Child and Adolescent Psychiatry Consulting, LLC Jenna Saul, M.D. F.A.A.C.A.P.  (715) 318-0047 

• Pediatric Symptom Checklist-Parent Report: A  psychosocial screen designed to facilitate the recognition of cognitive, emotional, and behavioral problems in children. 
• Pediatric Symptom Checklist Youth self-report (Y-PSC for children 11+ years).  A  psychosocial screen designed to facilitate the recognition of cognitive, emotional, and behavioral problems in children.
• Kiddie-SADS (Links to University of Pittsburg Department of Psychiatry and the page that has their copyrighted version of the K-SADS Present and Lifetime Version)
• PHQ-4 The Patient Health Questionnaire for Depression and Anxiety (PHQ-4) was developed to create an ultra-brief screener for depression and anxiety for use during outpatient or home visits any time during pregnancy or up to one year postpartum. 
• PHQ-9 The Patient Health Questionnaire for Depression and Anxiety  was developed to screen quickly in a home based or primary care setting. There is a page for adults, and another for adolescents
• Edinburgh postnatal depression Screen
• Strengths and Difficulties Questionnaire: The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioural screening questionnaire about 3-16 year olds. It exists in several versions to meet the needs of researchers, clinicians and educationalists. 
• POSIT to screen for adolescents at risk of substance abuse problems
• AUDIT to screen for substance abuse issues
• CRAAFT to screen for substance abuse issues with children and adolescents
• What's Up Doc? (A primary care mnemonic for quickly screening for Eating Disorders)
• SCOFF eating disorders screening

Traumatic Life Events Inventory and Post Traumatic Stress Disorder

Childhood Trust Events Survey (for youth 8 and older)

Childhood Trust Events Survey (for caregiver)

Boat Inventory of Animal Related Experiences

Screen for Child Anxiety Related Disorders SCARED child (child self-report anxiety screening tool)

Screen for Child Anxiety Related Disorders  SCARED PARENT (Parent report anxiety screening tool)

Anxiety and depression screen long form

Anxiety and depression screen short form

Spence anxiety screen parent report (links to Dr. Spence’s site)

Spence anxiety screen child self-report (links to Dr. Spence’s site)

social anxiety scale

Child Y-BOCs (Obsessive Compulsive Disorder [OCD] Screen)

OCD screen (parent)

OCD screen (teacher)

Adult Y-Bocs (OCD Screen)

Self Checklist for OCD

Children's Manifest Anxiety Scale-Revised (RCMAS)

Panic Disorder Self-Test (adults)

Zung Anxiety self-test (adults)

GAD-7 (adults) screens for generalized anxiety

• Experiences in close relationships questionnaire
• Social support questionnaire
• Close Relationships Questionnaire (Measures Attachment Style) (Must log into authentic happiness website
• Relationship scales questionnaire
• MRQ-measure of intimate relationship
• Child Trust Survey of Animal Related Experiences

ADHD Rating Scale

ADHD Symptoms/Side Effects Weekly Rating Scale

ADHD Teacher Vanderbilt Checklist

Activity Rating Scale

Disruptive Behavior Disorder Rating Scale

Disruptive Behavior Disorder Log

Narrative Description of Child (a useful tool for teachers to describe how a child's difficulties affect their relationships with peers, teacher and affect academic learning)

• Autism Behavior Checklist
• Australian Scale for Aspergers Syndrome (links to Aspergersyndrome.org)
• Modified Child Autism Screening Test (MCHAT) (screening for toddlers)
• Autism Spectrum Quotient  (Questionnaire to measure autistic traits in persons over 16yo) For online scored study, click here
• PDD screening Questionnaire 
• Autism Treatment Evaluation Checklist (ATEC) (links to an online checklist to help evaluated effectiveness of treatment)
• Aspergers Quotient test for those 16 and older
• Autism Research Institute’s form E-2
• Child autism spectrum test
• Empathy Systemizing Quotient for children
• Quantitative checklist for autism in toddlers (qchat, copyright, Cambridge autism resource center

ADHD Rating Scale

ADHD Teacher Vanderbilt Checklist

Activity Rating Scale

Disruptive Behavior Disorder Rating Scale

Disruptive Behavior Disorder Log

Narrative Description of Child (a useful tool for teachers to describe how a child's difficulties affect their relationships with peers, teacher and affect academic learning)

• K-SADS Mania Rating Scale
• Young mania rating scale
• Young mania rating scale parent version
• Monthly Mood Chart
• Daily mood chart
• Mania Log

Adolescent Dissociative Experiences Questionnaire

• Body Appreciation Scale
• Intuitive Eating Survey
• eat-26 self analysis of healthy eating (links to a stanford research study questionnaire)
• Intolerance of Uncertainty Scale
• What's Up Doc? (A primary care mnemonic for quickly screening for Eating Disorders)
• SCOFF eating disorders screening

• K-SADS Depression Section
• Center for Epidemiological Studies Depression Scale for Children (CES-DC): A 20-item self-report depression inventory for children between the ages of 6 and 17 years. Although the CES-DC is a self-report test completed by the child, it can be administered and it is primarily intended for medical practitioners who are alerted to pediatric mental health problems. 
• Zung Depression Self-test
• Hamilton Depression Screen (administered by clinician) 
• MDI (Major Depression Inventory)
• PHQ-4 The Patient Health Questionnaire for Depression and Anxiety (PHQ-4) was developed to create an ultra-brief screener for depression and anxiety for use during outpatient or home visits any time during pregnancy or up to one year postpartum. 
• PHQ-9 Patient Health Questionnaire for Depression--a brief screener for use during outpatient or hoe visits
• Edinburgh postnatal depression Screen (Screens for Post Partum Depression, and can be used during pregnancy as well) 
• Anxiety and depression screen long form
• Anxiety and depression screen short form
• Beck Hopelessness Scale

• Youth Cyclothymic Hypersensitive Temperament Questionnaire:useful for youth with mood swings, aggression, and suicidality 
• Young mania rating scale
• Young mania rating scale parent version
• Monthly Mood Chart
• Daily mood chart
• Thought control questionnaire (Permission requested but not yet granted to publish here)
• Mania Log
• Premenstrual Dysphoric Disorder Mood (PMDD) Log
• Mania Rating Scale (K-SADS)

• Sexual Function Questionnaire
• Child Sexual Behavior Inventory (c. 1992) permission of the author, W. Friedrich, obtained 2004
• Child Sexual Behavior Inventory (c. 1997) (links to site where this item can be purchased)

• fatigue severity scale
• childrens sleep habit questionnaire (developed by Judith Owens, of Kidzzzsleep.org, and co-author of “Take Charge of Your Child’s Sleep” )
• childrens sleep self-report (also developed by Judith Owens)
• epworth sleepiness scale (This provides a measure of a person’s general level of daytime sleepiness)
• insomnia rating scale
• Cambridge-Hopkins Restless Legs Syndrome Questionnaire
• Pittsburgh Insomnia Rating Scale (used with permission)
• Pittsburgh Insomnia Rating Scale-20 (a shortened measure, that asks you to rate your sleep for the past week) (used with permission)

Parent Tic Questionnaire

Tic Severity Scale

• Wheel of power and Control--from the Minnessota Duluth Model
• Equality in Relationships
• Mending Relationships
• Child Abuse Wheel 
• Nurturing Children
• Emotional Abuse Checklist
• Cycle of Violence
• Am I Being Abused? 

Premenstrual Dysphoric Disorder Log (PMDD log)

Postnatal depression screen

• General Distress Scale: This form asks about some of the more common symptoms for which medications are prescribed to help you and your provider work together.
• AIMS (this is administered  by a clinician) 
• Therapeutic Alliance
• Visit face sheet
• Side effects rating scale
• mental health inventory(Permission requested but not yet granted to publish here)

• Dass
• RCMAS
• PIRS-20
• PIRS-65
• POSIT

WHO well-being index

Self-Efficacy QUestionnaire  for children

Rosenberg Self-Esteem Questionnaire

Authentic Happiness Inventory Questionnaire--measures overall happiness

Fordyce Emotions Questionnaire

Alcohol use Questionnaire (AUDIT) Screen for alcohol misuse 

POSIT

CRAAFT

• Reasons for Living Scale (long)*
• Reasons for Living Scale (short)*
• Reasons for Living-Adolescent
• Suicide Attempt Self-Injury Interview*

* These items were previously available on the University of Washington Website for Dr. Marsha Linehan, but the links no longer work. 

CBT

Session Bridging Worksheet

ACT

DBT