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STAR functions primarily as a risk assessment to guide consistent clinical decisions about visit content and dosage, while informing discussions on how life exposures relate to current health behaviors and future outcomes. It also promotes identifying behavioral change stages and matching actions and interventions, aligning program frequency with family abilities and needs.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/strengths-and-risks-star-framework-coding-guidelines-and-tools/268998/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/strengths-and-risks-star-framework-coding-guidelines-and-tools/268998.png","ImageObject",300,407,{"name":92,"@type":93},"Emma Mercer","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-20","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the STAR Framework in the Nurse-Family Partnership model?","Question",{"text":112,"@type":113},"The STAR Framework helps nurses and supervisors systematically characterize client and family strengths and risks. It provides a common language and process that supports consistent clinical decisions about visit content and dosage.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Is STAR coding meant to judge the client?",{"text":117,"@type":113},"No. When STAR is coded as a risk, the purpose is to understand challenges and needs, not to make a judgment about the client.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the STAR Framework help guide interventions over time?",{"text":121,"@type":113},"Coding occurs as nurses and clients get to know each other and is revised throughout the intervention as new information is shared. It supports identifying stages of behavioral change and appropriate corresponding actions and interventions to improve client and child health.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},268998,1790336101,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},962084925502,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Strengths and Risks (STAR) Framework  \nContents  \nIntroduction ..............................................................................................................2  \nSTAR Framework Coding Guidelines................................................................... 17  \nReferences ..............................................................................................................60  \nSTAR Framework Coding Sheets  \nSTAR Framework Coding Sheet (6-page) ..................................................................64  \nSTAR Framework Coding Sheet (2-page) ..................................................................70  \nSTAR Framework Continuation Page .........................................................................72  \nTools and Assessments  \nSubstance Use and Misuse Questionnaire .................................................................76  \nGeneralized Anxiety Disorder 7-item (GAD-7) Scale ..................................................77  \nGAD-7 Anxiety Scoring...............................................................................................78  \nPatient Health Questionnaire (PHQ-9) ........................................................................79  \nREALM Teen Sheet....................................................................................................81  \nREALM Teen Manual .................................................................................................82  \nLoneliness/Social Isolation Scale................................................................................92  \nLife History Calendar ..................................................................................................93  \nStages of Change.......................................................................................................96  \nIntroduction  \nThe Nurse-Family Partnership (NFP) Strengths and Risks (STAR) Framework is part of the NFP model and is designed to help nurses and supervisors systematically characterize levels of strength and risk exhibited by the clients and families they serve. While assessing client strengths and risks, the STAR Framework is primarily a risk assessment providing NFP teams with a common language and process for characterizing and organizing these characteristics. From the results of the randomized clinical trials, we know that clients with higher and multiple risk factors are those who benefit the most from NFP services. Therefore , it is expected that clients will have risks. When the STAR is coded as a risk, the purpose is to understand the client’s challengesand needs—this is not a judgement of the client. The STAR is intended to inform and support consistent clinical decisions made by nurses and supervisors regarding visit content and dosage. Early application of the STAR Framework also allows the nurse and the client to establish a discussion about what has happened in the client’s life, and how these exposures have the potential to influence the client’s current health behaviors and future health outcomes. In addition, the STAR Framework promotes identifying stages of behavioral change and appropriate corresponding actions and intervention to improve client and child health. By attending to specific strengths that the client and family members bring to the program , the STAR Framework helps the nurse identify families who are doing so well on their own that they may not need to be visited as frequently, and to identify those that need more visits due to greater risk or need. Information organized within the STAR Framework informs nurses’ ways of working with families and helps them align the program content and frequency with client (and other family member) abilities and interests in engaging in the program.  \nThe original STAR Framework was developed by staff at the Prevention Research Center (PRC), the National Service Office (NSO) , and NFP nurses in Colorado, California , and Minnesota. The STAR Framew","cbCaiteLhz0W5vkK","https://ap.wps.com/l/cbCaiteLhz0W5vkK","pdf",3197482,96,"English","# Introduction\n## STAR Framework Coding Guidelines\n## References\n## STAR Framework Coding Sheets\n## Tools and Assessments\n## Substance Use and Misuse Questionnaire\n## Generalized Anxiety Disorder 7-item (GAD-7) Scale\n## GAD-7 Anxiety Scoring\n## Patient Health Questionnaire (PHQ-9)\n## REALM Teen Sheet\n## REALM Teen Manual\n## Loneliness/Social Isolation Scale\n## Life History Calendar\n## Stages of Change\n## Conceptual Framework\n## NFP Outcomes","[{\"question\":\"What is the purpose of the STAR Framework in the Nurse-Family Partnership model?\",\"answer\":\"The STAR Framework helps nurses and supervisors systematically characterize client and family strengths and risks. It provides a common language and process that supports consistent clinical decisions about visit content and dosage.\"},{\"question\":\"Is STAR coding meant to judge the client?\",\"answer\":\"No. When STAR is coded as a risk, the purpose is to understand challenges and needs, not to make a judgment about the client.\"},{\"question\":\"How does the STAR Framework help guide interventions over time?\",\"answer\":\"Coding occurs as nurses and clients get to know each other and is revised throughout the intervention as new information is shared. It supports identifying stages of behavioral change and appropriate corresponding actions and interventions to improve client and child health.\"}]","Strengths and Risks (STAR) Framework - Coding Guidelines and Tools | PDF",1789440395,242]