Detention Assessment Screening Instrument Page 2
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4Case Name:
Case Number:
DETENTION ASSESSMENT SCREENING INSTRUMENT
Prior Juvenile Convictions or Diversion
Yes
No
Specify (Court or Law Enforcement Agency)
Juvenile Contacts
Yes
No
(Counseled & released)
Specify (Court or Law Enforcement Agency)
Juvenile Record Check:
Yes
Not Available
No Priors
II.
ADMISSION CRITERIA
If answered in the affirmative, the following criteria indicate the youth's potential eligibility for
detention.
Yes
No
1. The youth is alleged to be an escapee from jail, youth attendant
program, shelter care, detention unit, an absconder from a residential
program, or the youth is wanted in another jurisdiction for an offense,
which if committed by an adult, would be a felony;
Yes
No
2. The youth has been charged with a delinquent act or violation of
law and requests in writing through legal counsel to be detained for
protection from an imminent physical threat to his/her personal safety
(attach documentation);
Yes
No
3. The youth is charged with a capital crime, a Class A Felony, a
Class B Felony or Felony violation under chapter 318-B;
Yes
No
4. The youth is charged with a Class A Misdemeanor or any offense
involving the use of firearm and if one of the factors set forth below
exists:
Yes
No
(a) youth has a record of failure to appear at court
hearings after being properly notified in accordance with
the rules of juvenile procedure;
Yes
No
(b) youth has a record of law violations prior to court
hearings;
Yes
No
(c) youth has already been detained or has been
released and is awaiting final disposition of his case; or
Yes
No
(d) youth has a record of violent conduct resulting in
physical injury to others;
Yes
No
(e) youth found to be in possession of a firearm or other
deadly weapon;
Yes
No
(f) present offense involves a domestic violence charge.
If any of the above (1-4) are answered Yes, proceed to Section III.
If each of the above (1-4) is answered No, the youth should not be detained.
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NHJB-2581-DF (03/09/2009)
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