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Mental Health Screening Resources

Explore our collection of free, evidence-based mental health screening tools designed for use in primary care settings. These questionnaires and rating scales are organized by condition to help you quickly find the right tool for your patients. Each resource supports early identification and informed care for children, adolescents, and perinatal individuals.

Call VTCPAP at 802-488-5342

if you have any questions.

Screening Resources by DX Category

ADHD

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
ADHD Rating Scale IV - Preschool Version		3-5 years	✔			Included
Edelbrock Rating Scale		6-12+ years			✔	No Scoring: Used to assess symptoms at different times of day
SNAP-IV: Swanson, Nolan, and Pelham Questionnaire	Spanish	6-18 years		✔	✔	Included
Vanderbilt: NICHQ Vanderbilt Assessment Scale	Spanish	6-12 years		✔	✔	Included

Aggression

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
MOAS: Modified Overt Aggression Scale		13+ years			✔	Included
NCBRF: Nisonger Child Behavior Rating Form –Parent		3-16 years			✔	Scoring
NCBRF: Nisonger Child Behavior Rating Form –Teacher		3-16 years				Scoring

Anxiety

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
SCARED: Screen for Child Anxiety Related Disorders	Spanish	8-18 years	✔			Included
SCAS: Spens Children's Anxiety Scale	Spanish	preschool version 2.5-6.5; child version 8-15	✔			Included
GAD-7: Generalized Anxiety Disorder and Scoring	Spanish	13+ years	✔			Included
Parent FASA: Family Accommodation Scale Anxiety		6-17 years	✔			Higher scores reflect more accommodation
Child FASA: Family Accommodation Scale		7-14	✔			Higher scores reflect more accommodation

Autism

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
M-CHAT-R/F: Modified Checklist for Autism in Toddlers, Revised with Follow-up	Spanish	16-30 months	✔			Included
Autism Spectrum Screening Questionnaire (ASSQ)	Spanish	5-17 years	✔			Included
Childhood Autism Spectrum Test (CAST)	Spanish	4-11 years	✔			Included
Autism Spectrum Quotient (AQ) -- Adult		16+	✔			Included

Bipolar Disorder

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
CIDI: composite International Diagnostic Interview for Bipolar Spectrum Disorders		18+ years	✔			Included
CMRS: Child Mania Rating Scale - Parent Version	Spanish	5-17 years	✔		✔	Scoring
MDQ: Mood Disorder Questionnaire	Spanish	11+ years	✔			Included
YMRS: Young Mania Rating Scale and Scoring		5-17 years	✔			Included

Depression

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
CES-DC: Center for Epidemiological Studies Depression Scale for Children		6-17 years	✔		✔	Included
Columbia Depression Rating Scale	Spanish - Child & Parent	11+ years	✔		✔	Included
PHQ-9A: Patient Health Questionnaire Modified for Teens	Spanish	13-18 years	✔			Included
SMFQ: Short Mood and Feelings Questionnaire	Spanish	6-18 years	✔		✔	Included
MFQ: Mood and Feelings Questionnaire: Child Self Report Long Version	Spanish	6-17 years	✔		✔	Scoring
MFQ: Mood and Feelings Questionnaire: Parent Report on Child Long Version	Spanish	6-17 years	✔		✔	Scoring

Depression & Suicide

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
Combined PHQ-9 & asQ		12+ years	✔			Combined Scoring

Development

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
SDQ: Strength and Difficulties Questionnaire - Parents or Educators 2-4		2-4 years				Scoring
SDQ: Strength and Difficulties Questionnaire - Parents or Educators 4-10		4-10 years				Scoring
SDQ: Strength and Difficulties Questionnaire - Parents or Educators 11-17		11-17 years				Scoring
SDQ: Strength and Difficulties Questionnaire - Parents or Educators 18+		18+ years				Scoring
SDQ: Strength and Difficulties Questionnaire - Self-report 11-17	Spanish	11-17 years				Scoring
SDQ: Strength and Difficulties Questionnaire - Self-report 18+		18+ years				Scoring
SWYC: 1 month, 0 days to 17 months, 31 days	Spanish	1-17 months	✔			Scoring
SWYC: The Survey of Well-being of Young Children	Spanish	20-65 months	✔			Scoring

Looking for more information about the SDQ or other laungage versions? Visit Youthinmind

Eating Disorders

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
EAT-26: Eating Attitude Test	Spanish	12-18+ years	✔			Included
Pica, ARFID, Rumination Disorder Inventory (PARDI) ARFID-Questionnaire		4+	✔			Scoring
PARDI – the Diagnostic Interview for Clinicians		4+	✔	✔		Included
Nine Item Avoidant/Restrictive Food Intake disorder screen (NIAS)		7-17	✔			Included

For additional ARFID screening tools for providers, caregivers and self-report, as well as resources, please visit: https://www.canddid.nhs.uk/arfid

Functional Assessment

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
CGAS: Children's Global Assessment Scale - Clinician Rating		4-16 years			✔	Included

Medication Side Effects

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
AIMS: Abnormal Involuntary Movement Scale		anyone on an antipsychotic		✔	✔	Scoring
Barnes Akathisia Scale - Self-report		18+			✔	Included

Obsessive Compulsive Disorder

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
C-FOCI: Children’s Florida Obsessive-Compulsive Inventory		7-17 years				Included
CYBOCS: Child Yale Brown OC Scale - Clinician Rating		6-17 years		✔	✔	Included
FASA: Family Accommodation Scale Anxiety		6-17 years	✔			Higher scores reflect more accommodation
Y-BOCS: Yale Brown Obsessive-Compulsive Scale		18+	✔		✔	Used to rate symptom severity rather than establish a diagnosis

Perinatal

	Screener	Spanish	Screening	Diagnosis	Treatment	Scoring
Anxiety	PASS: Perinatal Anxiety Screening Scale
Depression	EPDS: Edinburgh Postnatal Depression Scale	Spanish	✔			Included
OCD	Obsessive-Compulsive Inventory - Revised (OCI-R) (OCI-R)		✔			Scoring
Psychosis (primarily used for postpartum)	Policy Center for Maternal Mental Health's Psychosis Symptom Checklist (PSC)		✔
Perinatal & Postpartum - Sleep	PSQI: Pittsburgh Sleep Quality Index					Scoring
Postpartum	PPNMSS: Perceived Prenatal Maternal Stress Scale
PTSD	Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)		✔			Included

Psychosis

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
Core Assessment Battery (CAB)	Spanish	14 - 35 years	✔	✔	✔	Included
COMPASS-10 Scale	Spanish	14 - 35 years			✔	Lower score = better symptom management
BPRS Brief Psychiatric Rating Scale		14 - 35 years			✔	Lower score = better symptom management

Social-Emotional Development

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
Brief ECSA: Brief Early Childhood Screening Assessment		18-60 months	✔			If scored 9+ predicts psychiatric diagnosis
PSC-17: Pediatric Symptom Checklist - 17 item	Spanish	4-18 years	✔			Included
PSC-Y-17: Pediatric Symptom Checklist - Youth - 17 item	Spanish	11-18 years	✔			Included

Substance Abuse

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
AUDIT: Alcohol Use Disorders Identification Test	Spanish	~12+ years	✔			Scoring
CRAFFT 2.1+N - Clinician Interview	Spanish	12-21 years	✔			Included
CRAFFT 2.1+N - Self Report	Spanish	12-21 years	✔			Scoring
DAST 10: Drug Abuse Screening Test	Spanish	16+ years	✔			Included
S2BI: Screening to Brief Intervention		12-17 years	✔			Included
CUDIT-R: Cannabis Use Disorder Identification Test		14+	✔			Included (citation for use in youth)

Suicide

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
ASQ: Ask Suicide-Screening Questions - Brief Suicide Safety Assessment		~8+			✔	Included
ASQ: Ask Suicide-Screening Questions - Suicide Risk Screening Tool Screen	Spanish	~8+	✔			Included
C-SSRS: Columbia Suicide Severity Rating Scale	Spanish	5+ years	✔			Included
C-SSRS Screener for Youth	Spanish	6-11	✔			Included
Maternal Suicide Care Pathway		N/A	✔			Included

Tics

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
YGTSS: Yale Global Tic Severity Scale		6-17 years				Included

Trauma

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
CATS-2: Child and Adolescent Trauma Screen – Caregiver Report		7-17 years				Included
CATS-2: Child and Adolescent Trauma Screen 2 – Self Report		7-17 years				Included
CATS: Child and Adolescent Trauma Screen - Caregiver Report	Spanish	3-6 years				Included
PC-PTSD: Primary Care PTSD Screen		13+ years	✔			Included
YC-PTSD: Young Child PTSD Screen		3-6 years	✔			Included

Young Adult

Screener	Spanish	Age	Screening	Diagnosis	Treatment	Scoring
Y-BOCS		18+	✔			Scoring
CIDI for bipolar		18+	✔			Scoring included
CUDIT-R		14+	✔			Scoring included
AUDIT	Spanish	18+	✔			Scoring
PHQ-9		18+	✔			Scoring included
GAD-7	Spanish	13+	✔			Scoring included
AQ		16+	✔			Scoring included
ASQ		8+	✔			Scoring/triage included
C-SSRS: Columbia Suicide Severity Rating Scale	Spanish	18+	✔			Scoring/triage included
PCL-5		18+	✔			Scoring

VTCPAP would like to thank ProjectTeach for their mentorship and support, and for graciously allowing us to adopt their screening tool template.

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VTCPAP is hosted by The Vermont Program for Quality in Health Care, Inc. (VPQHC).

This project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $1,324,117.02 with 91.80% funded by CMS/HHS ($1,215,585.48) and 8.20% funded by Four Pines Fund ($108,532.54) a non-government source. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.

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