Ebtdc Map Measurement Resources 8.18.15

EBTDC MAP Measurement Resources
Columbia Impairment Scale (CIS):

Parent Version:
https://www.dhs.state.il.us/OneNetLibrary/27896/documents/By_Division/MentalHealth/Colum
bia/CIS-Parent%20web%20system%20version%20w%20instructions_1.pdf
Parent Version (Spanish):
https://www.dhs.state.il.us/OneNetLibrary/27897/documents/Mental%20Health/yolandalinares/
CISoPoSpanish.pdf
CIS Scoring: Each item on the CIS is scored 0 to 4. To get a total score, add the scores for each
of the thirteen items. The total score should fall somewhere between 0 and 52. Any child with a
parent CIS score of 15 or greater can be considered impaired.
UCLA PTSD Reaction Index (PTSD-RI):

To purchase the PTSD-RI visit http://oip.ucla.edu/ptsd-reaction-index-instrument-licenses
Strength and Difficulties Questionnaire (SDQ):

SDQ: http://www.sdqinfo.org/py/sdqinfo/b0.py
SDQ Scoring: http://www.sdqscore.org/Amber
Depression: Patient Health Questionnaire (PHQ-9):

General Link: http://www.phqscreeners.com/
Direct Link (English): http://www.phqscreeners.com/pdfs/02_PHQ-9/English.pdf
Direct Link (Spanish): http://www.phqscreeners.com/pdfs/02_PHQ-
9/PHQ9_Spanish%20for%20the%20USA.pdf
Revised Child Anxiety and Depression Scale

(RCADS):
Parent Version (English): http://www.childfirst.ucla.edu/RCADS-P%202009.pdf
Parent Version (Spanish): http://www.childfirst.ucla.edu/RCADS-P%20Spanish.pdf
Website: http://www.childfirst.ucla.edu/ http://www.childfirst.ucla.edu/Resources.html
Youth Version (Long):
https://www.practicewise.com/Portals/0/Projects/NY%20EBTDC/RCADS_Youth.pdf
Youth Version (Short): http://www.childfirst.ucla.edu/RCADS%2025-
Item%20Short%20Version%20(FINAL%20-%20Psych%20Assessment)%202012_01_06.pdf
Youth Version (Spanish): http://www.childfirst.ucla.edu/RCADS%20Spanish.pdf
RCADS Scoring Program:

Parent Version: http://www.childfirst.ucla.edu/Resources.html
Youth Version: http://www.childfirst.ucla.edu/Resources.html
Additional Measurement Resources:
Anxiety:
Generalized Anxiety Disorder 7 (GAD-7): GAD-7 is a sensitive self-administrated test
to assess generalized anxiety disorder, normally used in outpatient and primary care settings. However, it
cannot be used as replacement for clinical assessment and additional evaluation should be used to confirm
a diagnosis of GAD.
Direct Link: http://www.phqscreeners.com/pdfs/03_GAD-7/English.pdf
Scoring Manual for GAD-7 Measure:

http://www.phqscreeners.com/instructions/instructions.pdf
For other versions (and access to PHQ-9) and language options visit
http://www.phqscreeners.com/
Screen for Child Anxiety Related Emotion Disorders (SCARED):

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.
Ages: 6-18
Direct Link: http://www.midss.org/sites/default/files/scaredchild1.pdf
Scoring: http://www.midss.org/content/screen-child-anxiety-related-disorders-scared
Spence Childrens Anxiety Scale (SCAS): The Spence Children's Anxiety Scale was
developed to assess the severity of anxiety symptoms broadly in line with the dimensions of anxiety
disorder proposed by the DSM-IV. The scale assesses six domains of anxiety including generalized
anxiety, panic/agoraphobia, social phobia, separation anxiety, obsessive compulsive disorder and physical
injury fears. It is designed to be relatively easy and quick for children to complete, normally taking only
around 10 minutes to answer the questions. Young people are asked to rate the degree to which they
experience each symptom on a 4-point frequency scale.
Ages: 7-19
Direct Link (Child Version): http://www.scaswebsite.com/docs/scas.pdf
Scoring: http://www.scaswebsite.com/index.php?p=1_7
Children Yale-Brown Obsessive Compulsive Scale (CY-BOCS): The CY-

BOCS is the instrument of choice for assessing symptom severity in older children diagnosed with
obsessive-compulsive disorder (OCD).
Ages: 6-17
Direct Link: http://www.stlocd.org/handouts/CY-BOC-1-6.pdf
Penn State Worry Questionnaire for Children (PSWQ-C): The PSWQ-C is a 14-
item self-report questionnaire designed to assess worry in children and adolescents. The questionnaire
was designed to be comprehensible to children at the second grade reading level and above.
Ages: 7-17
Direct Link: http://www.childfirst.ucla.edu/PSWQ-C.pdf
Scoring: http://www.childfirst.ucla.edu/Scoring%20of%20the%20PSWQ-C.pdf
Trauma:
The Child PTSD Symptom Scale (CPSS): The CPSS is a 26-item self-report measure
that assesses PTSD diagnostic criteria and symptom severity in children ages 8 to 18.
Ages: 8-18
Website: http://www.ptsd.va.gov/professional/assessment/child/cpss.asp
To obtain scale, please email:
Edna Foa, PhD
Department of Psychiatry
University of Pennsylvania
3535 Market Street, 6th Floor
Philadelphia, PA 19104
Phone: (215) 746-3327
Email: foa@mail.med.upenn.edu
The Pediatric Emotional Distress Scale (PEDS): This 21-item parent-report

measure was designed to rapidly assess and screen for elevated symptomatology in children following
exposure to a stressful and/or traumatic event.
Ages: 2-10
Website: http://www.nctsnet.org/content/pediatric-emotional-distress-scale
To obtain scale, please email:
Conway Saylor, PhD
Department of Psychology
The Citadel
171 Moultrie Avenue, Charleston, SC 29409
conway.saylor@citadel.edu
Depression:
Center for Epidemiological Studies Depression Scale for Children (CES-
DC): The Center for Epidemiological Studies Depression Scale for Children (CES-DC) is a 20-item self-
report depression inventory with possible scores ranging from 0 to 60.
Ages: 6-23
Direct Link: https://brightfutures.org/mentalhealth/pdf/professionals/bridges/ces_dc.pdf
Depression Self Rating Scale for Children (DSRSC): The DSRSC is a depression
self-rating scale for children and might be a useful tool for screening of depressive symptoms, at least in
clinical settings.
Ages: 8-14
Direct Link: http://www.scalesandmeasures.net/files/files/Birleson%20Self-
Rating%20Scale%20for%20Child%20Depressive%20Disorder.pdf
Disruptive Behavior:
Child and Adolescent Disruptive Behavior Inventory (CADBI): The CADBI
Screener is a brief questionnaire consisting of 25 items from the oppositional to peers, oppositional to
adults, and the hyperactivity/impulsivity scales from the CADBI
Website: http://measures.earlyadolescence.org/measures/view/40/
Teacher: http://measures.earlyadolescence.org/media/upload/CADBI2v3_Teacher_7173490.pdf
Parent:
http://measures.earlyadolescence.org/media/upload/CADBI2v3_Parent_English_1986912.pdf
Parent (Spanish):
http://measures.earlyadolescence.org/media/upload/CADBI2v3_Parent_Spanish_2425933.pdf
Eating Disorders:
Eating Attitudes Test-26 (EAT-26): The EAT-26 can be used in a non-clinical as well as a
clinical setting not specifically focused on eating disorders. It can be administered in group or individual
settings and is designed to be administered by mental health professionals, school counselors, coaches,
camp counselors, and others with interest in gathering information to determine if an individual should be
referred to a specialist for evaluation for an eating disorder
Ages: 16-18
Website Link for Access Permission: http://www.eat-26.com/permission.php
Scoring: http://www.eat-26.com/scoring.php
Childrens Eating Attitude Test (chEAT): A modified version of the Eating Attitudes
Test (EAT). It asks about perceived body image, obsessions/preoccupation with food, and dieting
practices.
Ages: 8-13
Direct Link: http://www.1000livesplus.wales.nhs.uk/sitesplus/documents/1011/ChEAT.pdf
Mania:
Parent Version of Young Mania Rating Scale (P-YMRS): The P-YMRS consists
of eleven questions that parents are asked about their child's present state. The original rating scale
(Young Mania Rating Scale), was developed to assess severity of symptoms in adults hospitalized for
mania. It has been revised in an effort to help clinicians such as pediatricians determine when children
should be referred for further evaluation by a mental health professional (such as a child psychiatrist), and
also to help assess whether a child's symptoms are responding to treatment. The scale is NOT intended to
diagnose bipolar disorder in children (that requires a thorough evaluation by an experienced mental health
professional, preferably a board-certified child psychiatrist)
Ages: 5-17
Direct Link: http://www.thebalancedmind.org/sites/default/files/ymrsparent.pdf
Scoring: http://www.thebalancedmind.org/learn/library/parent-version-of-the-young-mania-
rating-scale-pdf-version
Child Mania Rating Scale Parent Version: The Child Mania Rating Scale (CMRS) is
a parent screening instrument for mania, based on DSM-IV symptoms.
Ages: 5-17
Direct Link: http://www.dbsalliance.org/pdfs/ChildManiaSurvey.pdf
Scoring:
http://www.dbsalliance.org/site/PageServer?pagename=education_screeningcenter_childmania
Overall Mental Health:
Brief Problem Checklist:
Ages: 7-13
Child: http://www.childfirst.ucla.edu/Brief%20Problem%20Checklist%20-%20Child.pdf
Parent: http://www.childfirst.ucla.edu/Brief%20Problem%20Checklist%20-%20Parent.pdf
The Ohio Scale (Ohio Youth Problems, Functioning, and Satisfaction

Scales): The Ohio Scales are instruments developed to measure outcomes for youth ages 5 to 18
who receive mental health services. The Short Forms of the Ohio Scales consist of 4 domains: the 20-
item Functioning Scale, the 4-item Hopefulness Scale, the 4-itemSatisfaction Scale, the 20-
item Problem Severity Scale, and the Restrictiveness of Living Scale for agency workers.
Ages: 5-18
To Access, please contact:
Ben Ogles, PhD
990 SWKT
Brigham Young University
Provo, UT 84602
Phone: (801) 422-2083
Email: ohioscales@byu.edu
Website: https://sites.google.com/site/ohioscales/home
Peabody Treatment Progress Battery: Provides a cohesive, comprehensive, and

evidence-based approach to enhancing mental health services for youths aged 11-18 years. The battery
includes eleven clinically relevant measures of key mental health outcomes and clinical processes. The
measures, especially with their repeated use, offer clinicians systematic feedback on their clients, both
individually and in relation to other clients served.
Ages: 11-18
Manual (Contains description, explanation, and measure within document):
http://peabody.vanderbilt.edu/docs/pdf/cepi/ptpb_2nd_ed/PTPB_2010_Entire_Manual_UPDAT
E_31212.pdf
Pediatric Symptom Checklist (PSC): A brief screening questionnaire that is used by

pediatricians and other health professionals to improve the recognition and treatment of psychosocial
problems in children.
Ages: 3-18
Website: http://www.massgeneral.org/psychiatry/services/psc_home.aspx
Parent: http://www.massgeneral.org/psychiatry/assets/PSC-35.pdf
Parent (Spanish): http://www.massgeneral.org/psychiatry/assets/PSC_Spanish_1.pdf
Youth: http://www.massgeneral.org/psychiatry/assets/PSCY-35_English.PDF
Other Languages: http://www.massgeneral.org/psychiatry/services/psc_forms.aspx
References:
Beidas, R. S., Stewart, R. E., Walsh, L., Lucas, S., Downey, M. M., Jackson, K., & Mandell, D.
S. (2015,). Free, brief, and validated: Standardized instruments for low-resource mental
health settings. Cognitive and Behavioral Practice, 22(1), 519

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EBTDC MAP Measurement Resources

Columbia Impairment Scale (CIS):

UCLA PTSD Reaction Index (PTSD-RI):

Strength and Difficulties Questionnaire (SDQ):

Depression: Patient Health Questionnaire (PHQ-9):

Revised Child Anxiety and Depression Scale

RCADS Scoring Program:

Scoring Manual for GAD-7 Measure:

Screen for Child Anxiety Related Emotion Disorders (SCARED):

Children Yale-Brown Obsessive Compulsive Scale (CY-BOCS): The CY-

The Pediatric Emotional Distress Scale (PEDS): This 21-item parent-report

The Ohio Scale (Ohio Youth Problems, Functioning, and Satisfaction

Peabody Treatment Progress Battery: Provides a cohesive, comprehensive, and

Pediatric Symptom Checklist (PSC): A brief screening questionnaire that is used by

health settings. Cognitive and Behavioral Practice, 22(1), 519

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