Coping.us
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Clinical Assessment Tools

Clinician Treatment Tools
Document
Clinical Assessment Tools on Coping.us
Document
Handout of List of Clinical Assessment Tools on Coping.us
Overall Client's Self-Assessment of Personal Functioning

Patient Health Questionnaire (PHQ)

Five modules covering 5 common types of mental disorders: 

depression, anxiety, somatoform, alcohol, and eating.  Available at: 

http://www.phqscreeners.com/


Patient Health Questionnaire (expanded: PHQ-SADS)
Includes PHQ-9, GAD-7, PHQ-15 plus panic measure. Available at:

Neurobehavioral Symptom Inventory (NSI) 
Available at: 

PROMIS Short Forms Available at:
  1. PROMIS Short Form v1.1 – Global Health Scale 
  2. PROMIS Short Form v1.0 – Physical Function 1
  3. PROMIS Short Form v2.0 - Ability to Participate in Social Roles & Activities 8a
  4. PROMIS-29 Profile v1.0 Multiple Domains

Adverse Childhood Experiences and Resilience Measure

BRFSS  Behavioral Risk Factor Surveillance System (BRFSS) 
to Measure Adverse Childhood Experience (ACE):

Resilience/Stress Questionnaire: https://www.wcasa.org/file_open.php?id=801

A good overview of these two measures is at: https://acestoohigh.com/got-your-ace-score/

Attention Deficit/Hyperactivity Disorder

National Institute for Children's Health Quality (NICHQ) and University of Vanderbilt's Parent
and Teacher Reporting Forms: 
NICHQ Vanderbilt Assessment Scale with Scoring Instructions:

Depression

Severity Measure for Depression—Adult (Patient Health Questionnaire [PHQ-9]) 
PROMIS Emotional Distress—Depression—Short Form Available at: 

Center for Epidemiological Studies Depression Scale for Children (CES-DC)

Severity Measure for Depression-Child Age 11-17 (PHQ-9 Modified for Adolescents) 
Available at: 

Geriatric Depression Scale (Short Form) Available at:

Cornell Scale for Depression in Dementia Available at: 

Edinburgh Postnatal Depression Scale (EPDS)

Beck Depression Inventory

Suicide Risk Assessment

Suicide Intent Scale (shortened form)

Suicide Risk Assessment Form


Beck Scale for Suicidal Ideation – BSI 

http://www.psy-world.com/ssi.htm

 

Beck Suicide Intent Scale – SIS: 

https://deekim.files.wordpress.com/2011/09/becks-suicide-intent-scale.pdf


Beck's Hopelessness Scale

Anxiety

GAD-7 - Anxiety Screener available at: 

PROMIS Emotional Distress—Anxiety—Short Form available at: 

http://www.psychiatry.org/practice/dsm/dsm5/online-assessment-measures


PROMIS Emotional Distress—Anxiety—Pediatric Item Bank (Ages 11-17) available at: 

Screen for Child Anxiety Related Disorders (SCARED) Child Version

Screen for Child Anxiety Related Disorders (SCARED) Parent Version

SCORING FOR the SCARED at envisionnm.org/xcalendar/viewfile/327/

PTSD Assessments


Severity of Posttraumatic Stress Symptoms—Adult

(National Stressful Events Survey PTSD Short Scale [NSESSS]) at:

https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/assessment-measures


Severity of Posttraumatic Stress Symptoms—Child Age 11–17*

*National Stressful Events Survey PTSD Short Scale (NSESSS) at:

https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/assessment-measures

Alcohol Use Disorder

The Alcohol Use Disorders Identification Test (AUDIT):  

CAGE Questionaire
or

Michigan Alcohol Screening Test (MAST): 

Short Michigan Alcohol Screening Test (SMAST): 

Short Michigan Alcoholism Screening Test–Geriatric Version (SMAST-G):

Adolescent Screening, Brief Intervention and Referral to Treatment for Alcohol

Substance Use Disorders
ASSIST-Quick Assessment of the World Health Organization: 


Drug Abuse Screening Test (DAST): 

Drug Abuse Screening Test (DAST-10): 

NIDA's Screening for Drug Use in Medical Settings

Opiod RiskTool

Screener and Opioid Assessment for Patients with Pain (SOAPP)
Youth and Adolsecent Substance Use 

BSTAD:  Brief Screener Tobacco Alcohol Drugs

S2BI:  Screen to Brief Intervention

The CRAFFT Screening Interview
Compulsive Pornography/Sex  Assessments

Self-Assessment: Am I addicted to Internet Sex? Click here to download

Cybersex Addiction Self-Assessment Screening Click here to download

Am I a Sex Addict Self Assesment Click here to download

PATHOS Screening Tool for Compulsive Pornography Use Click here to download

Hypersexual Behaviors Inventory (HBI) with Scoring:   http://www.rebeccajorgensen.com/wp-content/uploads/2014/03/AddictionTest-with-Scoring-HBI-19.pdf


The Hypersexual Disorder Screening Inventory (HDSI): click here for copy


Love Addiction Screening Test (LAST):

http://foundryclinicalgroup.com/wp-content/uploads/2012/10/LAST.pdf


Sex Addiction Screening Test (SAST): 

http://foundryclinicalgroup.com/wp-content/uploads/2012/07/SAST-R.pdf


4-self-tests- Sexual Addiction, Sexual Anorexia, Binge-Purge, Collateral indicators: http://foundryclinicalgroup.com/wp-content/uploads/2012/07/4-self-tests.pdf


Sexual Compulsivity Scale: http://chipcontent.chip.uconn.edu/chipweb/documents/Research/K_SexualCompulsivityScale.pdf


Chart of Evidence-Based Screening Tools for Adults and Adolescents

for Substance and Alcohol use Disorders


This chart lists a whole series of Screening Tools approved by the National Institue to Drug Abuse. Each assessment listed is linked to a copy of it. The site is at:

https://www.drugabuse.gov/nidamed-medical-health-professionals/tool-resources-your-practice/screening-assessment-drug-testing-resources/chart-evidence-based-screening-tools-adults

Physical Symptoms

Physical Symptoms (PHQ-15) Available at: 

PROMIS Short Form v1.0 – Physical Function 1 Available at: 

Pain Assessment Instruments

 

Initial Interview Pain Questionnaires:

Johns Hopklns Pain Center Assessment Forms at: https://www.hopkinsmedicine.org/pain/blaustein_pain_center/forms.html

 

Stanford University Pain Management Center New patient questionnaire at:

New Patient Questionnaire - Click here


Patient Comfort Assessment Guide at:

https://pa-foundation.org/wp-content/uploads/Patient-Comfort-Assessment-Guide.pdf

 

Pain Measurements

 

Chronic Pain Assessment Questionnaire at:

https://www.exchangecme.com/resourcePDF/btp/resource3.pdf

 

McCaffrey Initial Pain Assessment at: https://www.drugabuse.gov/sites/default/files/files/McCaffreyInitialPainAssessmentTool.pdf

 

McGill Pain Questionnaire at:https://pdfs.semanticscholar.org/fc8f/dffa5f97829f2373a5138b6d70a8baf08bdf.pdf

and for updated version click here

 

Promis Pain Intensity measures at:

http://www.healthmeasures.net/administrator/components/com_instruments/uploads/PROMIS%20Pain%20Intensity%20Scoring%20Manual.pdf


Visual Analog Scale (VAS) at: http://img.medscape.com/article/742/580/VAS.pdf

 

Wong-Baker Faces Pain Rating Scale at: https://wongbakerfaces.org/

 
Sleep Disturbance

Berlin Questionnaire (for Sleep Apnea) Available at:


Insomnia Severity Index Available at:

Morningness-Eveningness Questionnaire (MEQ) Available at: 

PROMIS Short Form v1.0 – Sleep Disturbance 8a Available at:

Restless Legs Syndrome Ratin Scale Available at: http://www.bandolier.org.uk/booth/RLS/RLSratingscale.pdf

Stop Bang Questionnaire Available at:

Family and Couple Functioning

Family Genogram: 

Family Map: 

Family System's APGAR Score: 
and Manual for APGAR: 
Kansas Marital Satisfaction Scale: 

Couples Satisfaction Index (CSI): 

ENRICH Marital Satisfaction Scale: 

Lock Wallace Marital Adjustment Scale: 

Relationship Assessment Scale (RAS): 

Relationship Intimacy Assessment (RIA) and Other Sex Therapy Assessment Tools: 

Domestic Violence

Hurt, Insulted, Threatened with Harm and Screamed (HITS) Domestic Violence 
Screening Tool: 

Intimate Partner Violence and Sexual Violence Victimization Assessment Instruments 
for Use in Healthcare Settings at: 

Assessment Forms Available from Organizations

DSM-5 Assessments available at: online assessment measures (psychiatry.org)

1. DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult, 11-17, Parent Report for Children

2. Level 2: Adult Scale by PROMIS: anger, depression, mania, repetitive thoughts, sleep disturbance, substance use

3. Level 2: Children Scale by PROMIS (Parent Report) & 11-17: anger, anxiety, depression, inattention, irritability, mania, sleep disturbance, substance use

4. Disorder-Specific Severity Measures

  • Agoraphobia, Generalized Anxiety, Panic Disorder, Separation Anxiety, Specific Phobia, Acute Stress, PTSD

5. Disability Measures

  • World Health Organization Disability Assessment Schedule

6. Personality Inventories

  • The Personality Inventory for DSM-5 - Adult & Children

7. Early Development and Home Background

  • Clinician and Parent/Guardian

8. Cultural Formulation Interviews 


Patient Health Questionnaire (PHQ) forms available at: http://www.phqscreeners.com/
1. PHQ: assesses Depression, Anxiety, Eating Disorders and Alcohol Abuse
2. PHQ-9: Depressive Scale from PHQ
3. GAD-7: Anxiety Screener from PHQ
4. PHQ-15:  Somatic Symptom Scale from PHQ
5. PHQ-SADS: Includes PHQ-9, GAD-7, PHQ-15 plus panic measure
6. Brief PHQ: PHQ-9 and panic measures plus items on stressors & women’s health

PROMIS (Patient-Reported Outcome Measurement Information System) The short forms which are available for use are at:
The measures covered are:
1. Physical Function
2. Anxiety
3. Depression
4. Fatigue
5. Sleep Disturbance
6. Social Function
7. Pain Interference
8. Global Health
9. Asthma Impact
10. Multiple Domains
Career Testing Online
Live Career is a site which provides free online Career Testing along with other tools to develop a set of tools to gain a career at: http://www.livecareer.com/career-test#.VCBbGPldXDU