among Children and Adolescents in Child Welfare.  Journal of Child and Adolescent Trauma 2, 143-160.

Leon, SC, Snowden, J, Bryant, FB, Lyons, JS. (2006).  The hospital as predictor of children’s and adolescents’ length of stay.  Journal of the American Academy of Child & Adolescent Psychiatry, 45, 322-328.

Leon, S.C., Visscher, L., Sugimura, N., & Lakin, B.L. (2008). Person job

match among frontline staff working in residential treatment centers: The impact of  personality and child psychopathology on burnout experiences.  American Journal of  Orthopsychiatry, 78, 240-248.

Lyons, JS, Uziel-Miller, ND, Reyes, F, Sokol, PT. (2000).  The strengths of children and adolescents in residential settings:  Prevalence and associations with psychopathology and discharge placement. Journal of the Academy of Child and Adolescent Psychiatry 39, 176-181.

Lyons, JS, Rogers, L (2004).  The U.S. child welfare system:  A defacto public behavioral healthcare system.  Journal of the American Academy of Child and Adolescent Psychiatry, 43, 971-973.

Lyons, JS, MacIntyre, JC, Lee, ME, Carpinello, S, Zuber, MP, Fazio, ML (2004).  Psychotropic medication prescription patterns for children and adolescents in New York’s public mental health system.  Community Mental Health, 40, 101-118.

Lyons, JS, Griffin, G, Jenuwine, M.Shasha, M, Quintenz, S. (2003).  The mental health juvenile justice initiative.  Clinical and forensic outcomes for a state-wide program.  Psychiatric Services, 54, 1629-1634.

Lyons, JS (2004).  Redressing the Emperor:  Improving the children’s public mental health system. Praeger Publishing, Westport, Connecticut.

Lyons, JS, Weiner, DA, Lyons, MB (2004).  Measurement as communication.  The Child

and Adolescent Needs and Strengths tool  .  In M. Mariush (Ed.)  The use of psychological testing for treatment planning and outcome assessment. 3rd Edition, volume 2, Lawrence Erlbaum Associates, Inc, Mahwah, New Jersey pp 461-476

Lyons, JS, Helgerson, J, Fawley, K. (2004).  Future directions in the use of psychological

assessment for treatment planning and outcomes assessment:  predictions and recommendations.  In M. Mariush (Ed.)  The use of psychological testing for treatment planning and outcome assessment. 3rd Edition, volume 1,  Lawrence Erlbaum Associates, Inc, Mahwah, New Jersey, pp 367-377.

Lyons, JS. (2006). The complexity of communication in an environment with multiple disciplines and professionals:  communimetrics and decision support. Medical Clinics of North America, 90,  693-701

Lyons, JS, McCulloch, JR (2006).  Monitoring and managing outcomes in residential treatment: practice-based evidence in residential treatment: practice-based evidence in search of evidence-based practice.  JAACAP, 45, 247-251.

Lyons, JS Weiner, DA (2009).  (Eds.)  Strategies in Behavioral Healthcare:  Assessment, Treatment Planning, and Total Clinical Outcomes Management.  New York:  Civic Research Institute (in press).

Lyons, JS (2009).  Knowledge Creation through Total Clinical Outcomes Management:  A Practice-Based Evidence Solution to Address Some of the Challenges of Knowledge Translation Journal of the Canadian Academy of Child and Adolescent Psychiatry, 18, 37-45.

Lyons, JS, Woltman, H, Martinovich, Z, Hancock, B. (2009).  An outcomes perspectives on residential treatment.  Residential Treatment of Children and Youth (forthcoming). 26, 115-123.

Lyons, JS (2009).  Communimetrics:  A theory of measurement for human service enterprises.  New York:  Springer.

Lyons, JS, McClelland, G, Jordan, N (2010).   Fire setting:  prevalence and co-factors in a  child welfare population.  Journal of Child and Family Studies 19, 720-727.

McIntosh, A, Lyons, JS, Jordan, N, Wiener, DA (2010).  Predicting discharge due to runaway in residential treatment, 27, 157-172.

Obeid, N, Lyons, JS (2011).   Pre-measurement triangulation.  Considerations for Program Evaluation in Human Services.   Canadian Journal of Program Evaluation,  25, 59-82.

O'Donnell, Philip C. (2008). The role of psychosocial risk factors and mental health needs in juvenile sentencing decisions. Dissertation Abstracts International: Section B: The Sciences and Engineering, 68(9-B), 6325. Loyola University Chicago

Park, JM, Jordan, N, Epstein, RJ, Mandell, D, Lyons, JS (2009). Predictors of residential placement following a psychiatric crisis episode among children and youth in state custody.  American Journal of Orthopsychiatry, 228-235.

Park, JM, Mandell, DS, Lyons, JS (2008).  Rates and correlates of recurrent psychiatric crisis episodes among children and adolescents in state custody.  Children and Youth Services Review, 31, 1025-1029.

Radigan, M, Wang, R (2011).  Relationship between youth and caregiver strengths and mental health outcomes in community based public mental health.  Community Mental Health Journal

Rawal, P, Lyons, JS, MacIntyre, J, Hunter, JC. (2003).  Regional variations and clinical indicators of antipsychotic use in residential treatment:  A four state comparison.  Journal of Behavioral Health Services and Research 31. 178-188.

Rawal, P, Romansky, J, Jenuwine, M, Lyons, JS (2004).  Racial differences in the mental health needs and service utilization of youth in the juvenile justice system.  Journal of Behavioral Health Services & Research 31, 178-188.

Saxe, GN, Ellis, H, Fogler, J. Hansen, S. & Sorkin B.  (2005).  Comprehensive care for traumatized children.  An open trial examines treatment using trauma systems therapy.  Psychiatric Annals, 35, 443-448.

Shabat, J.C., Lyons, J.S., Martinovich, Z (2008).  Exploring the Relationship between Conduct Disorder and Residential Treatment Outcomes  Journal of Child and Family Studies (in press)

Sieracki, JH, Leon, SC, Miller, SA, & Lyons, JS (2008).  Individual and provider effects on mental health outcomes in child welfare :  A three level growth curve approach.  Children and Youth Services Review,  30, 800-808.

Snowden, JA, Leon, SC, Bryant, FB, Lyons, JS (2007). Evaluating psychiatric hospital admission decisions for children in foster care: an optimal classification tree analysis.  Journal of Clinical Child and Adolescent Psychology, 36, 8-18.

Snowden, J., Leon, S.C.,  & Sieracki, J.H.  (2008).  Predictors of adoption out of foster

care:  A classification tree Analysis.  Children and Youth Services Review, 30, 1318-1327.

Weiner, DA, Schneider, A, Lyons, JS (2009).  Evidence-Based Treatments for Trauma among Culturally Diverse Foster Care Youth.  Child and Youth Services Review 31, 1192-1198.

Weiner, D.A., Leon, S.C., & Steihl, M. (2011).  Demographic, clinical, and

geographic predictors of placement disruption among foster care youth receiving wraparound services.  Journal of Child and Family Studies.20, 758-770

Welty, Shelle S. (2008). Psychometric properties of the child and adolescent needs and strengths---parent version. Dissertation Abstracts International: Section B: The Sciences and Engineering, 69(6-B), 3896. Fuller Theological Seminary.