Developmental/Behavioral Health Screening Tools

CRAFFT

• CRAFFT Screening Questions – English (PDF)
• CRAFFT Screening Questions – Spanish (PDF)

FRAMES Brief Intervention Guide

• FRAMES Brief Intervention Guide (PDF)

Edinburgh Postnatal Depression Scale (EPDS)

• 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)

Pediatric Symptom Checklist 17 (PSC-17)

• 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 (PSC-35)

• 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)

Strengths and Difficulties Questionnaire (SDQ)

• Strengths and Difficulties Questionnaire (SDQ S11-17) Full – English (PDF)
• Strengths and Difficulties Questionnaire (SDQ S11-17) Follow-up – English (PDF)
• Strengths and Difficulties Questionnaire – Self Reported Scoring Key (PDF)
• Strengths and Difficulties Questionnaire – Informant Reported Scoring Key (PDF)
• Strengths and Difficulties Questionnaire – Record Sheet (PDF)
• Strengths and Difficulties Questionnaire – Scoring Overlay (PDF)
• Strengths and Difficulties Questionnaire - Other languages

Modified Patient Health Questionnaire

• Modified PHQ-9
• PHQ-2

The PHQ is available for free with permission. Click on the link above to be taken to the TeenScreen website where you can access the PHQ and PSC-Y documents.

Screen for Child Anxiety Related Disorders (SCARED)

• Screen for Child Anxiety Related Disorders (SCARED): Child Version (PDF)
• SCARED Child Version with Scoring (PDF)
• Screen for Child Anxiety Related Disorders (SCARED): Parent Version (PDF)
• SCARED Parent Version with Scoring (PDF)
• The SCARED is available for free through the University of Pittsburgh Department of Psychiatry: http://www.psychiatry.pitt.edu/research/tools-research/assessment-instruments

Global Appraisal of Individual Needs Short Screener (GAIN-SS)

• Click here to access the GAIN-SS through the TN Department of Mental Health (COMING SOON!)
• To learn more about the GAIN-SS, visit http://www.gaincc.org

Trauma Screeners

• Adverse Childhood Experiences Calculator in English (PDF)
• ACEs Calculator available in other languages at http://www.acestudy.org/ace_score
• Trauma History Screener – Youth Version (PDF)
• Trauma History Screener – Parent Version (PDF)
• Trauma History Screener – Spanish (PDF)
• Primary Care PTSD Screen (PDF)
• Young Child PTSD Screen (PDF)

Modified Checklist of Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F)

• Modified Checklist of Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F): English, Full Packet
• Modified Checklist of Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F): Spanish, Full Packet
• Modified Checklist of Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) Scoring Instructions
• M-CHAT-R/F Training Video (LINK to M-CHAT-R/F Training Video)
• For additional translations of the M-CHAT-R/F and access to the M-CHAT website, click here

Screening tools available with purchase:

• Parents' Evaluation of Developmental Status (PEDS)
• Ages and Stages Questionnaires – Social Emotional
• Early Childhood Screening Assessments – The Early Childhood Screening Assessments (ECSA) can be accessed through purchase of the AAP Mental Health Toolkit.

Other screening tools and references:

• Summary of Developmental and Behavioral Health Screening Tools
• Bright Futures
• MSPSS: Multidimensional Scale of Perceived Social Support
• Suicide Prevention Risk Assessment
• 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.