RAAPS Stories

Teens don't always share. But they will RAAP.

Helping Youth in Crisis

The RAAPS assessment tool is very helpful in getting adolescents to disclose information they may be hesitant to speak about. In clinic, while I was reviewing an assessment, I noted the student had responded positively to two items that prompted an immediate referral to the behavior health counselor. We prevented what would have been a tragedy – as the student had a plan to commit suicide that very day. With the information we learned in RAAPS, we were able to get the student counseling and admission to in-patient care that they needed.

DNP, PNP | School-Based Health Center

Talking Tech

Since our practice adopted RAAPS, there has been a significant shift in the care of our adolescents. RAAPS has helped us identify high-risk kids as well as a population of gender-neutral kids with self-concept issues. We have changed our practice with the knowledge gained through simple, tech savvy screening in a population who notoriously does not talk to adults. THANKS for the tools to improve and expedite practice.

DNP, PNP | Federally Qualified Health Center

Identifying Sexual Health Risks

I was seeing a patient in our school-based health center for symptoms of a cold. We complete a RAAPS on every patient once every year. This was a new patient so we had him complete the RAAPS. With RAAPS he disclosed that he is a male who has sex with males. We offered STI and HIV testing. Unfortunately, he came back reactive for HIV. The point of sharing this experience is that sometimes we see patients, address their needs, but don't have a chance to discuss other things. RAAPS assists with starting that conversation. Because of RAAPS I was able to address a critical risk in my patient and get him into treatment early.

NP | School-Based Health Center

Revealing Risk Without Fear

I have been using the RAAPS assessment to identify risk behaviors for 5 years. RAAPS gives providers the ability to discuss sensitive subjects (such as sex and substance use) in a comfortable and non-assuming environment. Many of my deepest and most meaningful conversations with patients have begun by me stating, "Tell me about your experience with question X.....". Specifically, the use of RAAPS has helped me to identify sexual abuse, physical abuse, bullying at school, and plans of suicide.

In one case sexual abuse of the patient was identified and reported. This report resulted in all 5 children being removed from the home and both parents being sentenced for the abuse. In another case, a suicidal patient (who came in for an unrelated physical complaint) was identified, the mother was notified, and we were able to connect the patient with the appropriate mental health crisis resources. Neither one of these patients verbally expressed these needs, nor did they enter our health center for these reasons. For many youth, RAAPS gives them the ability to ask for help when they are too afraid to ask out loud.

FNP | School-Based Health Center

Made for Real-World Practice

I am excited to tell you about the wonderful benefits of having the RAAPS assessment tool for our youth and the benefit and impact it has made in helping identify youth at risk for depression along with other behavioral concerns.

We use the RAAPS on youth 12-17 years old for each and every visit (whether for a physical, a problem visit or sick visit). We have an integrated behavioral health team that sees any youth that scores positive for depression, post traumatic symptoms, life or situational changes, bullying or school adjustment problems, family problems and a host of many other concerns that the RAAPS helps identify.

Many youth have given positive feedback regarding the RAAPS questions compared to the prior assessment scale that was used. Also, youth like using the handheld tablet to complete the assessments. It is easy for them to navigate through the questions since many of them use cell phones and electronic devices. The print outs provided on the RAAPS site are very helpful and useful to handout during the patient visits - our behavioral counselors are able to help parents and youth connect to importance resources.

RN | Primary Care Practice