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Diagnosis and Treatment


Rating Scales and Checklists

Scales and checklists help clinicians obtain information from parents, teachers, and others about symptoms and functioning in various settings, which is necessary for an appropriate assessment for AD/HD and treatment monitoring. Symptoms must be present in more than one setting (for example, both at home and in school) to meet DSM-IV criteria for the condition. Such instruments are only one component of a comprehensive evaluation, which includes a medical examination and interviews.

According to the American Academy of Child and Adolescent Psychiatry, the most commonly used scales are:

  • Parent-completed Child Behavior Checklist
  • Teacher Report Form (TRF) of the Child Behavior Checklist
  • Conners Parent and Teacher Rating Scales (see below)
  • ADD-H: Comprehensive Teacher Rating Scale (ACTeRS)
  • Barkley Home Situations Questionnaire (HSQ) (see below)
  • Barkley School Situations Questionnaire (SSQ) (see below)

According to the Agency for Healthcare Research and Quality (AHRQ), formerly the Agency for Health Care Policy and Research, AD/HD-specific rating scales are more accurate in distinguishing between children with and without the diagnosis of AD/HD, than global, nonspecific questionnaires and rating scales that assess a variety of behavioral conditions. 

Related Topics:

Other Web Sites:

  • Barkley Home and School Situations Questionnaires
    These are published in "Attention Deficit Hyperactivity Disorder: A Clinical Workbook, Second Edition" (1998) by Russell A. Barkley and Kevin R. Murphy (Guilford Publications, New York).
  • Wender Utah Rating Scale - (for adults)
    A 61 point retrospective tool used in the assessment of AD/HD in adults.
  • Vanderbilt Assessment Scales
    These forms are available through the American Academy of Pediatrics/National Initiative for Children's Health Quality (AAP/NICHQ) ADHD Practitioners' Toolkit (the link is to a compressed file which must be downloaded and "unzipped")
  • AHRQ Technical Review: Diagnosis of AD/HD
    AHRQ, an agency of the U.S. Department of Health and Human Services, is the nation's lead Federal agency for research on health care quality, costs, outcomes, and patient safety.
  • Conners Rating Scales
    This Web site provides clinicians with information on how to obtain the Conners Rating Scales and othe instruments used in the assessment of AD/HD and other conditions affecting children.
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