Developmental and Behavioral Screening: Screening Tools
There are a number of standardized, validated screening tools that are easy to administer and score that can be used in the primary care setting. These tools are either available commercially or are in the public domain and free of charge.
To see a Summary of Developmental /Behavioral Screening Tools for the Pediatric Provider (and how to obtain them),
click on link below:
Summary of Developmental/Behavioral Screening Tools (PDF)
The following tools can be downloaded free of charge:
Modified Checklist of Autism in Toddlers (M-CHAT) - English (PDF)
Modified Checklist of Autism in Toddlers (M-CHAT) - Spanish (PDF)
Modified Checklist of Autism in Toddlers (M-CHAT) - Scoring Instructions (PDF)
M-CHAT Follow-Up Interview (http://www2.gsu.edu/~psydlr/Diana_L._Robins,_Ph.D._files/M-CHATInterview.pdf)
The M-CHAT Follow-Up Interview™ is designed to reduce the false positive rate (false positive cases are children who fail the M-CHAT but do not have an autism spectrum disorder). It is highly recommended that M-CHAT users also incorporate the M-CHAT Follow-up Interview into the screening process, given that recent findings demonstrate that the interview greatly reduces the false positive rate, which avoids unnecessary referrals.
Pediatric Symptom Checklist 17 (PSC 17) - English (PDF)Pediatric Symptom Checklist 17 (PSC 17) - Spanish (PDF)
Pediatric Symptom Checklist 17 (PSC-17) - Spanish with Symbols (PDF
Pediatric Symptom Checklist 17 (PSC 17) - Scoring Instructions (PDF)
Pediatric Symptom Checklist 35 Youth (PSC-Youth) - English (PDF)
Pediatric Symptom Checklist 35 (PSC 35) - English (PDF)
Pediatric Symptom Checklist 35 (PSC 35) - Spanish (PDF)
Pediatric Symptom Checklist 35 (PSC 35) - Scoring Instructions (PDF)
Edinburgh Postnatal Depression Scale (EPDS) - English (PDF)
Edinburgh Postnatal Depression Scale (EPDS) - Spanish (PDF)
Edinburgh Postnatal Depression Scale (EPDS) - Scoring Instructions (PDF)
Sample Signature Page for New Mothers Re: Edinburgh Postnatal Depression Scale (PDF)
Sample Letter to Patient’s Doctor Re: Edinburgh Postnatal Depression Scale Results (PDF)
CRAFFT Screening Questions – English (PDF)
CRAFFT Screening Questions – Spanish (PDF)
FRAMES Brief Intervention Guide (PDF)
ADHD Toolkit
To download this tool for free, log on to www.nichq.org. You have to register and get a password, but once in, go to the tab at the top of the page called “Toolkits and Publications”. Click on "ADHD" and it will take you to the toolkit with all the forms in PDF format.
The use of developmental and behavioral screening tools can be reported using the CPT code 96110.
Attention Ages & Stages Questionnaire (ASQ) Users!
The publishers of the 2nd Edition ASQ screening tool have revised the cutoff points appear in the fifth printing of the English ASQ questionnaires. These cutoff points apply to the ASQ CD-ROM, the Edades y Etapas CD-ROM, and the Spanish and French ASQ questionnaires.
Click on the link to view these changes:
http://www.brookespublishing.com/asqupdates/cutoff.htm
A 3rd edition of the ASQ is now available. For more information, log on to:
http://www.brookespublishing.com/store/books/squires-asq/index.htm.
