System of Care Evaluation (SOCE)

Youth Services Survey (YSS) - November 4 - 8, 2019

The Department of Health Care Services (DHCS) is continuing its evaluation system for Children, Youth and Families Behavioral Health Services (CYFBHS). The collection of measures will occur once a year, during a one-week period. Information will be collected from parents/caregivers and youth (13 yrs and older) on satisfaction with services and service impact.

The assessment tools, which are the Youth Services Survey for Youth (YSS-Y) and the Youth Services Survey for Families (YSS-F), were chosen by the state and are to be completed on every child that receives services during the data collection period. All mental health services are included except for inpatient services, juvenile hall services, and crisis services. All of the items are to be completed directly by the parent/caregiver or youth.

Quick Reference

Administered to all parents/caregivers (YSS-F in the White cover sheet for English and Goldenrod cover sheet for Spanish) regardless of the youth's age AND youth 13 years and older (YSS in the Blue cover sheet for English and Purple cover sheet for Spanish) who receive billable services during the YSS period.




 0-12 years        --  X
 13-17 years      X   X
 18+ (still in CYFBHS)      X   --

If You Need Additional Forms
Contact our office and allow 24 hours to receive additional materials. Please DO NOT make photocopies.

Fill in the program information BEFORE giving the packet to the youth/parent on the bottom of the form pages as well as the envelope:
  1. CSI County Client Number (Client's ID number - same number used in CCBH)
  2. Subunit
  3. Date survey was administered
  4. Reason not completed (if applicable)
  5. Form type (envelope only)
Please make sure respondents have PRIVACY when filling out forms and upheld at the utmost importance and confidentiality. Surveys should be returned to the program in the sealed envelope and not be opened by staff.

Important Dates
  • YSS Material Distribution: October 28 – 30, 2019
  • YSS Administration Training: Email
  • YSS Data Collection: November 4 - 8, 2019
  • Submission Deadline: November 14, 2019 at 4pm

Returning Forms
Forms may be returned in person at the SOCE office during business hours:

Child & Adolescent Services Research Center
3665 Kearny Villa Road, Suite 200N
San Diego, CA 92123

Fall 2019 YSS Materials