Chapter IV, page 6 defines the assessment for children, but not adults.

Chapter IV, page 18 states "When the initial comprehensive needs assessment recommends several services for an individual, one assessment will be allowed for all services provided within the same agency."  There does not seem to be similar language for annual assessments.  It presents barriers to services when individuals, especially children are required to have multiple assessments collecting the same information, regardless of it being an initial or annual assessment.  It is particularly problematic for children as parents either work, have transportation problems or may be non-compliant with their children's treatment and many parents find it difficult to participate in multiple assessments.