Illinois DocAssist Program - the UIC Department of Psychiatry

Illinois DocAssist ProgramRecommended Pediatric Mental Health Screening Tools/Rating ScalesTypeGeneralToolAges and StagesQuestionnaire: Social-Emotional (ASQ:SE)*AgeGroupAdministeredBy0-5 Parent $225 forcompletephotocopiable kitCost Description LinkParents complete the short,simple questionnaires at eightdesignated intervals: 6, 12, 18,24, 30, 36, 48, and 60 months.http://www.brookespublishing.com/store/books/squires-asqse/index.htmPediatric SymptomChecklist (PSC)Pediatric SymptomChecklist – YouthReport (PSC - Y)4 – 16 Parent None General screen for cognitive,emotional and behavioralproblems. Parent-completedversion.11 + Youth None General screen for cognitive,emotional and behavioralproblems. Youth self-report.http://www.teenscreen.org/resources/providers/http://www.teenscreen.org/resources/providersGAPS- YoungerAdolescentQuestionnaire *GAPS- Middle-OlderAdolescentQuestionnaire *This chart does not list all recommended socio-emotional/mental health screening or assessment tools. Cost and ease of use in a primary care setting were the maincriteria used to select tools for this chart. Screening tools are not diagnostic. These instruments assist in the early identification of problematic behaviors and socialemotionalfunctioning that may indicate the need for further evaluation. Some of these tools can be used to assess symptoms after a diagnosis has been made. Forinformation or training on using the tools, please contact Illinois DocAssist Program. 866-986-ASST (2778)* Healthcare and Family Services (HFS) Approved Tools11 - 14 Youth None General screen to detect at-riskbehaviors and/or emotionalproblems.15 - 21 Youth None General screen to detect at-riskbehaviors and/or emotionalproblems.© 2012 The Board of Trustees of the University of Illinois, Illinois DocAssist Program. All rights reserved. 1http://www.amaassn.org/ama/pub/physicianresources/public-health/promotinghealthy-lifestyles/adolescenthealth/guidelines-adolescentpreventive-services.page?(English)(Spanish)http://www.amaassn.org/ama/pub/physicianresources/public-health/promotinghealthy-lifestyles/adolescenthealth/guidelines-adolescentpreventive-services.page?(English)(Spanish)

TypeGeneralADHDDepressionToolStrengths andDifficultiesQuestionnaire (SDQ)Vanderbilt ADHDDiagnostic RatingScalesPatient HealthQuestionnaire - 2 forteens (PHQ-2)Illinois DocAssist ProgramRecommended Pediatric Mental Health Screening Tools/Rating ScalesAgeGroupAdministeredBy4 – 17 YouthParentTeacher6 + ParentTeacherNoneNone13 – 18 Youth None withpermissionCost Description LinkScreen detects both depressiveand anxiety symptoms. Identifiesneed for a more thoroughevaluation.Screen for inattention,hyperactivity/impulsivity,combined inattention andhyperactivity subtype,oppositional defiant and conductdisorders, anxiety or depressivesymptoms.Screening tool to identify childrenand adolescents for possibledepression. Has been validatedfor use with adolescents.http://www.sdqinfo.comhttp://peds.mc.vanderbilt.edu/VCHWEB_1/rating~1.htmlhttp://www.cqaimh.org/pdf/tool_phq2.pdfPatient HealthQuestionnaire - 9(PHQ-9 or ModifiedPHQ-9 for teens)Center forEpidemiologicalStudies DepressionScale for Children(CES-DC)13 – 18 Youth None withpermission6 – 17 Youth/ParentNoneScreening tool to assessdepression and includesadditional questions on suicidalityand adolescent dysthymia. Hasbeen validated for use withadolescents.Screening tool to detect thepresence of depressive symptoms.Higher scores warrant furtherevaluation.http://www.teenscreen.org/resources/providers/This link provides access to the ModifiedPHQ-9http://www.brightfutures.org/mentalhealth/pdf/professionals/bridges/ces_dc.pdfThis chart does not list all recommended socio-emotional/mental health screening or assessment tools. Cost and ease of use in a primary care setting were the maincriteria used to select tools for this chart. Screening tools are not diagnostic. These instruments assist in the early identification of problematic behaviors and socialemotionalfunctioning that may indicate the need for further evaluation. Some of these tools can be used to assess symptoms after a diagnosis has been made. Forinformation or training on using the tools, please contact Illinois DocAssist Program. 866-986-ASST (2778)* Healthcare and Family Services (HFS) Approved Tools© 2012 The Board of Trustees of the University of Illinois, Illinois DocAssist Program. All rights reserved. 2

TypeAnxietyToolScreen for ChildhoodAnxiety RelatedEmotional Disorders(SCARED) – ParentVersionIllinois DocAssist ProgramRecommended Pediatric Mental Health Screening Tools/Rating ScalesAgeGroupAdministeredByCost Description Link8-18 Parent None Measures symptoms of DSM-IVlinked anxiety disorders inchildren as reported by parents.Does not screen for OCD ortrauma-related anxiety.http://psychiatry.pitt.edu/research/tools-research/assessment-instruments(English only)Screen for ChildhoodAnxiety RelatedEmotional Disorders(SCARED) – ChildVersionSpence Children’sAnxiety Scales(SCAS)– Parent VersionSpence PreschoolAnxiety Scales – ParentVersionSpence Children’sAnxiety Scales(SCAS)– Child Version6 th GradereadinglevelYouth None Measures symptoms of DSM-IVlinked anxiety disorders inchildren as reported by the child.Does not screen for OCD ortrauma-related anxiety.7-18 Parent None Measures the severity of anxietysymptoms broadly in line withthe dimensions of anxietydisorders proposed by the DSM-IV. Includes OCD but does notinclude trauma related anxiety.3-6 Parent None Measures the severity of anxietysymptoms broadly in line withthe dimensions of anxietydisorders proposed by the DSM-IV with questions adapted forthis age group.6 th GradereadinglevelYouth None Measures the severity of anxietysymptoms as reported by theyouth him/herself.http://psychiatry.pitt.edu/research/tools-research/assessment-instruments(English only)http://www.scaswebsite.com/ (Manylanguages)http://www.scaswebsite.com/ (Manylanguages)http://www.scaswebsite.com/ (Manylanguages)This chart does not list all recommended socio-emotional/mental health screening or assessment tools. Cost and ease of use in a primary care setting were the maincriteria used to select tools for this chart. Screening tools are not diagnostic. These instruments assist in the early identification of problematic behaviors and socialemotionalfunctioning that may indicate the need for further evaluation. Some of these tools can be used to assess symptoms after a diagnosis has been made. Forinformation or training on using the tools, please contact Illinois DocAssist Program. 866-986-ASST (2778)* Healthcare and Family Services (HFS) Approved Tools© 2012 The Board of Trustees of the University of Illinois, Illinois DocAssist Program. All rights reserved. 3

Illinois DocAssist ProgramRecommended Pediatric Mental Health Screening Tools/Rating ScalesTypeSubstanceAbuseTraumaParentalDepressionToolCRAFFT: Car, Relax,Alone, Forget, Friends,Trouble *Life Events Checklist(LEC)The Children's RevisedImpact of Events Scale(CRIES)Edinburgh DepressionScales (EDS)Patient HealthQuestionnaire - 2(PHQ-2)Patient HealthQuestionnaire - 9(PHQ-9)AgeGroupAdministeredBy14+ ClinicalStaff9-17 ClinicalStaff8+ whoare able toreadindependentlyPeripartumwomenCost Description LinkNoneNoneAdolescent substance abusescreening tool.The Life Events Checklist (LEC)is a brief, 17-item, self-reportmeasure designed to screen forpotentially traumatic events in arespondent's lifetime.Youth None A brief child-friendly measuredesigned to screen children atrisk for Posttraumatic StressDisorder (PTSD).Adult/Parent19+ Adult/Parent19+ Adult/ParentNoneNone withpermissionNone withpermissionScreening tool for parental peripartumdepression.Screens adult depression.Screens adult depression.http://www.teenscreen.org/resources/providers/ Copyright by Children’sHospital Bostonhttp://www.ptsd.va.gov/professional/pages/assessments/life_events_checklist.asphttp://www.childrenandwar.org/measures/children%E2%80%99s-revised-impact-of-event-scale-8-%E2%80%93-cries-8http://www.valueoptions.com/members/files/Post_Partum_Depression_Screen_(Edinburgh_Post_Natal_Depression_Scale).pdfhttp://www.psnpaloalto.com/wp/wp-content/uploads/2010/12/PHQ-2-to-9-for-adults-Self-Scoring.pdfhttp://www.psnpaloalto.com/wp/wp-content/uploads/2010/12/PHQ-2-to-9-for-adults-Self-Scoring.pdfThis chart does not list all recommended socio-emotional/mental health screening or assessment tools. Cost and ease of use in a primary care setting were the maincriteria used to select tools for this chart. Screening tools are not diagnostic. These instruments assist in the early identification of problematic behaviors and socialemotionalfunctioning that may indicate the need for further evaluation. Some of these tools can be used to assess symptoms after a diagnosis has been made. Forinformation or training on using the tools, please contact Illinois DocAssist Program. 866-986-ASST (2778)* Healthcare and Family Services (HFS) Approved Tools© 2012 The Board of Trustees of the University of Illinois, Illinois DocAssist Program. All rights reserved. 4