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If this is your first time visiting this site or evaluating symptoms, these checklists can help identify the types of symptoms that may warrant further investigation with a trained clinician.

The instruments described below can help identify a variety of symptoms affecting children and adolescents. Do not assume that a particular "score" means a child has a particular disorder-these instruments are only one component of an evaluation. Diagnoses should be made only by a trained clinician after a thorough assessment. Symptoms suggestive of suicidal or harmful behaviors warrant immediate attention by a trained clinician.

Child Behavior Checklists (CBCL)
Parent (PRF) Teacher (TRF) Youth Self-Report (YSR) Clinician (DOF)

CBCL/1½-5 (Preschool)

The CBCL, used for evaluating children and adolescents ages 6-18, measures problems with aggressive behavior, anxiety/depression, attention, rule-breaking behavior, social interaction, physical complaints, disordered thought, and withdrawn/depressed behavior. It is used for initial assessment and can also measure changes in behavior over time or following a treatment.

The Parent Checklist is one of the most widely used parental ratings for behavioral problems and social skills in children. For evaluating children younger than age 6, the Child Behavior Checklist/1½-5 is used instead. The CBCL/1½-5, preschool form, obtains parents' ratings of 99 problem items plus descriptions of problems, disabilities, major concerns about their child, and the child's strengths. It also includes the Language Development Survey (LDS) for identifying language delays.

Versions for parents, teachers, and youth each contain approximately 120 items and take 15-20 minutes to complete. The clinician form (DOF) contains 96 items and is for children and adolescents ages 5-14.

Order all versions and forms online from Achenbach System of Empirically Based Assessment at: http://www.aseba.org/products/cbcl6-18.html
 
Behavioral Assessment System for Children, 2nd Ed. (BASC-2)
Parent (PRS) Teacher (TRS) Student (SRP)

Different variations of each of these tools are available for evaluating preschoolers, children, and adolescents ages 2-21. The parent version contains 134-160 items, depending on the age of the child; the teacher version contains 100-139 items, and each takes 10-20 minutes to complete. A student report form for children and adolescents ages 8-21 contains 139-185 items and requires 30 minutes to complete.

Six functional areas are assessed, including adaptability, activities of daily living, functional communication, leadership, social skills, and study skills. Clinical areas assessed include aggression, anxiety, attention problems, atypicality, conduct problems, depression, hyperactivity, learning problems, physical complaints, and withdrawal.

Available at:
http://www.agsnet.com/Group.asp?nGroupInfoID=a30000
 
Child/Adolescent Psychiatry Screen (CAPS)
 Parent

This 85-item screen is organized around symptoms of common psychiatric disorders in children and adolescents ages 3-21. It allows parents to prioritize symptoms rapidly to discuss with their clinicians. This screen is useful for identifying target symptoms or disorders, but it is not useful for monitoring the effects of treatment. It takes 15-20 minutes to complete.

Click here to view the Child/Adolescent Psychiatry Screen (CAPS)  HTML
or
Click here to view the Child/Adolescent Psychiatry Screen (CAPS)
  PDF

 
Conners' 3rd Edition
 Parent (CPRS-R) Teacher (CTRS -R)

These questionnaires assess conduct problems, learning problems, physical symptoms, impulsivity, hyperactivity, and anxiety in children and adolescents ages 3-17. The parent version contains 49 items and the teacher version has 28 items; each takes 30 minutes to complete. These scales are used to evaluate symptoms at home and in the classroom.

Long and short parent and teacher versions can be purchased online at:
http://www.mhs.com
 
Home Situations Questionnaire (HSQ)
Parent

This questionnaire, used with children and adolescents ages 4-11, supplements scales such as the Child Behavior Checklist and Conner Parent Rating Scales-Revised. It contains 16 items and takes 5 minutes to complete. The HSQ lists a number of common circumstances at home in which behavior problems are most likely to arise. Parents can indicate the severity of behavior problems for each situation.

The HSQ is available online in PDF format at:
http://www2.jabsom.hawaii.edu/dop/wp-content/uploads/2007/12/home-situations-questionnaire.doc
 
School Situations Questionnaire (SSQ)
Teacher

This companion to the HSQ helps teachers identify the types of situations, from a total of 12 items, in which the child's behavioral problem is apparent at school. Like the HSQ, the SSQ is used with children ages 4-11 and takes 5 minutes to complete. The scale counts the frequency of problem occurrence as well as the severity of each problem area.

The questionnaire is available online in PDF format at:
http://www.drjenna.net/checklists/adhd_bx_cl/school_sitn_quest.pdf
 
Pediatric Symptom Checklist (PSC)
Parent

The PSC can be completed by parents and contains 35 items for children and adolescents ages 6-16. It is available free in English and Spanish. Translations into Creole, Mandarin Chinese, and Swahili also exist. The PSC is designed to alert clinicians early to difficulties in functioning that may indicate current or potential psychosocial problems, so that early intervention might be provided. It is used only as a screening tool and not to make a formal diagnosis or measure treatment interventions. The PSC takes 5-10 minutes to complete.

It is available free at:
http://psc.partners.org/psc_order.htm
 
SNAP-IV-C Rating Scale-Revised (SNAP-IV-R)
 Parent Teacher

Although devised (by Swanson, Nolan and Pelham) primarily for ADHD, the SNAP contains 90 items that can be completed by parents, teachers, or other caregivers for use by a healthcare provider in a more general assessment. The SNAP-IV-R takes 10 minutes to complete and is used with children and adolescents ages 6-18. Criteria for ADHD and Oppositional Defiant Disorder are included. In addition, the SNAP-IV-C contains 10 items about classroom symptoms of inattention, hyperactivity, and impulsivity. Additional items assess Conduct Disorder, Intermittent Explosive Disorder, Tourette's Disorder, Stereotypic Movement Disorder, Obsessive-Compulsive Disorder, Generalized Anxiety Disorder, Narcolepsy, Manic Episode, Major Depressive Episode, and Dysthymic Disorder.

Available free online at:
www.ADHD.net or at http://www.add-pediatrics.com/add/snap-iv.html.
 
Beck Youth Inventories of Emotional and Social Impairment (BYI)
 Student

These five self-report assessments for children and adolescents 7-14 years old can be used separately or in any combination to assess a youth's experiences of depression, anxiety, anger, disruptive behavior, and self-concept. Each inventory contains 20 statements that take approximately 5-10 minutes to complete.

Available for purchase at:
http://harcourtassessment.com/haiweb/Cultures/en-US/default.htm.

 
 
 
   
 
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