Choosing between ‘None’ and ‘Not Known’
The ’none’ option should be selected whenever you are able to judge that a problem is not present.
The ‘not known’ option should only be used when you cannot make a judgement about whether a problem is present or absent because you genuinely do not have enough information.
When you are sure a problem is present but are struggling to decide between mild, moderate and severe, please do not use not known, in these instances make your best guess.
When considering whether a response of ‘none’ or ‘not known’ is more appropriate, please ask yourself the following:
- Is this problem is likely to be concurrent with a more obviously presenting problem?
- Would you routinely ask about this problem (given the age, gender and presentation of the CYP)?
- Is this CYP is in a high risk group for this problem (given their age, gender, presentation)?
- If the boy was 5 years old, you might choose to put ‘not known’ given that anxiety and sleep disruption are often accompanied by enuresis in children of this age.
- If the boy was 15 years old, you might choose to put ‘none’ given that enuresis is rare in young people of this age, regardless of their presenting problems.
It’s fine to have lots of “not known” responses early on in a case but this pattern should prompt you to complete additional updated forms to take account of new information and your increased understanding of the case.