Screening & Assessment Tools for the Pediatric Practice

Screening & Assessment Tools referenced below are evidenced based, free for use, and accessible by public domain

*disclaimer: Use of mental health screening tools does not constitute diagnosis. If you or anyone else you know of is experiencing mental health concerns, please contact your primary care physician, a mental health professional, or contact the services listed on the "Crisis Support" page

- screening & assessment measures specific to a disorder, concern, or problem area

- screening & assessment measures that are broad based, targeting generalized problem areas

- show all accessible screening & assessment measures

Acronynm
Name
Age
Completed By
Click for English Version
Click for Spanish Version
Dx Category
ADHD Rating Scale IV - Preschool Version
ADHD Rating Scale IV - Preschool Version
3 - 5
Caregiver
ADHD
Vanderbilt
NICHQ Vanderbilt Assessment Scale Diagnostic Rating Scale
6 - 12
Caregiver, Teacher
ADHD
SNAP-IV
Swanson, Nolan, and Pelham (SNAP) Questionnaire – IV
6 - 18
Caregiver, Teacher
ADHD
WURS
Wender Utah Rating Scale
18+
Self-Report
ADHD
GAD-7
Generalised Anxiety Disorder Assessment
13+
Self-Report
Anxiety
SCARED
Screen for Child Anxiety Related Disorders
8 - 18
Caregiver; Self-Report
Anxiety
SCAS
Spence Children's Anxiety Scale
preschool version 2.5 - 6.5; child version 8 - 15
Preschool; Child; Caregiver
Anxiety
M-CHAT-R
Modified Checklist for Autism in Toddlers, Revised
16 - 30 months
Caregiver
Autism
MDQ
Mood Disorder Questionnaire
11+
Caregiver; Self-Report
Bipolar
EPDS
Edinburgh Postnatal Depression Scale
18+
Self-Report
Depression
PHQ-9
Patient Health Questionnaire - 9 item
12+
Self-Report
Depression
PHQ-9A
Patient Health Questionnaire - 9A (modified for teens)
13 - 18
Self-Report
Depression
SMFQ
Short Mood and Feelings Questionnaire
6 - 18
Caregiver; Self-Report
Depression
SWYC
The Survey of Well-being of Young Children
2 - 60 months
Caregiver
Development
EAT-26
Eating Attitudes Test
12 - 18+
Self-Report
Eating Disorders
CY-BOCS-II
Children’s Yale-Brown Obsessive Compulsive Scale, 2nd Edition
8 - 17
Semi-structured interview, clinician-rated
OCD
Brief ECSA
Brief Early Childhood Screening Assessment
18 - 60 months
Caregiver
Social-Emotional Development
PSC-17
Pediatric Symptom Checklist - 17 item
4 - 18
Caregiver
Social-Emotional Development
PSC-Y-17
Pediatric Symptom Checklist - Youth - 17 item
11 - 18
Self-Report
Social-Emotional Development
PPSC
Preschool Pediatric Symptom Checklist
18 - 60 months
Caregiver
Social-Emotional Development
CRAFFT
CRAFFT
14 - 21
Self-Report
Substance Abuse
S2BI
Screening to Brief Intervention
12 - 17
Self-Report
Substance Abuse
ASQ
Ask Suicide Screening Questions
10 - 24
Self-Report
Suicide
C-SSRS
Columbia Suicide Severity Rating Scale
5+
Interview
Suicide
ACE-IQ
ACE International Questionnaire
18+
Self-Report
Trauma
CPSS
Child PTSD Symptom Scale
8 - 18
Self-Report
Trauma
PC-PTSD
Primary Care PTSD Screen
13+
Self-Report
Trauma
THS-Y
Trauma History Screener - Youth
3 - 18
Caregiver; Self-Report
Trauma
TESI-C
Traumatic Events Screening Inventory – Child
6 - 18
Self-Report
Trauma
YC-PTSD
Young Child PTSD Screen
3 - 6
Caregiver
Trauma
ADHD Rating Scale IV - Preschool Version

ADHD Rating Scale IV - Preschool Version

age range:

3 - 5

ADHD

The ADHD Rating Scale-IV obtains parent ratings regarding the frequency of each ADHD symptom based on DSM-IV criteria. Parents are asked to determine symptomatic frequency that describes the child’s home behavior over the previous 6 months. The ADHD Rating Scale-IV is completed independently by the parent and scored by a clinician. The scale consists of 2 subscales: inattention (9 items) and hyperactivity-impulsivity (9 items). If 3 or more items are skipped, the clinician should use extreme caution in interpreting the scale. Results from this rating scale alone should not be used to make a diagnosis.

english

spanish

Vanderbilt

NICHQ Vanderbilt Assessment Scale Diagnostic Rating Scale

age range:

6 - 12

ADHD

The Vanderbilt Assessment Scale is a 55-question assessment tool that reviews symptoms of ADHD. It also looks for other conditions such as conduct disorder, oppositional-defiant disorder, anxiety, and depression.

english

spanish

SNAP-IV

Swanson, Nolan, and Pelham (SNAP) Questionnaire – IV

age range:

6 - 18

ADHD

The SNAP-IV 18-item scale is an abbreviated version of the Swanson, Nolan, and Pelham (SNAP) Questionnaire (Swanson, 1992;Swanson et al., 1983). Items from the DSM-IV criteria for attention-deficit/hyperactivity disorder (ADHD) are included for the two subsets of symptoms: Inattention (items 1–9) and Hyperactivity/Impulsivity (items 10–18).

english

spanish

WURS

Wender Utah Rating Scale

age range:

18+

ADHD

The WURS evaluates adults with suspicion of attention deficit hyperactivity disorder based on symptoms that they might have experienced during childhood. This form uses the condensed, 25-item version of the scale, the one with the most relevant items for ADHD

english

spanish

GAD-7

Generalised Anxiety Disorder Assessment

age range:

13+

Anxiety

The Generalised Anxiety Disorder Assessment (GAD-7) is a seven-item instrument that is used to measure or assess the severity of generalised anxiety disorder (GAD). Each item asks the individual to rate the severity of his or her symptoms over the past two weeks.

english

spanish

SCARED

Screen for Child Anxiety Related Disorders

age range:

8 - 18

Anxiety

The SCARED is a child and parent self-report instrument used to screen for childhood anxiety disorders including general anxiety disorder, separation anxiety disorder, panic disorder, and social phobia. In addition, it assesses symptoms related to school phobias.

english

spanish

SCAS

Spence Children's Anxiety Scale

age range:

preschool version 2.5 - 6.5; child version 8 - 15

Anxiety

The Spence Children's Anxiety Scale (SCAS) is a psychological questionnaire designed to identify symptoms of various anxiety disorders, specifically social phobia, obsessive-compulsive disorder, panic disorder/agoraphobia, and other forms of anxiety, in children and adolescents between ages 8 and 15. Developed by Susan H. Spence and available in various languages, the 45 question test can be filled out by the child or by the parent. There is also another 34 question version of the test specialized for children in preschool between ages 2.5 and 6.5. Any form of the test takes approximately 5 to 10 minutes to complete.

english

spanish

M-CHAT-R

Modified Checklist for Autism in Toddlers, Revised

age range:

16 - 30 months

Autism

The M-CHAT-R, which stands for Modified Checklist for Autism in Toddlers, Revised with Follow-Up, is a screening tool for parents to assess their child's risk for Autism Spectrum Disorder (ASD).The M-CHAT-R/F is an autism screening tool designed to identify children 16 to 30 months of age who should receive a more thorough assessment for possible early signs of autism spectrum disorder (ASD) or developmental delay.

english

spanish

MDQ

Mood Disorder Questionnaire

age range:

11+

Bipolar

The MDQ is a self-report questionnaire designed to help detect bipolar disorder. It focuses on symptoms of hypomania and mania, which are the mood states that separate bipolar disorders from other types of depression and mood disorder. It has 5 main questions, and the first question has 13 parts, for a total of 17 questions. The MDQ was originally tested with adults, but it also has been studied in adolescents ages 11 years and above. It takes approximately 5–10 minutes to complete. In 2006, a parent-report version was created to allow for assessment of bipolar symptoms in children or adolescents from a caregiver perspective.

english

spanish

EPDS

Edinburgh Postnatal Depression Scale

age range:

18+

Depression

The Edinburgh Postnatal Depression Scale (EPDS) is a set of 10 screening questions that can indicate whether a parent has symptoms that are common in women with depression and anxiety during pregnancy and in the year following the birth of a child.

english

spanish

PHQ-9

Patient Health Questionnaire - 9 item

age range:

12+

Depression

The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day).

english

spanish

PHQ-9A

Patient Health Questionnaire - 9A (modified for teens)

age range:

13 - 18

Depression

The PHQ-9 is the nine item depression scale of the patient health questionnaire.* It is one of the most validated tools in mental health and can be a powerful tool to assist clinicians with diagnosing depression and monitoring treatment response. The nine items of the PHQ-9 are based directly on the nine diagnostic criteria for major depressive disorder in the DSM 5.

english

spanish

SMFQ

Short Mood and Feelings Questionnaire

age range:

6 - 18

Depression

The Short Mood and Feelings Questionnaire (SMFQ-short), child version, is an 13 item subscale from a longer 33-item questionnaire (the original MFQ). This instrument should be used an indicator of depressive symptoms and not as a diagnostic tool and therefore does not indicate whether a child or adolescent has a particular disorder. Diagnoses of mental disorder should only be made by a trained clinician after a thorough evaluation.

english

spanish

SWYC

The Survey of Well-being of Young Children

age range:

2 - 60 months

Development

The Survey of Well-being of Young Children (SWYC)™ is a freely-available, comprehensive screening instrument for children under 5 years of age. The SWYC was written to be simple to answer, short, and easy to read. The entire instrument requires 15 minutes or less to complete and is straightforward to score and interpret. The SWYC is approved by MassHealth for compliance with the Children's Behavioral Health Initiative screening guidelines. The SWYC is copyright © 2010 Tufts Medical Center. Every SWYC form includes sections on developmental milestones, behavioral/emotional development, and family risk factors. At certain ages, a section for Autism-specific screening is also included. Age-specific SWYC forms are available for each age on the pediatric periodicity schedule from 2 to 60 months.

english

spanish

EAT-26

Eating Attitudes Test

age range:

12 - 18+

Eating Disorders

The Eating Attitudes Test (EAT, EAT-26), created by David Garner, is a widely used self-report questionnaire 26-item standardized self-report measure of symptoms and concerns characteristic of eating disorders. The EAT has been a particularly useful screening tool to assess "eating disorder risk" in high school, college and other special risk samples such as athletes. Screening for eating disorders is based on the assumption that early identification can lead to earlier treatment, thereby reducing serious physical and psychological complications or even death. Furthermore, EAT has been extremely effective in screening for anorexia nervosa in many populations.

english

spanish

CY-BOCS-II

Children’s Yale-Brown Obsessive Compulsive Scale, 2nd Edition

age range:

8 - 17

OCD

The CY-BOCS-II (Goodman et al., 1989; Scahill, Riddle, Mcswiggin-Hardin, & Ort, 1997; Storch et al., 2010) was designed to assess OCD symptomology and severity in children (8 – 17 years of age). This is a semi-structured interview, clinician-rated tool. In research the tool is a primary outcome measure for clinical or behavior treatment trials. Clinicians can use the tool to track the progress of patients. Although this was not designed to be a diagnostic tool, the symptom checklist is often employed as a diagnostic aid. Administering the tool revolves around a semi-structured interview with the patient. Depending on the age of the child, or anxiety levels, a parent may be present. The clinician and the child go through a symptom checklist identifying the most prominent symptoms, past and present (last 30 days). Then the clinician asks 10 questions (5 items regarding severity and 5 items regarding obsessions) and rates the child’s answers on a 6-point scale. An overall score is produced at the end to track progress. The scale has been shown to have excellent psychometric properties. It has high internal consistency of both the severity scale (alpha = .89) and the obsession scale obsession scale (alpha = .86).

english

spanish

Brief ECSA

Brief Early Childhood Screening Assessment

age range:

18 - 60 months

Social-Emotional Development

The Brief ECSAscreens children 18-60 months for signs of emotional and behavioral problems.

english

spanish

PSC-17

Pediatric Symptom Checklist - 17 item

age range:

4 - 18

Social-Emotional Development

The Pediatric Symptom Checklist is a 17 item screening questionnaire listing a broad range of children's emotional and behavioral problems that reflects parents' impressions of their child's psychosocial functioning. The screen is intended to facilitate the recognition of emotional and behavioral problems so that appropriate interventions can be initiated as early as possible. The PSC-17 is used to screen for childhood emotional and behavioral problems including those of attention, externalizing, and internalizing.

english

spanish

PSC-Y-17

Pediatric Symptom Checklist - Youth - 17 item

age range:

11 - 18

Social-Emotional Development

The Pediatric Symptom Checklist - Youth - 17 is a 17 item screening questionnaire listing a broad range of behavioral and psychosocial problems in youth. The screen is intended to facilitate the recognition of emotional and behavioral problems so that appropriate interventions can be initiated as early as possible. The PSC-Y-17 is used to screen for emotional and behavioral problems including those of attention, externalizing, internalizing, and suicidal ideation.

english

spanish

PPSC

Preschool Pediatric Symptom Checklist

age range:

18 - 60 months

Social-Emotional Development

The Preschool Pediatric Symptom Checklist (PPSC) is a social/emotional screening instrument for children 18–60 months of age. The PPSC was created as one part of a comprehensive screening instrument designed for pediatric primary care and is modeled after the Pediatric Symptom Checklist.

english

spanish

CRAFFT

CRAFFT

age range:

14 - 21

Substance Abuse

The CRAFFT Screening Test is a short clinical assessment tool designed to screen for substance-related risks and problems in adolescents. CRAFFT stands for the key words of the 6 items in the second section of the assessment - Car, Relax, Alone, Forget, Friends, Trouble.

english

spanish

S2BI

Screening to Brief Intervention

age range:

12 - 17

Substance Abuse

The Screening to Brief Intervention (S2BI) tool consists of frequency of use questions to categorize substance use by adolescent patients ages 12-17 into different risk categories. The accompanying resources assist clinicians in providing patient feedback and resources for follow-up.

english

spanish

ASQ

Ask Suicide Screening Questions

age range:

10 - 24

Suicide

The Ask Suicide-Screening Questions (ASQ) Toolkit is a free resource for medical settings (emergency department, inpatient medical/surgical units, outpatient clinics/primary care) that can help nurses or physicians successfully identify youth at risk for suicide.

english

spanish

C-SSRS

Columbia Suicide Severity Rating Scale

age range:

5+

Suicide

The Columbia–Suicide Severity Rating Scale (C-SSRS) is an assessment tool that evaluates suicidal ideation and behavior.

english

spanish

ACE-IQ

ACE International Questionnaire

age range:

18+

Trauma

The ACE International Questionnaire (ACE-IQ) is intended to measure ACEs in all countries, and the association between them and risk behaviours in later life. ACE-IQ is designed for administration to people aged 18 years and older. Questions cover family dysfunction; physical, sexual and emotional abuse and neglect by parents or caregivers; peer violence; witnessing community violence, and exposure to collective violence.

english

spanish

CPSS

Child PTSD Symptom Scale

age range:

8 - 18

Trauma

The CPSS is designed to assess PTSD diagnosis and symptom severity in children ages 8–18 who have experienced a traumatic event. It has 24-items, 17 of which correspond to the DSM-IV symptoms. Each of the 17 items is rated on a scale from 0 to 3 with total score ranging from 0 to 51.

english

spanish

PC-PTSD

Primary Care PTSD Screen

age range:

13+

Trauma

The PC-PTSD is a 4-item screen that was designed for use in primary care and other medical settings and is currently used to screen for PTSD.

english

spanish

THS-Y

Trauma History Screener - Youth

age range:

3 - 18

Trauma

A measure of PTSD and related symptoms, including those related to complex trauma disorders.

english

spanish

TESI-C

Traumatic Events Screening Inventory – Child

age range:

6 - 18

Trauma

The TESI-C protocol is a guide for clinical and/or research interviewing to screen for a child's history of exposure to potentially traumatic experiences. The interview includes 16 items that survey the domains of potential traumatic experiences.

english

spanish

YC-PTSD

Young Child PTSD Screen

age range:

3 - 6

Trauma

The YCPS is intended to quickly screen for PTSD in the acute aftermath of traumatic events (2-4 weeks after an event) and/or in settings where there would not be time for longer assessments or more in-depth mental health assessment is not available. The screen is not intended for a general assessment of PTSD or to make a diagnosis.

english

spanish