5 Data Dictionary

Variables marked “checkbox” appear in the full dataset as: 0 = No, 1 = Yes

5.1 Enrollment Information

Field Name Description Categories Field Data
familyid Family ID text
age Proband’s age in years at initial (First) admission calc
a_demosubject Proband check: (Proband of the following assessment data) 1, 01 Proband/Patient | 4, 04 Sibling of an existing proband dropdown
a_site_id Site 1, 1 Maine | 2, 2 Ohio | 3, 3 Rhode Island | 4, 4 Pennsylvania | 5, 5 Maryland | 6, 6 Colorado dropdown
a_csex Proband’s sex? 0, Male | 1, Female | 9999, Missing dropdown
a_admitdaystoconsent Admit days to Consent calc
a_addircphase___1 ADDIRC Phase (Select all that apply) 1, Phase 1 checkbox
a_addircphase___2 ADDIRC Phase (Select all that apply) 2, Phase 2 checkbox
a_addircphase___3 ADDIRC Phase (Select all that apply) 3, Phase 3 checkbox
a_addircphase___4 ADDIRC Phase (Select all that apply) 4, Phase 4 checkbox

5.2 Intake Demographic Medical Form

Field Name Description Categories Field Data
a_admitdaystodemo Admit days to Demo calc
a_demomarital Marital Status of Parent/Caregiver Informant 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_ethnicity Child’s ethnicity 0, Not Hispanic/Latino | 1, Hispanic/Latino | 9999, Missing dropdown
a_lang Child’s primary language 1, English | 2, Other {langother:icons} | 9999, Missing radio
a_reside Where does child currently live 1, Family home | 2, Crisis unit | 3, Residential facility/Group home | 4, Independently | 5, Other {resideother:icons} | 9999, Missing radio
a_age1 Household member 1: Age (years) text
a_sex1 Household member 1: Sex 0, Male | 1, Female | 9999, Missing dropdown
a_marital1 Household member 1: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation1 Household member 1: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age2 Household member 2: Age (years) text
a_sex2 Household member 2: Sex 0, Male | 1, Female | 9999, Missing dropdown
a_marital2 Household member 2: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation2 Household member 2: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age3 Household member 3: Age (years) text
a_sex3 Household member 3: Sex 0, Male | 1, Female | 9999, Missing dropdown
a_marital3 Household member 3: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation3 Household member 3: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age4 Household member 4: Age (years) text
a_sex4 Household member 4: Sex 0, Male | 1, Female | 9999, Missing dropdown
a_marital4 Household member 4: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation4 Household member 4: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age5 Household member 5: Age (years) text
a_sex5 Household member 5: Sex 0, Male | 1, Female | 9999, Missing dropdown
a_marital5 Household member 5: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation5 Household member 5: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age6 Household member 6: Age (years) text
a_sex6 Household member 6: Sex 0, Female | 1, Male | 9999, Missing dropdown
a_marital6 Household member 6: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation6 Household member 6: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age7 Household member 7: Age (years) text
a_sex7 Household member 7: Sex 0, Female | 1, Male | 9999, Missing dropdown
a_marital7 Household member 7: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation7 Household member 7: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age8 Household member 8: Age (years) text
a_sex8 Household member 8: Sex 0, Female | 1, Male | 9999, Missing dropdown
a_marital8 Household member 8: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation8 Household member 8: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age9 Household member 9: Age (years) text
a_sex9 Household member 9: Sex 0, Female | 1, Male | 9999, Missing dropdown
a_marital9 Household member 9: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation9 Household member 9: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_age10 Household member 10: Age (years) text
a_sex10 Household member 10: Sex 0, Female | 1, Male | 9999, Missing dropdown
a_marital10 Household member 10: Marital Status 1, Single | 2, Married | 3, Divorced | 4, Separated | 5, Widowed | 6, Domestic partner | 9999, Missing dropdown
a_relation10 Household member 10: Relationship 1, Bio parent | 2, Step parent | 3, Adoptive or Foster parent | 4, Bio sibling | 5, Half sibling | 6, Adoptive or Foster sibling | 7, Other relative | 8, Other | 9999, Missing dropdown
a_income Total Household Income 1, Less than $20,000 | 2, $21,000 to $35,000 | 3, $36,000 to $50,000 | 4, $51,000 to $65,000 | 5, $66,000 to $80,000 | 6, $81,000 to $100,000 | 7, $101,000 to $130,000 | 8, $131,000 to $160,000 | 9, Over $160,000 | 9999, Missing dropdown
a_fhighedu What is the <u>first parent/guardian’s</u> highest level of education attained? 1, Less than 8th grade | 2, Some high school | 3, Finished high school (or equivalent) | 4, Some college or AA degree | 5, Bachelor’s degree (BA, BS) | 6, Post-graduate degree | 9999, Missing do not wish to provide dropdown
a_mhighedu What is the <u>second parent/guardian’s</u> highest level of education attained? 1, Less than 8th grade | 2, Some high school | 3, Finished high school (or equivalent) | 4, Some college or AA degree | 5, Bachelor’s degree (BA, BS) | 6, Post-graduate degree | 9999, Missing do not wish to provide dropdown
a_genetictest Has the child had genetic testing? 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_sigresult Were there significant results? 0, No | 1, Yes | 8888, Not applicable | 9999, Unsure / Missing dropdown
a_dasthma Asthma 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dallergiesenviro Allergies - Environmental 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dallergiesfood Allergies - Food 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dallergiesdrug Allergies - Drug 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dblooddisorder Blood disorders/Anemia 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dceliac Celiac disease 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dconcussion Concussion/head injury 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dconstipation Constipation 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_ddiabetes Diabetes 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_ddiarrhea Diarrhea 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_ddental Dental Problems 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dearinfect Ear infections 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dencopresis Encopresis 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_denuresis Enuresis 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dulcer Gastric ulcer 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dgerd GERD 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dhepatitis Hepatitis 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dheadaches Headaches 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dhearloss Hearing loss 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dhyperthyroid Hyperthyroid 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dhypothyroid Hypothyroid 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dibd IBD 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dibs IBS 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dpica Ingesting poisons or other non-nutritive substances (Pica) 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dfever Suffered high prolonged fever 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dseizures Seizures or convulsions 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dabpain Severe abdominal pain 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dtics Tics/Tourettes 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_durinary Urinary problems/infections 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_dvisualprob Visual/eye problems 0, No | 1, Yes in the past only | 2, Yes this is current | 9999, Unsure / Missing radio
a_colorblind Is your child colorblind? 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_adm_factors_most Select the ONE problem that you think is the most important reason for this hospitalization 1, New or worsening physical aggression toward others | 2, New or worsening property destruction | 3, New or worsening verbal aggression (example: threats to harm others) | 4, New or worsening self-injury (examples: biting, hitting, head banging, etc.) | 5, Suicidal statements | 6, Suicide attempts | 7, Homicidal statements | 8, Decrease in daily functioning skills ( examples: communication skills, self-care) dropdown
a_admitlife Number of psychiatric hospitalizations in child’s lifetime (not including current admission): text
a_admit2mo Number of psychiatric hospitalizations the past 2 months (not including current admission): text
a_crisis2mo Number of in-home crisis evaluations in the past 2 months: text
a_er2mo Number of ER visits for behavioral crisis in the past 2 months: text
a_police2mo Number of police contacts for behavioral crisis in the past 2 months: text
a_ddxautism Has the child ever been diagnosed with an autism spectrum disorder? 0, No | 1, Yes | 9999, Missing/Unsure dropdown
a_dxautismyes If yes, what is your best understanding of the child’s Autism related diagnosis? 1, Autistic Disorder | 2, Autism Spectrum Disorder (ASD) | 3, Asperger’s Syndrome | 4, Pervasive Developmental Disorder (PDD-NOS) dropdown
a_fambipolar Bipolar disorder 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_fambipolarfullsib Bipolar: # Full sibs with diagnosis text
a_bipolarhalfsib Bipolar: # Half sibs with diagnosis text
a_famdep Depression 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_depfullsib Depression: # Full sibs with diagnosis text
a_dephalfsib Depression: # Half sibs with diagnosis text
a_famschiz Psychosis or Schizophrenia 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_schizfullsib Psychosis or Schizophrenia: # Full sibs with diagnosis text
a_schizhalfsib Psychosis or Schizophrenia: # Half sibs with diagnosis text
a_famanx Anxiety 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_anxfullsib Anxiety: # Full sibs with diagnosis text
a_anxhalfsib Anxiety: # Half sibs with diagnosis text
a_famocd Obsessive Compulsive Disorder (OCD) 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_ocdfullsib OCD: # Full sibs with diagnosis text
a_ocdhalfsib OCD: # Half sibs with diagnosis text
a_famptsd PTSD 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_ptsdfullsib PTSD: # Full sibs with diagnosis text
a_ptsdhalfsib PTSD: # Half sibs with diagnosis text
a_famadhd Attention deficit hyperactivity disorder (ADHD) 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_adhdfullsib ADHD: # Full sibs with diagnosis text
a_adhdhalfsib ADHD: # Half sibs with diagnosis text
a_famodd Oppositional Defiant Disorder 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_oddfullsib Oppositional Defiant Disorder: # Full sibs with diagnosis text
a_oddhalfsib Oppositional Defiant Disorder: # Half sibs with diagnosis text
a_famconduct Conduct Disorder 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_conductfullsib Conduct Disorder: # Full sibs with diagnosis text
a_conducthalfsib Conduct Disorder: # Half sibs with diagnosis text
a_fameat Eating Disorder 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_eatfullsib Eating Disorder: # Full sibs with diagnosis text
a_eathalfsib Eating Disorder: # Half sibs with diagnosis text
a_famasd Autism Spectrum Disorder 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_asdfullsib Autism Spectrum Disorder: # Full sibs with diagnosis text
a_asdhalfsib Autism Spectrum Disorder: # Half sibs with diagnosis text
a_famtourette Tourette Syndrome 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_tourettefullsib Tourette Syndrome: # Full sibs with diagnosis text
a_tourettehalfsib Tourette Syndrome: # Half sibs with diagnosis text
a_fammr Intellectual disability or mental retardation 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_mrfullsib Intellectual disability or mental retardation: # Full sibs with diagnosis text
a_mrhalfsib Intellectual disability or mental retardation: # Half sibs with diagnosis text
a_famlearn Learning disability 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_learnfullsib Learning disability: # Full sibs with diagnosis text
a_learnhalfsib Learning disability: # Half sibs with diagnosis text
a_famseizure Seizure disorder/epilepsy 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_seizurefullsib Seizure disorder / epilepsy: # Full sibs with diagnosis text
a_seizurehalfsib Seizure disorder / epilepsy: # Half sibs with diagnosis text
a_fampalsy Cerebral Palsy 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_palsyfullsib Cerebral Palsy: # Full sibs with diagnosis text
a_palsyhalfsib Cerebral Palsy: # Half sibs with diagnosis text
a_famgeneticdis Genetic disorders 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_geneticdisfullsib Genetic disorders: # Full sibs with diagnosis text
a_geneticdishalfsib Genetic disorders: # Half sibs with diagnosis text
a_daac Does the child use an Augmentative and Alternative Communication (AAC) device? 0, No | 1, Yes | 9999, Unsure / Missing dropdown
a_daacnote If yes, please describe notes
a_adhdparents___1 ADHD: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_adhdparents___2 ADHD: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_anxparents___1 Anxiety: Please indicate the family member(s) with this concern or diagnosis 1, Bio Mom checkbox
a_anxparents___2 Anxiety: Please indicate the family member(s) with this concern or diagnosis 2, Bio Dad checkbox
a_asdparents___1 Autism Spectrum Disorder: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_asdparents___2 Autism Spectrum Disorder: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_bipolarparents___1 Bipolar: Please indicate the family member(s) with this concern or diagnosis 1, Bio Mom checkbox
a_bipolarparents___2 Bipolar: Please indicate the family member(s) with this concern or diagnosis 2, Bio Dad checkbox
a_palsyparents___1 Cerebral Palsy: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_palsyparents___2 Cerebral Palsy: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_race___1 Child’s race 1, American Indian or Alaskan Native checkbox
a_race___2 Child’s race 2, Native Hawaiian or Other Pacific Islander checkbox
a_race___3 Child’s race 3, Black or African American checkbox
a_race___4 Child’s race 4, Asian checkbox
a_race___5 Child’s race 5, White checkbox
a_race___6 Child’s race 6, Other {raceother:icons} checkbox
a_conductparents___1 Conduct Disorder: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_conductparents___2 Conduct Disorder: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_depparents___1 Depression: Please indicate the family member(s) with this concern or diagnosis 1, Bio Mom checkbox
a_depparents___2 Depression: Please indicate the family member(s) with this concern or diagnosis 2, Bio Dad checkbox
a_hxtrauma___0 Does the child have a history of trauma 0, None checkbox
a_hxtrauma___1 Does the child have a history of trauma 1, Physical abuse checkbox
a_hxtrauma___2 Does the child have a history of trauma 2, Sexual abuse checkbox
a_hxtrauma___3 Does the child have a history of trauma 3, Emotional abuse checkbox
a_eatparents___1 Eating Disorder: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_eatparents___2 Eating Disorder: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_geneticdisparents___1 Genetic disorders: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_geneticdisparents___2 Genetic disorders: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_adm_contr___1 In your opinion, what do you think contributed to this admission? 1, Change of school checkbox
a_adm_contr___2 In your opinion, what do you think contributed to this admission? 2, Medication change checkbox
a_adm_contr___3 In your opinion, what do you think contributed to this admission? 3, Loss/inadequate services in school checkbox
a_adm_contr___4 In your opinion, what do you think contributed to this admission? 4, Bullying checkbox
a_adm_contr___5 In your opinion, what do you think contributed to this admission? 5, Loss/inadequate in-home services checkbox
a_adm_contr___6 In your opinion, what do you think contributed to this admission? 6, Emotional Trauma/Abuse checkbox
a_adm_contr___7 In your opinion, what do you think contributed to this admission? 7, Change in outpatient provider checkbox
a_adm_contr___8 In your opinion, what do you think contributed to this admission? 8, Physical Trauma/Abuse checkbox
a_adm_contr___9 In your opinion, what do you think contributed to this admission? 9, Medical issues (Examples: Recent illness, recent surgery, chronic illness) checkbox
a_adm_contr___10 In your opinion, what do you think contributed to this admission? 10, Sexual Trauma/Abuse checkbox
a_adm_contr___11 In your opinion, what do you think contributed to this admission? 11, Death of a loved one checkbox
a_adm_contr___12 In your opinion, what do you think contributed to this admission? 12, Family stress or crisis checkbox
a_adm_contr___13 In your opinion, what do you think contributed to this admission? 13, Other {adm_contr_other:icons} checkbox
a_adm_factors___1 In your opinion, why does your child need this hospitalization? Check all that apply 1, New or worsening physical aggression toward others checkbox
a_adm_factors___2 In your opinion, why does your child need this hospitalization? Check all that apply 2, New or worsening property destruction checkbox
a_adm_factors___3 In your opinion, why does your child need this hospitalization? Check all that apply 3, New or worsening verbal aggression (example: threats to harm others) checkbox
a_adm_factors___4 In your opinion, why does your child need this hospitalization? Check all that apply 4, New or worsening self-injury (examples: biting, hitting, head banging, etc.) checkbox
a_adm_factors___5 In your opinion, why does your child need this hospitalization? Check all that apply 5, Suicidal statements checkbox
a_adm_factors___6 In your opinion, why does your child need this hospitalization? Check all that apply 6, Suicide attempts checkbox
a_adm_factors___7 In your opinion, why does your child need this hospitalization? Check all that apply 7, Homicidal statements checkbox
a_adm_factors___8 In your opinion, why does your child need this hospitalization? Check all that apply 8, Decrease in daily functioning skills ( examples: communication skills, self-care) checkbox
a_mrparents___1 Intellectual disability or mental retardation: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_mrparents___2 Intellectual disability or mental retardation: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_learnparents___1 Learning disability: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_learnparents___2 Learning disability: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_ocdparents___1 OCD: Please indicate the family member(s) with this concern or diagnosis 1, Bio Mom checkbox
a_ocdparents___2 OCD: Please indicate the family member(s) with this concern or diagnosis 2, Bio Dad checkbox
a_oddparents___1 Oppositional Defiant Disorder: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_oddparents___2 Oppositional Defiant Disorder: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_ptsdparents___1 PTSD: Please indicate the family member(s) with this concern or diagnosis 1, Bio Mom checkbox
a_ptsdparents___2 PTSD: Please indicate the family member(s) with this concern or diagnosis 2, Bio Dad checkbox
a_schizparents___1 Psychosis or Schizophrenia: Please indicate the family member(s) with this concern or diagnosis 1, Bio Mom checkbox
a_schizparents___2 Psychosis or Schizophrenia: Please indicate the family member(s) with this concern or diagnosis 2, Bio Dad checkbox
a_seizureparents___1 Seizure disorder / epilepsy: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_seizureparents___2 Seizure disorder / epilepsy: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_touretteparents___1 Tourette Syndrome: Please indicate the family memeber(s) with this concern or diagnosis 1, Bio Mom checkbox
a_touretteparents___2 Tourette Syndrome: Please indicate the family memeber(s) with this concern or diagnosis 2, Bio Dad checkbox
a_sigresultyes___1 What were the results? 1, Fragile X checkbox
a_sigresultyes___2 What were the results? 2, Down Syndrome checkbox
a_sigresultyes___3 What were the results? 3, Tuberous Sclerosis checkbox
a_sigresultyes___4 What were the results? 4, Landau Kleffner Syndrome checkbox
a_sigresultyes___5 What were the results? 5, Rett’s Syndrome checkbox
a_sigresultyes___6 What were the results? 6, NF1 checkbox
a_sigresultyes___7 What were the results? 7, Other {sigresultother:icons} checkbox

5.3 Diagnostic Behavioral Summary

Field Name Description Categories Field Data
s_anyaxis3 Any Axis III diagnoses? 0, No | 1, Yes | 9999, Missing dropdown
s_axis3a Axis III1. ICD-10 code text
s_axis3b Axis III2. ICD-10 code text
s_axis3c Axis III3. ICD-10 code text
s_axis3d Axis III4. ICD-10 code text
s_axis3e Axis III5. ICD-10 code text
s_anomaly Does the child have a known genetic condition or anomaly? 0, No | 1, Yes | 8888, N/A | 9999, Missing dropdown
s_scqadjusted Adjusted SCQ score (If SCQ score greater than or equal to 12 is "No tester review SCQ items with caregiver and record the adjusted score") text
s_adosmodule ADOS-2 Module Used: 1, 1 | 2, 2 | 3, 3 | 4, 4 | 9999, Missing radio
s_dxbxfinaldx Final Diagnosis 0, Non-ASD | 1, ASD/Autism | 9999, Missed radio
s_dasd Double ASD TEST calc
s_scqadjusted Adjusted SCQ score (If SCQ score greater than or equal to 12 is "No tester review SCQ items with caregiver and record the adjusted score") text
s_comorbiddx___0
  1. Co-morbid Diagnoses: Axis I and Axis II
0, No Co-Morbid Diagnoses checkbox
s_comorbiddx___1
  1. Co-morbid Diagnoses: Axis I and Axis II
1, Intellectual Disability checkbox
s_comorbiddx___2
  1. Co-morbid Diagnoses: Axis I and Axis II
2, Attention Deficit/Hyperactivity Disorder checkbox
s_comorbiddx___3
  1. Co-morbid Diagnoses: Axis I and Axis II
3, Tourette’s Disorder checkbox
s_comorbiddx___4
  1. Co-morbid Diagnoses: Axis I and Axis II
4, Persistent Motor or Vocal Tic Disorder checkbox
s_comorbiddx___5
  1. Co-morbid Diagnoses: Axis I and Axis II
5, Unspecified Tic Disorder checkbox
s_comorbiddx___6
  1. Co-morbid Diagnoses: Axis I and Axis II
6, Schizophrenia Spectrum checkbox
s_comorbiddx___7
  1. Co-morbid Diagnoses: Axis I and Axis II
7, Unspecified Schizophrenia Spectrum and other Psychotic Disorder checkbox
s_comorbiddx___8
  1. Co-morbid Diagnoses: Axis I and Axis II
8, Bipolar I checkbox
s_comorbiddx___9
  1. Co-morbid Diagnoses: Axis I and Axis II
9, Bipolar II checkbox
s_comorbiddx___10
  1. Co-morbid Diagnoses: Axis I and Axis II
10, Major Depressive Disorder checkbox
s_comorbiddx___11
  1. Co-morbid Diagnoses: Axis I and Axis II
11, Unspecified Depressive Disorder checkbox
s_comorbiddx___12
  1. Co-morbid Diagnoses: Axis I and Axis II
12, Separation Anxiety checkbox
s_comorbiddx___13
  1. Co-morbid Diagnoses: Axis I and Axis II
13, Specific Phobia checkbox
s_comorbiddx___14
  1. Co-morbid Diagnoses: Axis I and Axis II
14, Social Anxiety Disorder checkbox
s_comorbiddx___15
  1. Co-morbid Diagnoses: Axis I and Axis II
15, Generalized Anxiety Disorder checkbox
s_comorbiddx___16
  1. Co-morbid Diagnoses: Axis I and Axis II
16, Unspecified Anxiety Disorder checkbox
s_comorbiddx___17
  1. Co-morbid Diagnoses: Axis I and Axis II
17, Obsessive-Compulsive Disorder checkbox
s_comorbiddx___18
  1. Co-morbid Diagnoses: Axis I and Axis II
18, Trichotillomania checkbox
s_comorbiddx___19
  1. Co-morbid Diagnoses: Axis I and Axis II
19, Reactive Attachment Disorder checkbox
s_comorbiddx___20
  1. Co-morbid Diagnoses: Axis I and Axis II
20, Posttraumatic Stress Disorder checkbox
s_comorbiddx___21
  1. Co-morbid Diagnoses: Axis I and Axis II
21, Pica checkbox
s_comorbiddx___22
  1. Co-morbid Diagnoses: Axis I and Axis II
22, Oppositional Defiant Disorder checkbox
s_comorbiddx___23
  1. Co-morbid Diagnoses: Axis I and Axis II
23, Intermittent Explosive Disorder checkbox
s_comorbiddx___24
  1. Co-morbid Diagnoses: Axis I and Axis II
24, Disruptive Mood Dysregulation Disorder checkbox
s_comorbiddx___25
  1. Co-morbid Diagnoses: Axis I and Axis II
25, Unspecified Disruptive Behavior Disorder checkbox
s_comorbiddx___26
  1. Co-morbid Diagnoses: Axis I and Axis II
26, Mood Dysregulation Disorder checkbox
s_comorbiddx___27
  1. Co-morbid Diagnoses: Axis I and Axis II
27, Avoidant Food Intake checkbox
s_comorbiddx___28
  1. Co-morbid Diagnoses: Axis I and Axis II
28, Unspecified Bipolar Disorder checkbox
s_comorbiddx___29
  1. Co-morbid Diagnoses: Axis I and Axis II
29, Unspecified OCD or Related Disorder checkbox
s_comorbiddx___30
  1. Co-morbid Diagnoses: Axis I and Axis II
30, Alcohol Use Disorder checkbox
s_comorbiddx___31
  1. Co-morbid Diagnoses: Axis I and Axis II
31, Drug Use Disorder checkbox
s_comorbiddx___32
  1. Co-morbid Diagnoses: Axis I and Axis II
32, Unspecified Alcohol Use Disorder checkbox
s_comorbiddx___33
  1. Co-morbid Diagnoses: Axis I and Axis II
33, Unspecified Drug Use Disorder checkbox
s_comorbiddx___34
  1. Co-morbid Diagnoses: Axis I and Axis II
34, Conduct Disorder checkbox
s_comorbiddx___35
  1. Co-morbid Diagnoses: Axis I and Axis II
35, Other (specify) checkbox
s_comorbiddx___0
  1. Co-morbid Diagnoses: Axis I and Axis II
0, No Co-Morbid Diagnoses checkbox
s_comorbiddx___1
  1. Co-morbid Diagnoses: Axis I and Axis II
1, Intellectual Disability checkbox
s_comorbiddx___2
  1. Co-morbid Diagnoses: Axis I and Axis II
2, Attention Deficit/Hyperactivity Disorder checkbox
s_comorbiddx___3
  1. Co-morbid Diagnoses: Axis I and Axis II
3, Tourette’s Disorder checkbox
s_comorbiddx___4
  1. Co-morbid Diagnoses: Axis I and Axis II
4, Persistent Motor or Vocal Tic Disorder checkbox
s_comorbiddx___5
  1. Co-morbid Diagnoses: Axis I and Axis II
5, Unspecified Tic Disorder checkbox
s_comorbiddx___6
  1. Co-morbid Diagnoses: Axis I and Axis II
6, Schizophrenia Spectrum checkbox
s_comorbiddx___7
  1. Co-morbid Diagnoses: Axis I and Axis II
7, Unspecified Schizophrenia Spectrum and other Psychotic Disorder checkbox
s_comorbiddx___8
  1. Co-morbid Diagnoses: Axis I and Axis II
8, Bipolar I checkbox
s_comorbiddx___9
  1. Co-morbid Diagnoses: Axis I and Axis II
9, Bipolar II checkbox
s_comorbiddx___10
  1. Co-morbid Diagnoses: Axis I and Axis II
10, Major Depressive Disorder checkbox
s_comorbiddx___11
  1. Co-morbid Diagnoses: Axis I and Axis II
11, Unspecified Depressive Disorder checkbox
s_comorbiddx___12
  1. Co-morbid Diagnoses: Axis I and Axis II
12, Separation Anxiety checkbox
s_comorbiddx___13
  1. Co-morbid Diagnoses: Axis I and Axis II
13, Specific Phobia checkbox
s_comorbiddx___14
  1. Co-morbid Diagnoses: Axis I and Axis II
14, Social Anxiety Disorder checkbox
s_comorbiddx___15
  1. Co-morbid Diagnoses: Axis I and Axis II
15, Generalized Anxiety Disorder checkbox
s_comorbiddx___16
  1. Co-morbid Diagnoses: Axis I and Axis II
16, Unspecified Anxiety Disorder checkbox
s_comorbiddx___17
  1. Co-morbid Diagnoses: Axis I and Axis II
17, Obsessive-Compulsive Disorder checkbox
s_comorbiddx___18
  1. Co-morbid Diagnoses: Axis I and Axis II
18, Trichotillomania checkbox
s_comorbiddx___19
  1. Co-morbid Diagnoses: Axis I and Axis II
19, Reactive Attachment Disorder checkbox
s_comorbiddx___20
  1. Co-morbid Diagnoses: Axis I and Axis II
20, Posttraumatic Stress Disorder checkbox
s_comorbiddx___21
  1. Co-morbid Diagnoses: Axis I and Axis II
21, Pica checkbox
s_comorbiddx___22
  1. Co-morbid Diagnoses: Axis I and Axis II
22, Oppositional Defiant Disorder checkbox
s_comorbiddx___23
  1. Co-morbid Diagnoses: Axis I and Axis II
23, Intermittent Explosive Disorder checkbox
s_comorbiddx___24
  1. Co-morbid Diagnoses: Axis I and Axis II
24, Disruptive Mood Dysregulation Disorder checkbox
s_comorbiddx___25
  1. Co-morbid Diagnoses: Axis I and Axis II
25, Unspecified Disruptive Behavior Disorder checkbox
s_comorbiddx___26
  1. Co-morbid Diagnoses: Axis I and Axis II
26, Mood Dysregulation Disorder checkbox
s_comorbiddx___27
  1. Co-morbid Diagnoses: Axis I and Axis II
27, Avoidant Food Intake checkbox
s_comorbiddx___28
  1. Co-morbid Diagnoses: Axis I and Axis II
28, Unspecified Bipolar Disorder checkbox
s_comorbiddx___29
  1. Co-morbid Diagnoses: Axis I and Axis II
29, Unspecified OCD or Related Disorder checkbox
s_comorbiddx___30
  1. Co-morbid Diagnoses: Axis I and Axis II
30, Alcohol Use Disorder checkbox
s_comorbiddx___31
  1. Co-morbid Diagnoses: Axis I and Axis II
31, Drug Use Disorder checkbox
s_comorbiddx___32
  1. Co-morbid Diagnoses: Axis I and Axis II
32, Unspecified Alcohol Use Disorder checkbox
s_comorbiddx___33
  1. Co-morbid Diagnoses: Axis I and Axis II
33, Unspecified Drug Use Disorder checkbox
s_comorbiddx___34
  1. Co-morbid Diagnoses: Axis I and Axis II
34, Conduct Disorder checkbox
s_comorbiddx___35
  1. Co-morbid Diagnoses: Axis I and Axis II
35, Other <br> {comorbiddxother:icons} checkbox
s_dxbxasda___0 A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: 0, 0 None of the A criteria checkbox
s_dxbxasda___1 A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: 1, 1 Deficits in social-emotional reciprocity checkbox
s_dxbxasda___2 A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: 2, 2 Deficits in nonverbal communicative behaviors used for social interaction checkbox
s_dxbxasda___3 A. Persistent deficits in social communication and social interaction across multiple contexts as manifested by: 3, 3 Deficits in developing maintaining and understanding relationships checkbox
s_dxbxasdb___0 B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: 0, None of the B criteria met checkbox
s_dxbxasdb___1 B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: 1, 1 Stereotyped or repetitive motor movements use of objects or speech checkbox
s_dxbxasdb___2 B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: 2, 2 Insistence on sameness inflexible adherence to routines or ritualized patterns of verbal or nonverbal behavior checkbox
s_dxbxasdb___3 B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: 3, 3 Highly restricted fixated interests that are abnormal in intensity or focus checkbox
s_dxbxasdb___4 B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of: 4, 4 Hyper- or hypoactivity to sensory input or unusual interest in sensory aspects of the environment checkbox
s_dxbxasdcde___0 C, D, and E Symptoms 0, No C D or E symptom criteria met checkbox
s_dxbxasdcde___1 C, D, and E Symptoms 1, C. Symptoms must be present in the early developmental period… checkbox
s_dxbxasdcde___2 C, D, and E Symptoms 2, D. Symptoms cause clinical significant impairment in social occupational or other important areas of current functioning checkbox
s_dxbxasdcde___3 C, D, and E Symptoms 3, E. These disturbances are not better explained by ID or global developmental delay checkbox
s_finadxitems___0 Check any additional items used to make final diagnosis 0, None checkbox
s_finadxitems___1 Check any additional items used to make final diagnosis 1, Review of child’s history checkbox
s_finadxitems___2 Check any additional items used to make final diagnosis 2, Clinical notes/chart review checkbox
s_finadxitems___3 Check any additional items used to make final diagnosis 3, Unit observation by ADOS tester checkbox
s_finadxitems___4 Check any additional items used to make final diagnosis 4, Caregiver interview, which can include clarification of item(s) on a study measure checkbox
s_anomalyyes___1 If yes, check applicable: 1, Fragile X checkbox
s_anomalyyes___2 If yes, check applicable: 2, Down Sydrome checkbox
s_anomalyyes___3 If yes, check applicable: 3, Tuberous Sclerosis checkbox
s_anomalyyes___4 If yes, check applicable: 4, Landau Kleffner Syndrome checkbox
s_anomalyyes___5 If yes, check applicable: 5, Rett’s Syndrome checkbox
s_anomalyyes___6 If yes, check applicable: 6, NF1 checkbox
s_anomalyyes___7 If yes, check applicable: 7, Other (specify) checkbox
s_adositems___1 These items must be used to make the final ASD diagnosis: 1, ADOS-2 Classification checkbox
s_adositems___2 These items must be used to make the final ASD diagnosis: 2, Review of RBS-R checkbox
s_adositems___3 These items must be used to make the final ASD diagnosis: 3, Review of SCQ; Is SCQ Score greater than or equal to 12 checkbox
s_adositems___4 These items must be used to make the final ASD diagnosis: 4, ADOS was missed - psychiatrist diagnosed checkbox

5.4 Inpatient Data

Field Name Description Categories Field Data
s_childht Height in inches text
s_childwt Weight in pounds text
s_bmi BMI: text
s_bp_sys Systolic blood pressure: text
s_bp_dia Diastolic blood pressure: text
s_los Length of Stay: calc
s_dcto Discharged to: 1, Residential/Group home | 2, Crisis unit | 3, Inpatient unit | 4, Family home | 5, Partial hospital | 9999, Missing dropdown
s_samecare Same caregiver as at admission? 0, No | 1, Yes | 9999, Missing dropdown

5.5 AAC - Augmentative and Alternative Communication

Field Name Description Categories Field Data
s_aacstatus What is the status of the AAC Parent Survey 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact dropdown
s_aacrespondent Parent/Caregiver informant 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
s_aaccom Does the child use a communication system: 1, Yes | 0, No | 9999, Missing dropdown
s_aacaac Does the child use an Augmentative and Alternative Communication (AAC) device? 1, Yes | 0, No | 9999, Missing dropdown
s_aacaac1 If yes, please describe notes
s_aac1a
  1. Single words
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac1b
  1. Simple sentences (such as "I want ___.")
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac1c
  1. Complex sentences (such as "Where are we going?")
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac2
  1. Sign language (including finger spelling)
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac3
  1. PECS (Picture Exchange Communication System)
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac3a
  1. Photographs
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac3b
  1. Picture symbols
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac4
  1. Voice output device (such as iPad, Go Talk, Proloquo2Go, TapToTalk, etc.) (Name of device used below)
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac5
  1. Text (written or typed)
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac6
  1. Any other ways? (Name these below)
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aac4a
  1. Voice output device Name of device used:
notes
s_aacmean1
  1. Communicate basic wants and needs (food, bathroom, water)
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aacmean2
  1. Request preferred items or activities
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aacmean3
  1. Express independent thoughts (comments, etc.)
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aacmean4
  1. Express feelings (emotions, tell when not well)
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aacmean5
  1. Take 2 or more conversational turns
2, Always | 1, Sometimes | 0, Never | 9999, Missing radio
s_aaccomyes___1 If yes, please check system(s) below: 1, PECS (picture exchange communication system) checkbox
s_aaccomyes___2 If yes, please check system(s) below: 2, Sight board checkbox
s_aaccomyes___3 If yes, please check system(s) below: 3, Sign Language checkbox
s_aaccomyes___4 If yes, please check system(s) below: 4, Other (specify) checkbox

5.6 ABC - Full Aberrant Behavior Checklist

Field Name Description Categories Field Data
a_admitdaystoabc Admit days to ABC calc
a_abcactive1
  1. Excessively active at home, school, work, or elsewhere
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcselfinj2
  1. Injures self on purpose
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcinact3
  1. Listless, sluggish, inactive
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcaggres4
  1. Aggressive to other children.or adults (verbally or physically)
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcisolate5
  1. Seeks isolation from others
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcbodymove6
  1. Meaningless, recurring body movements
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcboister7
  1. Boisterous (inappropriately noisy and rough)
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcscream8
  1. Screams inappropriately
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abctalk9
  1. Talks excessively
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abctemper10
  1. Temper tantrums/outbursts
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcstermov11
  1. Stereotyped behavior; abnormal, repetitive movements
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcpreocc12
  1. Preoccupied; stares into space
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcimpuls13
  1. Impulsive (acts without thinking)
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcirrita14
  1. Irritable and whiny
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcrestless15
  1. Restless, unable to sit still
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcwithdra16
  1. Withdrawn; prefers solitary activities
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcoddbeh17
  1. Odd, bizarre in behavior
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcdiso18
  1. Disobedient; difficult to control
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcyells19
  1. Yells at inappropriate times
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcfixface20
  1. Fixed facial expression; lacks emotional responsiveness
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcdisturb21
  1. Disturbs others
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcreptsp22
  1. Repetitive speech
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnothsit23
  1. Does nothing but sit and watch others
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcuncoop24
  1. Uncooperative
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcdepres25
  1. Depressed mood
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnocont26
  1. Resists any form of physical contact
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcheadrep27
  1. Moves or rolls head back and forth repetitively
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnoinstr28
  1. Does not pay attention to instructions
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcdemand29
  1. Demands must be met immediately
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcdisgroup31
  1. Disrupts group activities
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abclongtime32
  1. Sits or stands in one position for a long time
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abctalkself33
  1. Talks to self loudly
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abccriesmin34
  1. Cries over minor annoyances and hurts
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcrepmov35
  1. Repetitive hand, body, or head movements
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcmoodqu36
  1. Mood changes quickly
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcunstruct37
  1. Unresponsive to structured activities (does not react)
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnoseat38
  1. Does not stay in seat (e.g., during lesson or training periods, meals, etc)
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnsitstil39
  1. Will not sit still for any length of time
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcdifreach40
  1. Is difficult to reach, contact, or get through to
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abccriesini41
  1. Cries and screams inappropriately
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcprefalon42
  1. Prefers to be alone
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnowords43
  1. Does not try to communicate by words or gestures
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcdistract44
  1. Easily distractible
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcwaverep45
  1. Waves or shakes the extremities repeatedly
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcrepwords46
  1. Repeats a word or phrase over and over
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcbangsobj47
  1. Stamps feet or bangs objects or slams doors
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcconstrun48
  1. Constantly runs or jumps around the room
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcrocksrep49
  1. Rocks body back and forth repeatedly
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abchurtself50
  1. Deliberately hurts himself/herself
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnoattent51
  1. Pays no attention when spoken to
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcviolenself52
  1. Does physical violence to self
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnospont53
  1. Inactive, never moves spontaneously
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcoveract54
  1. Tends to be excessively active
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnegaffec55
  1. Responds negatively to affection
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcignodirec56
  1. Deliberately ignores directions
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcnownway57
  1. Has temper outbursts or tantrums when he/she does not get own way
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio
a_abcfewsocia58
  1. Shows few social reactions to others
0, 0 - Not at all a problem | 1, 1 - The behavior is a problem but slight in degree | 2, 2 - The problem is moderately serious | 3, 3 - The problem is severe in degree | 9999, Missing radio

5.7 ABC - Irritability Only

Field Name Description Categories Field Data
d_admitdaystoabc Admit days to ABC calc
fu_admitdaystoabc Admit days to ABC calc
d_iabcstatus ABC data status 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact dropdown
fu_iabcstatus ABC data status 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact dropdown
d_iabcrespondent Respondent’s relationship to patient 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
fu_iabcrespondent Respondent’s relationship to patient 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
d_abcsamecaregiver Measures completed by same caregiver as at admission? 0, No | 1, Yes | 9999, Missing dropdown
fu_abcsamecaregiver Measures completed by same caregiver as at admission? 0, No | 1, Yes | 9999, Missing dropdown
d_fuabc1
  1. Injures self on purpose
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc1
  1. Injures self on purpose
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc2
  1. Aggressive to other children or adults (verbally or physically)
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc2
  1. Aggressive to other children or adults (verbally or physically)
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc3
  1. Screens inappropriately
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc3
  1. Screens inappropriately
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc4
  1. Temper tantrums/outbursts
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc4
  1. Temper tantrums/outbursts
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc5
  1. Irritable and whiny
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc5
  1. Irritable and whiny
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc6
  1. Yells at inappropriate times
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc6
  1. Yells at inappropriate times
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc7
  1. Depressed mood
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc7
  1. Depressed mood
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc8
  1. Demands must be met immediately
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc8
  1. Demands must be met immediately
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc9
  1. Cries over minor annoyances or hurts
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc9
  1. Cries over minor annoyances or hurts
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc10
  1. Mood changes quickly
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc10
  1. Mood changes quickly
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc11
  1. Cries and screams inappropriately
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc11
  1. Cries and screams inappropriately
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc12
  1. Stamps feet or bangs objects or slams doors
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc12
  1. Stamps feet or bangs objects or slams doors
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc13
  1. Deliberately hurts himself/herself
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc13
  1. Deliberately hurts himself/herself
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc14
  1. Does physical violence to self
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc14
  1. Does physical violence to self
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc15
  1. Has temper outbursts or tantrums when he/she does not get own way
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc15
  1. Has temper outbursts or tantrums when he/she does not get own way
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc16
  1. Excessively active at home, school, work or elsewhere
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc16
  1. Excessively active at home, school, work or elsewhere
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc17
  1. Boisterous (inappropriately noisy and rough)
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc17
  1. Boisterous (inappropriately noisy and rough)
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc18
  1. Impulsive (acts without thinking)
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc18
  1. Impulsive (acts without thinking)
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc19
  1. Restless, unable to sit still
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc19
  1. Restless, unable to sit still
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc20
  1. Disobedient; difficult to control
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc20
  1. Disobedient; difficult to control
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc21
  1. Disturbs others
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc21
  1. Disturbs others
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc22
  1. Uncooperative
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc22
  1. Uncooperative
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc23
  1. Does not pay attention to instructions
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc23
  1. Does not pay attention to instructions
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc24
  1. Disrupts group activities
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc24
  1. Disrupts group activities
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc25
  1. Does not stay in seat (e.g. during lesson or training periods, meals, etc.)
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc25
  1. Does not stay in seat (e.g. during lesson or training periods, meals, etc.)
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc26
  1. Will not sit still for any length of time
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc26
  1. Will not sit still for any length of time
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc27
  1. Easily distractible
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc27
  1. Easily distractible
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc28
  1. Constantly runs or jumps around the room
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc28
  1. Constantly runs or jumps around the room
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc29
  1. Pays no attention when spoken to
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc29
  1. Pays no attention when spoken to
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc30
  1. Tends to be excessively active
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc30
  1. Tends to be excessively active
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
d_fuabc31
  1. Deliberately ignores directions
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio
fu_fuabc31
  1. Deliberately ignores directions
0, 0 not at all | 1, 1 slight | 2, 2 moderate | 3, 3 severe | 9999, Missing radio

5.8 ABCL - Adult Behavior Checklist

Field Name Description Categories Field Data
s_adubc_highed Adult’s Highest Education 1, No high school diploma and no GED | 2, General Equivalency Diploma (GED) | 3, High school graduate | 4, Some college but no college degree | 5, Associate’s Degree | 6, Bachelor’s or RN Degree | 7, Some graduate school but no graduate degree | 8, Master’s Degree | 9, Doctoral or Law Degree | 10, Other education dropdown
s_adubc_01_a About how many close friends does the adult have? (Do not include family members.) 0, None | 1, 1 | 2, 2 or 3 | 3, 4 or more dropdown
s_adubc_01_b About how many times a month does the adult have contact with any close friends? (Include in-person contacts, phone, letters, e-mail.) 1, Less than 1 | 2, 1 or 2 | 3, 3 or 4 | 4, 5 or more dropdown
s_adubc_01_d About how many times a month do any friends or family visit the adult? 1, Less than 1 | 2, 1 or 2 | 3, 3 or 4 | 4, 5 or more dropdown
s_adubc_02_a What is the adult’s marital status? 1, Never been married | 2, Married, living with spouse | 3, Widowed | 4, Married but separated from spouse | 5, Divorced | 6, Other dropdown
s_adubc_02_b At any time in the past 6 months, did the adult live with a spouse or partner? yesno
s_adubc_06_001
  1. Is too forgetful
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_002
  1. Makes good use of opportunities
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_003
  1. Argues a lot
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_004
  1. Works up to ability
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_005
  1. Blames others for own problems
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_006
  1. Uses drugs (other than alcohol or nicotine) for nonmedical purposes <br> {adubc_06_006_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_007
  1. Bragging, boasting
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_008
  1. Can’t concentrate, can’t pay attention for long
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_009
  1. Can’t get mind off certain thoughts; obsessions <br> {adubc_06_009_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_010
  1. Can’t sit still, restless, or hyperactive
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_011
  1. Too dependent on others
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_012
  1. Complains of loneliness
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_013
  1. Confused or seems to be in a fog
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_014
  1. Cries a lot
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_015
  1. Is pretty honest
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_016
  1. Cruelty, bullying, or meanness to others
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_017
  1. Daydreams or gets lost in thoughts
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_018
  1. Deliberately harms self or attempts suicide
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_019
  1. Demands a lot of attention
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_020
  1. Damages or destroys own things
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_021
  1. Damages or destroys things belonging to others
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_022
  1. Worries about future
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_023
  1. Breaks rules at work or elsewhere
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_024
  1. Doesn’t eat well
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_025
  1. Doesn’t get along with other people
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_026
  1. Doesn’t seem to feel guilty after misbehaving
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_027
  1. Easily jealous
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_028
  1. Gets along badly with family
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_029
  1. Fears certain animals, situations, or places <br>{adubc_06_029_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_030
  1. Poor social relations with other genders
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_031
  1. Fears they might think or do something bad
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_032
  1. Feels they have to be perfect
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_033
  1. Feels or complains that no one loves them
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_034
  1. Feels others are out to get them
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_035
  1. Feels worthless or inferior
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_036
  1. Gets hurt a lot, accident-prone
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_037
  1. Gets in many fights
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_038
  1. Relations with neighbors are poor
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_039
  1. Hangs around people who get in trouble
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_040
  1. Hears sounds or voices that aren’t there <br>{adubc_06_040_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_041
  1. Impulsive or acts without thinking
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_042
  1. Would rather be alone than with others
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_043
  1. Lying or cheating
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_044
  1. Feels overwhelmed by responsibilities
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_045
  1. Nervous, highstrung, or tense
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_046
  1. Nervous movements or twitching <br>{adubc_06_046_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_047
  1. Lacks self-confidence
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_048
  1. Not liked by others
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_049
  1. Can do certain things better than other people
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_050
  1. Too fearful or anxious
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_051
  1. Feels dizzy or lightheaded
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_052
  1. Feels too guilty
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_053
  1. Has trouble planning for the future
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_054
  1. Feels tired without good reason
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_055
  1. Moods swing between elation and depression
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_056
  1. Physical problems without known medical cause
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_057
  1. Physically attacks people
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_058
  1. Picks skin or other parts of body <br> {adubc_06_058_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_059
  1. Fails to finish things they should do
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_060
  1. There is very little that they enjoy
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_061
  1. Poor work performance
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_062
  1. Poorly coordinated or clumsy
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_063
  1. Would rather be with older people than with people of own age
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_064
  1. Has trouble setting priorities
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_065
  1. Refuses to talk
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_066
  1. Repeats certain acts over and over; compulsions <br> {adubc_06_066_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_067
  1. Has trouble making or keeping friends
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_068
  1. Screams or yells a lot
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_069
  1. Secretive, keeps thing to self
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_070
  1. Sees things that aren’t there <br> {adubc_06_070_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_071
  1. Self-conscious or easily embarrassed
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_072
  1. Worries about family
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_073
  1. Meets responsibilities to family
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_074
  1. Showing off or clowning
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_075
  1. Too shy or timid
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_076
  1. Irresponsible behavior
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_077
  1. Sleeps more than most other people during day and/or night <br> {adubc_06_077_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_078
  1. Has trouble making decisions
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_079
  1. Speech problem <br> {adubc_06_079_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_080
  1. Stares blankly
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_081
  1. Very changeable behavior
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_082
  1. Steals
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_083
  1. Is easily bored
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_084
  1. Strange behavior <br> {adubc_06_084_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_085
  1. Strange ideas <br> {adubc_06_085_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_086
  1. Stubborn, sullen, or irritable
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_087
  1. Sudden changes in mood or feelings
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_088
  1. Enjoys being with people
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_089
  1. Rushes into things without considering the risks
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_090
  1. Drinks too much alcohol or gets drunk
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_091
  1. Talks about killing self
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_092
  1. Does things that may cause trouble with the law <br> {adubc_06_092_de}
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_093
  1. Talks too much
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_094
  1. Teases a lot
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_095
  1. Temper tantrums or hot temper
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_096
  1. Passive or lacks initiative
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_097
  1. Threatens to hurt people
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_098
  1. Likes to help others
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_099
  1. Dislikes staying in one place for very long
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_100
  1. Has trouble sleeping
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_101
  1. Stays away from job even when not sick and not on vacation
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_102
  1. Underactive, slow moving, or lacks energy
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_103
  1. Unhappy, sad, or depressed
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_104
  1. Is unusually loud
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_105
  1. Is disorganized
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_106
  1. Tries to be fair to others
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_107
  1. Feels they can’t succeed
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_108
  1. Tends to lose things
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_109
  1. Likes to try new things
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_110
  1. Makes good decisions
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_111
  1. Withdrawn, doesn’t get involved with others
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_112
  1. Worries
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_113
  1. Sulks a lot
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_114
  1. Fails to pay debts or meet other financial responsibilities
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_115
  1. Is restless or fidgety
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_116
  1. Gets upset too easily
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_117
  1. Has trouble managing money or credit cards
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_118
  1. Is too impatient
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_119
  1. Is not good at details
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_120
  1. Drives too fast
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_121
  1. Tends to be late for appointments
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_122
  1. Has trouble keeping a job
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_123
  1. Is a happy person
0, Not true (As far as you know) | 1, Somewhat or sometimes true | 2, Very true or often true radio
s_adubc_06_124 In the past 6 months, about how many times per day did they use tobacco (including smokeless tobacco) or use e-cigarettes? text
s_adubc_06_125 In the past 6 months, on how many days were they drunk? text
s_adubc_06_126 In the past 6 months, on how many days did they use drugs for nonmedical purposes (including marijuana, cocaine, and other drugs, except alcohol and nicotine)? text

5.9 ADOS - Autism Diagnostic Observation Schedule

Field Name Description Categories Field Data
s_ados_module ADOS module completed 0, Module-T | 1, Module-1 | 2, Module-2 | 3, Module-3 | 4, Module-4 | 9999, ADOS Missed radio
s_ados1_item_a1 A1. Overall level on non-echoed spoken language text
s_ados1_item_a2 A2. Frequency of spontaneous vocalization directed to others text
s_ados1_item_a3 A3. Intonation of vocalizations or verbalizations text
s_ados1_item_a4 A4. Immediate echolalia text
s_ados1_item_a5 A5. Stereotyped / idiosyncratic use of words or phrases text
s_ados1_item_a6 A6. Use of another’s body text
s_ados1_item_a7 A7. Pointing text
s_ados1_item_a8 A8. Gestures text
s_ados1_item_b1 B1. Unusual eye contact text
s_ados1_item_b2 B2. Responsive social smile text
s_ados1_item_b3 B3. Facial expressions directed to others text
s_ados1_item_b4 B4. Intergration of gaze and other behaviors during social overtures text
s_ados1_item_b5 B5. Shared enjoyment in interaction text
s_ados1_item_b6 B6. Response to name text
s_ados1_item_b7 B7. Requesting text
s_ados1_item_b8 B8. Giving text
s_ados1_item_b9 B9. Showing text
s_ados1_item_b10 B10. Spontaneous initiation of joint attention text
s_ados1_item_b11 B11. Response to joint attention text
s_ados1_item_b12 B12. Quality of social overtures text
s_ados1_item_b13a B13a. Amount of social overtures / maintenance of attention : EXAMINER text
s_ados1_item_b13b B13b. Amount of social overtures / maintenance of attention : PARENT / CAREGIVER text
s_ados1_item_b14 B14. Quality of social response text
s_ados1_item_b15 B15. Level of engagement text
s_ados1_item_b16 B16. Overall quality of rapport text
s_ados1_item_c1 C1. Functional play with objects text
s_ados1_item_c2 C2. Imagination / creativity text
s_ados1_item_d1 D1. Unusual sensory interest in play material / person text
s_ados1_item_d2 D2. Hand and finger and other complex mannerisms text
s_ados1_item_d3 D3. Self-injurious behavior text
s_ados1_item_d4 D4. Unusually repetitive interests or streotyped behaviors text
s_ados1_item_e1 E1. Overactivity text
s_ados1_item_e2 E2. Tantrums, aggresion, negative or disruptive behavior text
s_ados1_item_e3 E3. Anxiety text
s_ados1_algorithm ADOS Module 1 algorithm used 1, Few to no words | 2, Some words radio
s_scoresumm_1_a2 Frequency of Spontaneous Vocalization Directed to Others (A-2) text
s_scoresumm_1_a7 Pointing (A-7) text
s_scoresumm_1_a8 Gestures (A-8) text
s_scoresumm_1_b1 Unusual Eye Contact (B-1) text
s_scoresumm_1_b3 Facial Expressions Directed to Others (B-3) text
s_scoresumm_1_b4 Integration of Gaze and Other Behaviors During Social Overtures (B-4) text
s_scoresumm_1_b5 Shared Enjoyment in Interaction (B-5) text
s_scoresumm_1_b9 Showing (B-9) text
s_scoresumm_1_b10 Spontaneous Initiation of Joint Attention (B-10) text
s_scoresumm_1_b11 Response to Joint Attention (B-11) text
s_scoresumm_1_b12 Quality of Social Overtures (B-12) text
s_scoresumm_1_a3 Intonation of Vocalizations or Verbalizations (A-3) text
s_scoresumm_1_a5 Stereotyped/Idiosyncratic Use of Words or Phrases (A-5) text
s_scoresumm_1_d1 Unusual Sensory Interest in Play Material/Person (D-1) text
s_scoresumm_1_d2 Hand and Finger and Other Complex Mannerisms (D-2) text
s_scoresumm_1_d4 Unusually Repetitive Interests or Stereotyped Behaviors (D-4) text
s_ados2_item_a1 A1. Overall level of non-echoed spoken language text
s_ados2_item_a2 A2. Speech abnormalities associated with autism (intonation / volume / rhythm / rate) text
s_ados2_item_a3 A3. Immediate echolalia text
s_ados2_item_a4 A4. Streotyped / idosyncratic use of words or phrases text
s_ados2_item_a5 A5. Conversation text
s_ados2_item_a6 A6. Pointing text
s_ados2_item_a7 A7. Descriptive, conventional, instrumental, or informational gestures text
s_ados2_item_b1 B1. Unusual eye contact text
s_ados2_item_b2 B2. Facial expressions directed to others text
s_ados2_item_b3 B3. Shared enjoyment in interaction text
s_ados2_item_b4 B4. Response to name text
s_ados2_item_b5 B5. Showing text
s_ados2_item_b6 B6. Spontaneous intiation of joint attention text
s_ados2_item_b7 B7. Response to joint attention text
s_ados2_item_b8 B8. Quality of social overtures text
s_ados2_item_b9a B9a. Amount of social overtures / maintenance of attention : EXAMINER text
s_ados2_item_b9b B9b. Amount of social overtures / maintenance of attention : PARENT / CAREGIVER text
s_ados2_item_b10 B10. Quality of social response text
s_ados2_item_b11 B11. Amount of reciprocal social communication text
s_ados2_item_b12 B12. Overall quality of rapport text
s_ados2_item_c1 C1. Functional play with objects text
s_ados2_item_c2 C2. Imagination / creativity text
s_ados2_item_d1 D1. Unusual sensory interest in play material / person text
s_ados2_item_d2 D2. Hand and finger and other complex mannerisms text
s_ados2_item_d3 D3. Self-injurious behavior text
s_ados2_item_d4 D4. Unusually repetitive interests or streotyped behaviors text
s_ados2_item_e1 E1. Overactivity text
s_ados2_item_e2 E2. Tantrums, aggresion, negative or disruptive behavior text
s_ados2_item_e3 E3. Anxiety text
s_ados2_algorithm ADOS Module 2 algorithm used 1, Younger than 5 years | 2, aged 5 years or older radio
s_scoresumm_2_a6 Pointing (A-6) text
s_scoresumm_2_a7 Descriptive, Conventional, Instrumental, or Informational Gestures (A-7) text
s_scoresumm_2_b1 Unusual Eye Contact (B-1) text
s_scoresumm_2_b2 Facial Expressions Directed to Others (B-2) text
s_scoresumm_2_b3 Shared Enjoyment in Interaction (B-3) text
s_scoresumm_2_b5 Showing (B-5) text
s_scoresumm_2_b6 Spontaneous Initiation of Joint Attention (B-6) text
s_scoresumm_2_b8 Quality of Social Overtures (B-8) text
s_scoresumm_2_b11 Amount of Reciprocal Social Communication (B-11) text
s_scoresumm_2_b12 Overall Quality of Rapport (B-12) text
s_scoresumm_2_a4 Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) text
s_scoresumm_2_d1 Unusual Sensory Interest in Play Material/Person (D-1) text
s_scoresumm_2_d2 Hand and Finger and Other Complex Mannerisms (D-2) text
s_scoresumm_2_d4 Unusually Repetitive Interests or Stereotyped Behaviors (D-4) text
s_ados3_item_a1 A1. Overall level of non-echoed spoken language text
s_ados3_item_a2 A2. Speech abnormalities associated with autism (intonation / volume / rhythm / rate) text
s_ados3_item_a3 A3. Immediate echolalia text
s_ados3_item_a4 A4. Streotyped / idosyncratic use of words or phrases text
s_ados3_item_a5 A5. Offers information text
s_ados3_item_a6 A6. Asks for information text
s_ados3_item_a7 A7. Reporting of events text
s_ados3_item_a8 A8. Conversation text
s_ados3_item_a9 A9. Descriptive, conversational, instrumental, or informational gestures text
s_ados3_item_b1 B1. Unusual eye contact text
s_ados3_item_b2 B2. Facial expressions directed to examiner text
s_ados3_item_b3 B3. Language production and linked nonverbal communication text
s_ados3_item_b4 B4. Shared enjoyment in interaction text
s_ados3_item_b5 B5. Comments on other’s emotions / empathy text
s_ados3_item_b6 B6. Insight into typical social situations and relationships text
s_ados3_item_b7 B7. Quality of social overtures text
s_ados3_item_b8 B8. Amount of social overtures / maintenance of attention text
s_ados3_item_b9 B9. Quality of social response text
s_ados3_item_b10 B10. Amount of reciprocal social communication text
s_ados3_item_b11 B11. Overall quality of rapport text
s_ados3_item_c1 C1. Imagination / creativity text
s_ados3_item_d1 D1. Unusual sensory interest in play material / person text
s_ados3_item_d2 D2. Hand and finger and other complex mannerisms text
s_ados3_item_d3 D3. Self-injurious behavior text
s_ados3_item_d4 D4. Excessive interest in or references to unusual or highly specific topics or objects or repetitive behaviors text
s_ados3_item_d5 D5. Compulsions or rituals text
s_ados3_item_e1 E1. Overactivity / agitation text
s_ados3_item_e2 E2. Tantrums, aggresion, negative or disruptive behavior text
s_ados3_item_e3 E3. Anxiety text
s_scoresumm_3_a7 Reporting of Events (A-7) text
s_scoresumm_3_a8 Conversation (A-8) text
s_scoresumm_3_a9 Descriptive, Conventional, Instrumental, or Informational Gestures (A-9) text
s_scoresumm_3_b1 Unusual Eye Contact (B-1) text
s_scoresumm_3_b2 Facial Expressions Directed to Examiner (B-2) text
s_scoresumm_3_b4 Shared Enjoyment in Interaction (B-4) text
s_scoresumm_3_b7 Quality of Social Overtures (B-7) text
s_scoresumm_3_b9 Quality of Social Response (B-9) text
s_scoresumm_3_b10 Amount of Reciprocal Social Communication (B-10) text
s_scoresumm_3_b11 Overall Quality of Rapport (B-11) text
s_scoresumm_3_a4 Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) text
s_scoresumm_3_d1 Unusual Sensory Interest in Play Material/Person (D-1) text
s_scoresumm_3_d2 Hand and Finger and Other Complex Mannerisms (D-2) text
s_scoresumm_3_d4 Excessive Interest in Unusual or Highly Specific Topics/Objects or Repetitive Behaviors (D-4) text
s_ados4_item_a1 A1. Overall level of non-echoed spoken language text
s_ados4_item_a2 A2. Speech abnormalities associated with autism (intonation / volume / rhythm / rate) text
s_ados4_item_a3 A3. Immediate echolalia text
s_ados4_item_a4 A4. Streotyped / idosyncratic use of words or phrases text
s_ados4_item_a5 A5. Offers information text
s_ados4_item_a6 A6. Asks for information text
s_ados4_item_a7 A7. Reporting of events text
s_ados4_item_a8 A8. Conversation text
s_ados4_item_a9 A9. Descriptive, conversational, instrumental, or informational gestures text
s_ados4_item_a10 A10. Empathic or emotional gestures text
s_ados4_item_b1 B1. Unusual eye contact text
s_ados4_item_b2 B2. Facial expressions directed to examiner text
s_ados4_item_b3 B3. Language production and linked nonverbal communication text
s_ados4_item_b4 B4. Shared enjoyment in interaction text
s_ados4_item_b5 B5. Communication of own affect text
s_ados4_item_b6 B6. Comments on other’s emotions / empathy text
s_ados4_item_b7 B7. Insight into typical social situations and relationships text
s_ados4_item_b8 B8. Responsibility text
s_ados4_item_b9 B9. Quality of social overtures text
s_ados4_item_b10 B10. Amount of social overtures / maintenance of attention text
s_ados4_item_b11 B11. Quality of social response text
s_ados4_item_b12 B12. Amount of reciprocal social communication text
s_ados4_item_b13 B13. Overall quality of rapport text
s_ados4_item_c1 C1. Imagination / creativity text
s_ados4_item_d1 D1. Unusual sensory interest in play material / person text
s_ados4_item_d2 D2. Hand and finger and other complex mannerisms text
s_ados4_item_d3 D3. Self-injurious behavior text
s_ados4_item_d4 D4. Excessive interest in or references to unusual or highly specific topics or objects or repetitive behaviors text
s_ados4_item_d5 D5. Compulsions or rituals text
s_ados4_item_e1 E1. Overactivity / agitation text
s_ados4_item_e2 E2. Tantrums, aggresion, negative or disruptive behavior text
s_ados4_item_e3 E3. Anxiety text
s_scoresumm_4_a8 Conversation (A-8) text
s_scoresumm_4_a10 Emphatic or Emotional Gestures (A-10) text
s_scoresumm_4_b1 Unusual Eye Contact (B-1) text
s_scoresumm_4_b2 Facial Expressions Directed to Examiner (B-2) text
s_scoresumm_4_b5 Communication of own Affect (B-5) text
s_scoresumm_4_b7 Insight into typical social situations and relationships (B-7) text
s_scoresumm_4_b9 Quality of Social Overtures (B-9) text
s_scoresumm_4_b11 Quality of Social Response (B-11) text
s_scoresumm_4_b12 Amount of Reciprocal Social Communication (B-12) text
s_scoresumm_4_b13 Overall Quality of Rapport (B-13) text
s_scoresumm_4_a2 Speech abnormalities associated with autism (A-2) text
s_scoresumm_4_a4 Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) text
s_scoresumm_4_d1 Unusual Sensory Interest in Play Material/Person (D-1) text
s_scoresumm_4_d2 Hand and Finger and Other Complex Mannerisms (D-2) text
s_scoresumm_4_d4 Excessive Interest in or References to Highly Specific Topics (D-4) text
s_scoresumm_satotal Social Affect Total text
s_scoresumm_rrbtotal Restricted and Repetitive Behavior Total text
s_scoresumm_overalltotal Overall Total (Social Affect + Restricted and Repetitive Behavior) text
s_scoresumm_adosdiag ADOS-2 Classification: 1, Autism | 2, Autism Spectrum | 0, Non-spectrum radio
s_scoresumm_compscore ADOS-2 Comparison Score text
s_scoresumm_4_a9 Descriptive, Conventional, Instrumental, or Informational Gestures (A-9) text
s_scoresumm_4_b6 Comments on Others’ Emotions/Empathy (B-6) text
s_scoresumm_4_b8 Responsibility (B-8) text
s_scoresumm_4_c1 Imagination/Creativity text
s_scoresumm_4_d5 Compulsions or Rituals (D-5) text
s_scoresumm_4_ctotal Communication Total text
s_scoresumm_4_sitotal Social Interaction Total text
s_scoresumm_4_satotal Communication + Social Interaction Total text
s_scoresumm_4_rrbtotal Stereotyped Behaviors and Restricted Interests Total text

5.10 AFS Caregiver-Report - Adult Functioning Scale

Field Name Description Categories Field Data
s_afsc_changes Have there been any major life changes for them in the last 3 months? 0, No | 1, Yes | 2, Not Sure radio
s_afsc_friendships

Is this person interested in having friendships?

<i>When answering, note that a friend is a relationship outside the family that involves cooperation and concern for the other person. A friend is more than a social contact for a short time or a person who can simply do something for you. A person can still be a friend even if you don’t see them often. A person can also be a friend even if you only see them online.</i> 		0, No interest/desire at all | 1, Yes, somewhat interested in having friends | 2, Yes, clear desire or interest in having friends dropdown
s_afsc_edu What is their highest level of education completed? 1, Did not finish high school | 2, High school diploma, GED, or certificate of completion | 3, Vocational or technical school | 4, Some college | 5, College/graduate school dropdown
s_afsc_te Is this person currently in school or a job training or educational preparation program? 0, No, not a student | 1, Yes, a part-time student | 2, Yes, a full-time student dropdown
s_afsc_role Select the option that best describes the match between work role and education/training. This person’s work role: 1, Does not match the highest degree/certificate they completed | 2, Matches educational or skills requirements for the job but is not in the same field (for example, having a degree in engineering but working in banking) | 3, Matches the highest educational degree/certificate they completed, and they work in the same field (for example, having a degree in engineering and working as an engineer) | 4, Not currently working dropdown
s_afsc_financial What is their financial status? 1, Totally dependent on others to pay for things | 2, Pay for some things but need some help paying for other things | 3, Financially independent (in other words, able to pay for the things they need) dropdown
s_afsc_living What is their current living situation? 1, Alone | 2, With a roommate or romantic partner | 3, With parents or other relatives | 4, In a residential facility (including state hospital or state center) | 5, In a group home | 6, Homeless | 7, Other dropdown
s_afsc_m1_s_01 Can be near others besides family 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_02 Interacts with other adults besides family 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_03 Has back and forth interactions with other adults through social media or other online activities 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_04 Uses online sources to try to meet new friends 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_05 Goes to organized group activities in person or online (for example, a club) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_06 Gets together with other adults for special occasions, birthdays, or holidays 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_07 Takes part in in social or leisurely activities at home with non-family members 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_08 Helps friends with tasks that are hard to do alone 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_09 Uses online dating apps 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_10 Reaches out to keep in touch with friends (for example, by phone, visiting, online) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_11 Has a friend to help them with tasks that are hard to do alone 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_13 Gives emotional support to a friend 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_14 Gets along with other adults without many disagreements 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_15 Can find a friend to hang out with when needed or desired 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_s_16 Keeps good personal physical space boundaries 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m2_s_01 Looks for information about job openings 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m2_s_02 Applies for jobs or looks for job interviews 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m2_s_03 Completes job applications 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m2_s_04 Goes to job training in the community or in a group 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m2_s_05 Goes to pre-vocational training (for example, school, college, trades) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m2_s_06 Responds actively to new job leads 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m2_s_07 Puts together a resume 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m3_s_01 Works or studies with little supervision 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m3_s_02 Arrives for work on time 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m3_s_03 Asks for more tasks when work is completed 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m3_s_04 Notices their mistakes at work or school 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m3_s_05 Accepts feedback from supervisors or co-workers 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m3_s_06 Finishes given tasks at work or school 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_01 Does a hobby or activity for fun 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_02 Attends community events (for example, sporting event, theater/cultural event) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_03 Does volunteer work (for example with a religious group, in a community organization, at a hospital) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_04 Does things in daily life that are interesting to them 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_05 Finds entertainment when bored 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_06 Runs errands and shops in stores 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_07 Follows a daily schedule 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_08 Uses disability or mental health services that are available to them 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_09 Understands and follows traffic signs and signals when getting around or driving 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_10 Gets around safely in the community (for example, across parking lots, not walking in the street) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m4_s_11 Finds a way to get places that are not close by 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_01 Uses internet safely (for example, not sharing personal details, staying away from dangerous websites) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_02 Keeps personal information private when talking to strangers 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_03 Behaves safely around others (for example, not threatening or aggressive) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_04 Gets enough sleep (not too much or not too little) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_05 Able to stay awake throughout the day 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_06 Exercises 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_07 Eats a variety of foods 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_08 Is physically active 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_09 Chooses appropriate clothing for different situations (such as home, work, special occasions) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_10 Chooses appropriate clothing for the weather 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_11 Does daily hygiene tasks (for example, deodorant, brushing teeth, bathing or showering) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_12 Does regular grooming (for example, hair care, nail care) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_13 Takes medicine as directed 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_14 Keeps track of medicines and refills as needed 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_15 Schedules regular health care check-ups 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m5_s_17 Has a healthy, balanced diet 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_01 Completes household chores 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_02 Organizes living space to reduce clutter (for example, putting things away in same place) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_03 Does some household tasks (for example, light housecleaning, washing clothes, etc.) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_04 Plans for meals (preparing grocery list, etc.) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_05 Prepares meals 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_06 Saves up for big purchases 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_07 Spends money properly (for example, not making big purchases that they cannot afford, making sure they have enough for things they need every month) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_08 Has enough money to pay for expenses (for example, food, rent, bills) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_09 Sets money aside for future 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_10 Pays own rent or mortgage 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_11 Pays bills on time 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_12 Tell others about disabilities, allergies, and medical conditions as needed 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m6_s_13 Gets benefits that they are entitled to (for example, SSI, food stamps/SNAP, Office of Vocational Rehabilitation services) 1, Unable to do | 2, With a lot of support | 3, With some support | 4, With a little support | 5, Without any support radio
s_afsc_m1_f_01 Can be near others besides family 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_02 Interacts with other adults besides family 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_03 Has back and forth interactions with other adults through social media or other online activities 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_04 Uses online sources to try to meet new friends 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_05 Goes to organized group activities in person or online (for example, a club) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_06 Gets together with other adults for special occasions, birthdays, or holidays 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_07 Takes part in in social or leisurely activities at home with non-family members 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_08 Helps friends with tasks that are hard to do alone 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_09 Uses online dating apps 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_10 Reaches out to keep in touch with friends (for example, by phone, visiting, online) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_11 Has a friend to help them with tasks that are hard to do alone 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_12 Has a friend to go to for emotional support when needed 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_13 Gives emotional support to a friend 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_14 Gets along with other adults without many disagreements 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_15 Can find a friend to hang out with when needed or desired 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_16 Keeps good personal physical space boundaries 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_17 Tries to meet romantic or sexual partners 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_18 Notices when someone has a romantic or sexual interest in them 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_19 Takes part in sexual activity with a romantic or sexual partner 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m1_f_20 Has warm and supportive romantic/sexual relations 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m2_f_01 Looks for information about job openings 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m2_f_02 Applies for jobs or looks for job interviews 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m2_f_03 Completes job applications 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m2_f_04 Goes to job training in the community or in a group 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m2_f_05 Goes to pre-vocational training (for example, school, college, trades) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m2_f_06 Responds actively to new job leads 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m2_f_07 Puts together a resume 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m3_f_01 Works or studies with little supervision 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m3_f_02 Arrives for work on time 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m3_f_03 Asks for more tasks when work is completed 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m3_f_04 Notices their mistakes at work or school 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m3_f_05 Accepts feedback from supervisors or co-workers 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m3_f_06 Finishes given tasks at work or school 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_01 Does a hobby or activity for fun 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_02 Attends community events (for example, sporting event, theater/cultural event) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_03 Does volunteer work (for example with a religious group, in a community organization, at a hospital) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_04 Does things in daily life that are interesting to them 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_05 Finds entertainment when bored 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_06 Runs errands and shops in stores 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_07 Follows a daily schedule 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_08 Uses disability or mental health services that are available to them 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_09 Understands and follows traffic signs and signals when getting around or driving 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_10 Gets around safely in the community (for example, across parking lots, not walking in the street) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m4_f_11 Finds a way to get places that are not close by 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_01 Uses internet safely (for example, not sharing personal details, staying away from dangerous websites) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_02 Keeps personal information private when talking to strangers 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_03 Behaves safely around others (for example, not threatening or aggressive) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_04 Gets enough sleep (not too much or not too little) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_05 Able to stay awake throughout the day 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_06 Exercises 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_07 Eats a variety of foods 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_08 Is physically active 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_09 Chooses appropriate clothing for different situations (such as home, work, special occasions) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_10 Chooses appropriate clothing for the weather 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_11 Does daily hygiene tasks (for example, deodorant, brushing teeth, bathing or showering) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_12 Does regular grooming (for example, hair care, nail care) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_13 Takes medicine as directed 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_14 Keeps track of medicines and refills as needed 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_15 Schedules regular health care check-ups 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_16 Communicates, verbally or non-verbally, a need for help when sick, hurt, or scared 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m5_f_17 Has a healthy, balanced diet 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_01 Completes household chores 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_02 Organizes living space to reduce clutter (for example, putting things away in same place) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_03 Does some household tasks (for example, light housecleaning, washing clothes, etc.) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_04 Plans for meals (preparing grocery list, etc.) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_05 Prepares meals 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_06 Saves up for big purchases 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_07 Spends money properly (for example, not making big purchases that they cannot afford, making sure they have enough for things they need every month) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_08 Has enough money to pay for expenses (for example, food, rent, bills) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_09 Sets money aside for future 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_10 Pays own rent or mortgage 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_11 Pays bills on time 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_12 Tell others about disabilities, allergies, and medical conditions as needed 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio
s_afsc_m6_f_13 Gets benefits that they are entitled to (for example, SSI, food stamps/SNAP, Office of Vocational Rehabilitation services) 1, Never | 2, Rarely | 3, Smtimes | 4, Often | 5, Always | 9999, NA radio

5.11 AFS Self-Report - Adult Functioning Scale

5.12 BPI01 - Behavior Problems Inventory

Field Name Description Categories Field Data
a_admitdaystobpi Admit days to BPI calc
a_bpi_sib_freq1
  1. Self-biting (so hard that a tooth print can be seen for some time; bloodshot or breaking of skin may occur)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq2
  1. Hitting head with hand or other body part (e.g., face slapping, knee against forehead) or with/against objects (e.g., slamming against a wall, knocking head with a toy)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq3
  1. Hitting body (except for the head) with own hand or with any other body part (e.g., kicking self, slapping arms or thighs), or with/against objects (e.g., hitting legs with a stick, boxing the wall)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq4
  1. Self-scratching (so hard that reddening of the skin becomes visible; breaking of the skin may also occur)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq5
  1. Vomiting and rumination (deliberate regurgitation of swallowed food with rumination)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq6
  1. Self-pinching (so hard that reddening of the skin becomes visible; breaking of the skin may occur)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq7
  1. Pica: Mouthing or swallowing of objects which should not be mouthed or swallowed for health or hygiene reasons (non-food items such as feces, grass, paper, garbage, hair)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq8
  1. Inserting objects in body openings (in nose, ears, or anus, etc.)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq9
  1. Pulling finger or toe nails
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq10
  1. Inserting fingers in body openings (e.g., eye poking, finger in anus)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq11
  1. Air swallowing resulting in extended abdomen
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq12
  1. Hair pulling (tearing out patches of hair)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq13
  1. Extreme drinking (e.g., more than 3 liters per day)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq14
  1. Teeth grinding (evidence of ground teeth)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_freq15
  1. Other
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_sib_sev1
  1. Self-biting (so hard that a tooth print can be seen for some time; bloodshot or breaking of skin may occur)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev2
  1. Hitting head with hand or other body part (e.g., face slapping, knee against forehead) or with/against objects (e.g., slamming against a wall, knocking head with a toy)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev3
  1. Hitting body (except for the head) with own hand or with any other body part (e.g., kicking self, slapping arms or thighs), or with/against objects (e.g., hitting legs with a stick, boxing the wall)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev4
  1. Self-scratching (so hard that reddening of the skin becomes visible; breaking of the skin may also occur)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev5
  1. Vomiting and rumination (deliberate regurgitation of swallowed food with rumination)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev6
  1. Self-pinching (so hard that reddening of the skin becomes visible; breaking of the skin may occur)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev7
  1. Pica: Mouthing or swallowing of objects which should not be mouthed or swallowed for health or hygiene reasons (non-food items such as feces, grass, paper, garbage, hair)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev8
  1. Inserting objects in body openings (in nose, ears, or anus, etc.)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev9
  1. Pulling finger or toe nails
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev10
  1. Inserting fingers in body openings (e.g., eye poking, finger in anus)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev11
  1. Air swallowing resulting in extended abdomen
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev12
  1. Hair pulling (tearing out patches of hair)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev13
  1. Extreme drinking (e.g., more than 3 liters per day)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev14
  1. Teeth grinding (evidence of ground teeth)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_sib_sev15
  1. Other
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_freq41
  1. Hitting others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq42
  1. Kicking others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq43
  1. Pushing others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq44
  1. Biting others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq45
  1. Grabbing and pulling others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq46
  1. Scratching others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq47
  1. Pinching others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq48
  1. Spitting on others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq49
  1. Being verbally abusive with others
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq50
  1. Destroying things (e.g., rips clothes, throws chairs, smashes tables)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq51
  1. Being mean or cruel (e.g., grabbing toys or food from others, bullying others)
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_freq52
  1. Other
0, Never (0) | 1, Monthly (1) | 2, Weekly (2) | 3, Daily (3) | 4, Hourly (4) | 9999, Missing radio
a_bpi_aggpd_sev41
  1. Hitting others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev42
  1. Kicking others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev43
  1. Pushing others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev44
  1. Biting others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev45
  1. Grabbing and pulling others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev46
  1. Scratching others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev47
  1. Pinching others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev48
  1. Spitting on others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev49
  1. Being verbally abusive with others
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev50
  1. Destroying things (e.g., rips clothes, throws chairs, smashes tables)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev51
  1. Being mean or cruel (e.g., grabbing toys or food from others, bullying others)
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio
a_bpi_aggpd_sev52
  1. Other
1, Mild (1) | 2, Moderate (2) | 3, Severe (3) | 8888, Not applicable | 9999, Missing radio

5.13 CASI - Child and Adolescent Symptom Inventory

Field Name Description Categories Field Data
s_casirespondent Relation of the person completing this form to this youth 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
s_casia1 A1. Does not pay close attention to details or makes careless mistakes 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia2 A2. Has difficulty paying attention to tasks or activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia3 A3. Does not seem to listen when spoken to directly 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia4 A4. Has difficulty following through on instructions and falls to finish things 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia5 A5. Has difficulty organizing work and activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia6 A6. Avoids doing tasks that require a lot of mental effort (schoolwork, homework, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia7 A7. Loses things necessary for activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia8 A8. Is easily distracted by other things going on 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia9 A9. Is forgetful in daily activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia10 A10. Fidgets with hands or feet or squirms in seat 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia11 A11. Has difficulty remaining seated when asked to do so 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia12a A12a. Runs about or climbs on things when asked not to do so 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia12b A12b. Seems restless or jittery 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia13 A13. Has difficulty playing or doing things quietly 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia14 A14. Is "on the go" or acts as if "driven by a motor" 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia15 A15. Talks excessively 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia16 A16. Blurts out answers to questions before they have been completed 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia17 A17. Has difficulty awaiting turn in group activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia18 A18. Interrupts or intrudes on other people’s activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casiax Ax. How often do the behaviors in Category A Interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib19 B19. Loses temper 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib20 B20. Argues with adults 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib21 B21. Defies or refuses to do what you tell him/her to do 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib22 B22. Does things to deliberately annoy others 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib23 B23. Blames others for own misbehavior or mistakes 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib24 B24. Is touchy or easily annoyed by others 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib25 B25. Is angry and resentful 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib26 B26. Takes anger out on others or tries to get even 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casibx Bx. How often do the behaviors in Category B interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casid47 D47. Is overconcerned about abilities in school athletic, work or social activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid48 D48. Has difficulty controlling worries 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid49 D49. Acts restless or edgy 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid50 D50. Is irritable for most of the day 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid51 D51. Is extremely tense or unable to relax 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid52 D52. Has difficulty falling asleep or staying asleep 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casidx Dx. How often do the behaviors in Category D interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casie53 E53. Is overly fearful or tries to avoid specific ojects or situations (animals, heights, storms, insects, going places alone, being "trapped", etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie54 E54. Complains about heart pounding, shortness of breath, feeling dizzy, trembling, or fear of dying 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie55 E55. Cannot get distressing houghts out of his/her mind (worries about gems or doing things perfectly, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie56 E56. Feels compelled to perform unusual habits (hand washing, checking locks, repeating things a set number of times) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie57 E57. Has experienced an extremely upsetting event and continues to be bothered by it 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie58 E58. Has distressing memories or dreams about an extremely upsetting event 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie59 E59. Makes twitching or jerking movements for no apparent reason (eye blinking, nose twitching, grimacing, lip licking, head jerking, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie60 E60. Makes vocal sounds for no apparent reason (coughing, throat clearing, sniffling, grunting, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie61 E61. Complains about physical problems (headaches, upset stomach, etc.) for which there is no apparent causes 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie62 E62. Worries about physical health 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casiez1 Ez1. Pulls out his/her hair, eyelashes, or eyebrows 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casiez2 Ez2. Picks is/her own skin 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casiez3 Ez3. Refuses to speak, other than to family members 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casif63a F63a. Tries to avoid contact with strangers; abnormally shy 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casif63b F63b. Is more anxious in social situations than most other youths 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casif64 F64. Is excessively shy with peers 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casif64a F64a. When put in an uncomfortable social situation; child cries, freezes, or withdraws from interacting 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casifx Fx. How often do the behaviors in Category F interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig65 G65. Gets very upset when he/she expects to be separated from home or parents 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig66 G66. Worries that parents will be hurt or leave home and not come back 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig67 G67. Worries that some disaster (getting lost, kidnapped, etc.) will separate him/her from parents 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig68 G68. Tries to avoid going to school in order to stay home with parent 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig69 G69. Worries about being left at home along or with a sitter 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig70 G70. Afraid to go to sleep unless near parent 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig71 G71. Has nightmares about being separated from parent 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig72 G72. Complains about feeling sick when he/she expects to be separated from home or parents 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casigx Gx. How often do the behaviors in Category G interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casii76 I76. Wets bed at night 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casii77 I77 Wets or soils underwear during daytime hours 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij78 J78. Has strange ideas or beliefs that are not real (food is poisoned, people are trying to get him/her, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij79 J79. Has auditory hallucinations (hears voices talking to or telling him/her to do things, etc) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij80a J80a. Has extremely strange and illogical thoughts or ideas 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij80b J80b. Has disorganized speech (ideas don’t make sense, thoughts run together, loses train of thought, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij81a J81a. Does extremely odd things (excessive preoccupation with fantasy friends, talks to self in a strange way, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij81b J81b. Behaves in extremely strange ways (unpredictable outbursts, acts as if in slow motion, seems to forget how to take care of self, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij82 J82. Laughs or cries at inappropriate times or shows no emotion in situations where most others of same age would react 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij83 J83. Seems to have lost interest in doing things or talking to people 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casijx Jx. How often do the behaviors in Category J interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casirz1 Rz1. Has temper outbursts that are way out of proportion to the situation 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casirz2 Rz2. Is irritable or angry most of the say 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casirzx Rzx. How often do the behaviors in Category Rz interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik84 K84. Is depressed for most of the day 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik85 K85. Shows little interest in (or enjoyment of) pleasurable activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik86 K86. Talks about death or suicide 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik87 K87. Feels worthless or guilty 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik88 K88. Has low energy level or is tired for no apparent reason 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik89 K89. Has little confidence, feels inferior to others, or is very self conscious 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik90 K90. Feels that things never work out right 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casikx Kx. How often do the behaviors in Category K interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik91 K91. Has experienced a big change in his/her normal appetite or weight 0, No | 1, Yes | 9999, Missing radio
s_casik92 K92. Has experienced a big change in his/her normal sleeping habits (trouble sleeping or sleeps too much) 0, No | 1, Yes | 9999, Missing radio
s_casik93 K93. Has experienced a big change in his/her normal activity level (overactive or inactive) 0, No | 1, Yes | 9999, Missing radio
s_casik94 K94. Has experienced a big change in his/her ability to concentrate or make decisions 0, No | 1, Yes | 9999, Missing radio
s_casik95 K95. Has experienced a big drop in school grades or schoolwork 0, No | 1, Yes | 9999, Missing radio
s_casik96 K96. Has become more sensitive or tearful than usual 0, No | 1, Yes | 9999, Missing radio
s_casik97 K97. Has experienced a very stressful event such as parents divorce, death of a friend or relative, serious illness 0, No | 1, Yes | 9999, Missing radio
s_casil98 L98. Is much more cheerful than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casil99 L99. Is much more irritable or explosive than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi100 L100. Becomes much more active or busy than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi101 L101. Needs far less sleep than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi102 L102. Is much more talkative than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi103 L103. Is far more distractible than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi104 L104. Does far more reckless or silly things than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi105 L105. Switches rapidly from one topic to another 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi106 L106. Believes that he/she has special abilities or can do things that are obviously unrealistic 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casilx Lx. How often do the behaviors in Category L interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_adhdiparent CAT. A ADHD, inattentive Parent Count Score text
s_adhditscore CAT. A ADHD, inattentiveT-Score text
s_adhdicutoff CAT. A ADHD, inattentive Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_adhdhparent CAT. A ADHD, hyperactive-impulsive Parent Count Score text
s_adhdhtscore CAT. A ADHD, hyperactive-impulsive T-Score text
s_adhdhcutoff CAT. A ADHD, hyperactive-impulsive Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_adhdcparenta CAT. A ADHD, combined (a. 1-9) Parent Count Score text
s_adhdctscorea CAT. A ADHD, combined T-Score text
s_adhdcparentb CAT. A ADHD, combined Parent Count Score text
s_adhdccutoff CAT. A ADHD, combined Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_oppositionparent Parent Count Score b. text
s_oppositiontscore T-Score text
s_oppositioncutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_gadparenta Parent Count Score a text
s_gadtscorea T-Score text
s_gadparentb Parent Count Score b text
s_gadcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_phobiaparent Parent Count Score text
s_phobiacutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_panicparent Parent Count Score text
s_paniccutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_obsessionsparent Parent Count Score text
s_obsessionscutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_compulsionsparent Parent Count Score text
s_compulsionscutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_ptsdparent Parent Count Score text
s_ptsdcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_motorparent Parent Count Score text
s_motorcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_vocalparent Parent Count Score text
s_vocalcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_somaticparent Parent Count Score text
s_somaticcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_hairparent Parent Count Score text
s_haircutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_skinparent Parent Count Score text
s_skincutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_mutismparent Parent Count Score text
s_mutismcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_socialanxparent Parent Count Score text
s_socialanxtscore T-Score text
s_socialanxcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_separationparent Parent Count Score text
s_separationtscore T-Score text
s_separationcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_enuresisparent CAT. I Nocturnal enuresis Parent Count Score text
s_enuresiscutoff CAT. I Nocturnal enuresis Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_encopresisparent CAT. I Enuresis, encopresis Parent Count Score text
s_encopresiscutoff CAT. I Enuresis, encopresis Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_schizoparenta Parent Count Score a. text
s_schizotscorea T-Score text
s_schizoparentb Parent Count Score b. text
s_schizocutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_disruptiveparent Parent Count Score text
s_disruptivecutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_mdeparenta CAT. K Major depressive episode (MDE) Parent Count Score a text
s_mdetscorea CAT. K Major depressive episode (MDE) T-Score text
s_mdeparentb CAT. K Major depressive episode (MDE) Parent Count Score b text
s_mdecutoff CAT. K Major depressive episode (MDE) Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_dysthymiaparenta CAT. K Persistent depression (dysthymia) Parent Count Score a text
s_dysthymiatscorea CAT. K Persistent depression (dysthymia) T-Score text
s_dysthymiaparentb CAT. K Persistent depression (dysthymia) Parent Count Score b text
s_dysthymiacutoff CAT. K Persistent depression (dysthymia) Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_manicparenta CAT. L Manic episode Parent Count Score a text
s_manictscorea CAT. L Manic episode T-Score text
s_manicparentb CAT. L Manic episode Parent Count Score b text
s_maniccutoff CAT. L Manic episode Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_casiaxcutoffi AxImpairment cut off calc
s_casibxcutoffi BxImpairment cut off calc
s_casidxcutoffi DxImpairment cut off calc
s_casifxcutoffi FxImpairment cut off calc
s_casigxcutoffi GxImpairment cut off calc
s_casijxcutoffi JxImpairment cut off calc
s_casirzxcutoffi RzxImpairment cut off calc
s_casikxcutoffi KxImpairment cut off calc
s_casilxcutoffi LxImpairment cut off calc
s_casirespondent Relation of the person completing this form to this youth 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
s_casia1 A1. Does not pay close attention to details or makes careless mistakes 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia2 A2. Has difficulty paying attention to tasks or activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia3 A3. Does not seem to listen when spoken to directly 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia4 A4. Has difficulty following through on instructions and falls to finish things 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia5 A5. Has difficulty organizing work and activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia6 A6. Avoids doing tasks that require a lot of mental effort (schoolwork, homework, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia7 A7. Loses things necessary for activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia8 A8. Is easily distracted by other things going on 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia9 A9. Is forgetful in daily activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia10 A10. Fidgets with hands or feet or squirms in seat 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia11 A11. Has difficulty remaining seated when asked to do so 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia12a A12a. Runs about or climbs on things when asked not to do so 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia12b A12b. Seems restless or jittery 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia13 A13. Has difficulty playing or doing things quietly 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia14 A14. Is "on the go" or acts as if "driven by a motor" 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia15 A15. Talks excessively 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia16 A16. Blurts out answers to questions before they have been completed 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia17 A17. Has difficulty awaiting turn in group activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casia18 A18. Interrupts or intrudes on other people’s activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casiax Ax. How often do the behaviors in Category A Interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib19 B19. Loses temper 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib20 B20. Argues with adults 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib21 B21. Defies or refuses to do what you tell him/her to do 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib22 B22. Does things to deliberately annoy others 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib23 B23. Blames others for own misbehavior or mistakes 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib24 B24. Is touchy or easily annoyed by others 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib25 B25. Is angry and resentful 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casib26 B26. Takes anger out on others or tries to get even 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casibx Bx. How often do the behaviors in Category B interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casid47 D47. Is overconcerned about abilities in school athletic, work or social activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid48 D48. Has difficulty controlling worries 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid49 D49. Acts restless or edgy 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid50 D50. Is irritable for most of the day 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid51 D51. Is extremely tense or unable to relax 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casid52 D52. Has difficulty falling asleep or staying asleep 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casidx Dx. How often do the behaviors in Category D interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very Often | 9999, Missing radio
s_casie53 E53. Is overly fearful or tries to avoid specific ojects or situations (animals, heights, storms, insects, going places alone, being "trapped", etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie54 E54. Complains about heart pounding, shortness of breath, feeling dizzy, trembling, or fear of dying 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie55 E55. Cannot get distressing houghts out of his/her mind (worries about gems or doing things perfectly, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie56 E56. Feels compelled to perform unusual habits (hand washing, checking locks, repeating things a set number of times) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie57 E57. Has experienced an extremely upsetting event and continues to be bothered by it 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie58 E58. Has distressing memories or dreams about an extremely upsetting event 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie59 E59. Makes twitching or jerking movements for no apparent reason (eye blinking, nose twitching, grimacing, lip licking, head jerking, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie60 E60. Makes vocal sounds for no apparent reason (coughing, throat clearing, sniffling, grunting, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie61 E61. Complains about physical problems (headaches, upset stomach, etc.) for which there is no apparent causes 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casie62 E62. Worries about physical health 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casiez1 Ez1. Pulls out his/her hair, eyelashes, or eyebrows 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casiez2 Ez2. Picks is/her own skin 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casiez3 Ez3. Refuses to speak, other than to family members 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casif63a F63a. Tries to avoid contact with strangers; abnormally shy 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casif63b F63b. Is more anxious in social situations than most other youths 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casif64 F64. Is excessively shy with peers 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casif64a F64a. When put in an uncomfortable social situation; child cries, freezes, or withdraws from interacting 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casifx Fx. How often do the behaviors in Category F interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig65 G65. Gets very upset when he/she expects to be separated from home or parents 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig66 G66. Worries that parents will be hurt or leave home and not come back 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig67 G67. Worries that some disaster (getting lost, kidnapped, etc.) will separate him/her from parents 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig68 G68. Tries to avoid going to school in order to stay home with parent 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig69 G69. Worries about being left at home along or with a sitter 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig70 G70. Afraid to go to sleep unless near parent 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig71 G71. Has nightmares about being separated from parent 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casig72 G72. Complains about feeling sick when he/she expects to be separated from home or parents 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casigx Gx. How often do the behaviors in Category G interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casii76 I76. Wets bed at night 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casii77 I77 Wets or soils underwear during daytime hours 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij78 J78. Has strange ideas or beliefs that are not real (food is poisoned, people are trying to get him/her, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij79 J79. Has auditory hallucinations (hears voices talking to or telling him/her to do things, etc) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij80a J80a. Has extremely strange and illogical thoughts or ideas 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij80b J80b. Has disorganized speech (ideas don’t make sense, thoughts run together, loses train of thought, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij81a J81a. Does extremely odd things (excessive preoccupation with fantasy friends, talks to self in a strange way, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij81b J81b. Behaves in extremely strange ways (unpredictable outbursts, acts as if in slow motion, seems to forget how to take care of self, etc.) 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij82 J82. Laughs or cries at inappropriate times or shows no emotion in situations where most others of same age would react 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casij83 J83. Seems to have lost interest in doing things or talking to people 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casijx Jx. How often do the behaviors in Category J interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casirz1 Rz1. Has temper outbursts that are way out of proportion to the situation 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casirz2 Rz2. Is irritable or angry most of the say 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casirzx Rzx. How often do the behaviors in Category Rz interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik84 K84. Is depressed for most of the day 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik85 K85. Shows little interest in (or enjoyment of) pleasurable activities 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik86 K86. Talks about death or suicide 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik87 K87. Feels worthless or guilty 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik88 K88. Has low energy level or is tired for no apparent reason 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik89 K89. Has little confidence, feels inferior to others, or is very self conscious 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik90 K90. Feels that things never work out right 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casikx Kx. How often do the behaviors in Category K interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casik91 K91. Has experienced a big change in his/her normal appetite or weight 0, No | 1, Yes | 9999, Missing radio
s_casik92 K92. Has experienced a big change in his/her normal sleeping habits (trouble sleeping or sleeps too much) 0, No | 1, Yes | 9999, Missing radio
s_casik93 K93. Has experienced a big change in his/her normal activity level (overactive or inactive) 0, No | 1, Yes | 9999, Missing radio
s_casik94 K94. Has experienced a big change in his/her ability to concentrate or make decisions 0, No | 1, Yes | 9999, Missing radio
s_casik95 K95. Has experienced a big drop in school grades or schoolwork 0, No | 1, Yes | 9999, Missing radio
s_casik96 K96. Has become more sensitive or tearful than usual 0, No | 1, Yes | 9999, Missing radio
s_casik97 K97. Has experienced a very stressful event such as parents divorce, death of a friend or relative, serious illness 0, No | 1, Yes | 9999, Missing radio
s_casil98 L98. Is much more cheerful than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casil99 L99. Is much more irritable or explosive than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi100 L100. Becomes much more active or busy than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi101 L101. Needs far less sleep than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi102 L102. Is much more talkative than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi103 L103. Is far more distractible than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi104 L104. Does far more reckless or silly things than usual 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi105 L105. Switches rapidly from one topic to another 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casi106 L106. Believes that he/she has special abilities or can do things that are obviously unrealistic 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_casilx Lx. How often do the behaviors in Category L interfere with youth’s ability to do schoolwork or get along with others? 0, 0 Never | 1, 1 Sometimes | 2, 2 Often | 3, 3 Very often | 9999, Missing radio
s_adhdiparent CAT. A ADHD, inattentive Parent Count Score text
s_adhditscore CAT. A ADHD, inattentiveT-Score text
s_adhdicutoff CAT. A ADHD, inattentive Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_adhdhparent CAT. A ADHD, hyperactive-impulsive Parent Count Score text
s_adhdhtscore CAT. A ADHD, hyperactive-impulsive T-Score text
s_adhdhcutoff CAT. A ADHD, hyperactive-impulsive Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_adhdcparenta CAT. A ADHD, combined (a. 1-9) Parent Count Score text
s_adhdctscorea CAT. A ADHD, combined T-Score text
s_adhdcparentb CAT. A ADHD, combined Parent Count Score text
s_adhdccutoff CAT. A ADHD, combined Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_oppositionparent Parent Count Score b. text
s_oppositiontscore T-Score text
s_oppositioncutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_gadparenta Parent Count Score a text
s_gadtscorea T-Score text
s_gadparentb Parent Count Score b text
s_gadcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_phobiaparent Parent Count Score text
s_phobiacutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_panicparent Parent Count Score text
s_paniccutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_obsessionsparent Parent Count Score text
s_obsessionscutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_compulsionsparent Parent Count Score text
s_compulsionscutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_ptsdparent Parent Count Score text
s_ptsdcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_motorparent Parent Count Score text
s_motorcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_vocalparent Parent Count Score text
s_vocalcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_somaticparent Parent Count Score text
s_somaticcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_hairparent Parent Count Score text
s_haircutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_skinparent Parent Count Score text
s_skincutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_mutismparent Parent Count Score text
s_mutismcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_socialanxparent Parent Count Score text
s_socialanxtscore T-Score text
s_socialanxcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_separationparent Parent Count Score text
s_separationtscore T-Score text
s_separationcutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_enuresisparent CAT. I Nocturnal enuresis Parent Count Score text
s_enuresiscutoff CAT. I Nocturnal enuresis Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_encopresisparent CAT. I Enuresis, encopresis Parent Count Score text
s_encopresiscutoff CAT. I Enuresis, encopresis Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_schizoparenta Parent Count Score a. text
s_schizotscorea T-Score text
s_schizoparentb Parent Count Score b. text
s_schizocutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_disruptiveparent Parent Count Score text
s_disruptivecutoff Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_mdeparenta CAT. K Major depressive episode (MDE) Parent Count Score a text
s_mdetscorea CAT. K Major depressive episode (MDE) T-Score text
s_mdeparentb CAT. K Major depressive episode (MDE) Parent Count Score b text
s_mdecutoff CAT. K Major depressive episode (MDE) Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_dysthymiaparenta CAT. K Persistent depression (dysthymia) Parent Count Score a text
s_dysthymiatscorea CAT. K Persistent depression (dysthymia) T-Score text
s_dysthymiaparentb CAT. K Persistent depression (dysthymia) Parent Count Score b text
s_dysthymiacutoff CAT. K Persistent depression (dysthymia) Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_manicparenta CAT. L Manic episode Parent Count Score a text
s_manictscorea CAT. L Manic episode T-Score text
s_manicparentb CAT. L Manic episode Parent Count Score b text
s_maniccutoff CAT. L Manic episode Symptom Cut Off 0, No | 1, Yes | 9999, Missing dropdown
s_casiaxcutoffi AxImpairment cut off calc
s_casibxcutoffi BxImpairment cut off calc
s_casidxcutoffi DxImpairment cut off calc
s_casifxcutoffi FxImpairment cut off calc
s_casigxcutoffi GxImpairment cut off calc
s_casijxcutoffi JxImpairment cut off calc
s_casirzxcutoffi RzxImpairment cut off calc
s_casikxcutoffi KxImpairment cut off calc
s_casilxcutoffi LxImpairment cut off calc

5.14 CBCL - Child Behavior Checklist

Field Name Description Categories Field Data
s_cbcl1
  1. Acts too young for his/her age
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl2
  1. Drinks alcohol without parents’ approval
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl3
  1. Argues a lot
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl4
  1. Fails to finish things he/she starts
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl5
  1. There is very little he/she enjoys
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl6
  1. Bowel movements outside toilet
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl7
  1. Bragging, boasting
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl8
  1. Can’t concentrate, can’t pay attention for long
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl9
  1. Can’t get his/her mind off certain thoughts; obsessions
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl10
  1. Can’t sit still, restless, or hyperactive
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl11
  1. Clings to adults or too dependent
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl12
  1. Complains of loneliness
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl13
  1. Confused or seems to be in a fog
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl14
  1. Cries a lot
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl15
  1. Cruel to animals
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl16
  1. Cruelty, bullying, or meanness to others
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl17
  1. Daydreams or gets lost in his/her thoughts
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl18
  1. Deliberately harms self or attempts suicide
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl19
  1. Demands a lot of attention
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl20
  1. Destroys his/her own things
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl21
  1. Destroys things belonging to his/her family or others
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl22
  1. Disobedient at home
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl23
  1. Disobedient at school
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl24
  1. Doesn’t eat well
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl25
  1. Doesn’t get along with other kids
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl26
  1. Doesn’t seem to feel guilty after misbehaving
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl27
  1. Easily jealous
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl28
  1. Breaks rules at home, school, or elsewhere
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl29
  1. Fears certain animals, situations, or places other than school
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl30
  1. Fears going to school
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl31
  1. Fears he/she might think or do something bad
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl32
  1. Feels he/she has to be perfect
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl33
  1. Feels or complains that no one loves him/her
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl34
  1. Feels others are out to get him/her
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl35
  1. Feels worthles or inferior
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl36
  1. Gets hurt a lot, accident-prone
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl37
  1. Gets in many fights
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl38
  1. Gets teased a lot
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl39
  1. Hangs around with others who get in trouble
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl40
  1. Hears sounds or voices that aren’t there
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl41
  1. Impulsive or acts without thinking
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl42
  1. Would rather be alone than with others
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl43
  1. Lying or cheating
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl44
  1. Bites fingernails
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl45
  1. Nervous, highstrung, or tense
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl46
  1. Nervous movements or twitching
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl47
  1. Nightmares
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl48
  1. Not liked by other kids
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl49
  1. Constipated, doesn’t move bowels
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl50
  1. Too fearful or anxious
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl51
  1. Feels dizzy or lightheaded
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl52
  1. Feels too guilty
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl53
  1. Overeating
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl54
  1. Overtired without good reason
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl55
  1. Overweight
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl56a 56a. Physical problems without known medical cause: Aches or pains (not stomach or headaches) 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl56b 56b. Physical problems without known medical cause: Headaches 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl56c 56c. Physical problems without known medical cause: Nausea, feels sick 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl56d 56d. Physical problems without known medical cause: Problems with eyes (not if corrected by glasses) 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl56e 56e. Physical problems without known medical cause: Rashes or other skin problems 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl56f 56f. Physical problems without known medical cause: Stomachaches 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl56g 56g. Physical problems without known medical cause: Vomiting, throwing up 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl56h 56h. Physical problems without known medical cause: Other 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl57
  1. Physically attacks people
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl58
  1. Picks nose, skin, or other parts of body
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl59
  1. Plays with own sex parts in public
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl60
  1. Plays with own sex parts too much
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl61
  1. Poor school work
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl62
  1. Poorly coordinated or clumsy
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl63
  1. Prefers being with older kids
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl64
  1. Prefers being with younger kids
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl65
  1. Refuses to talk
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl66
  1. Repeats certain acts over and over; compulsions
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl67
  1. Runs away from home
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl68
  1. Screams a lot
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl69
  1. Secretive, keeps things to self
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl70
  1. Sees things that aren’t there
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl71
  1. Self-conscious or easily embarrassed
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl72
  1. Sets fires
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl73
  1. Sexual problems
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl74
  1. Showing off or clowning
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl75
  1. Too shy or timid
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl76
  1. Sleeps less than most kids
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl77
  1. Sleeps more than most kids during day and/or night
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl78
  1. Inattentive or easily distracted
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl79
  1. Speech problem
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl80
  1. Stares blankly
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl81
  1. Steals at home
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl82
  1. Steals outside of home
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl83
  1. Stores up too many things he/she doesn’t need
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl84
  1. Strange behavior
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl85
  1. Strange ideas
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl86
  1. Stubborn, sullen, or irritable
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl87
  1. Sudden changes in mood or feelings
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl88
  1. Sulks a lot
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl89
  1. Suspicious
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl90
  1. Swearing or obscene language
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl91
  1. Talks about killing self
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl92
  1. Talks or walks in sleep
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl93
  1. Talks too much
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl94
  1. Teases a lot
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl95
  1. Temper tantrums or hot temper
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl96
  1. Thinks about sex too much
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl97
  1. Threatens people
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl98
  1. Thumb-sucking
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl99
  1. Smokes, chews, or sniffs tobacco
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl100
  1. Trouble sleeping
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl101
  1. Truancy, skips school
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl102
  1. Underactive, slow moving, or lacks energy
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl103
  1. Unhappy, sad, or depressed
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl104
  1. Unusually loud
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl105
  1. Uses drugs for nonmedical purposes (don’t include alcohol or tobacco)
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl106
  1. Vandalism
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl107
  1. Wets self during the day
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl108
  1. Wets the bed
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl109
  1. Whining
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl110
  1. Wishes to be of opposite sex
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl111
  1. Withdrawn, doesn’t get involved with others
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl112
  1. Worries
0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_cbcl113a 113a. Problem 1 not listed above (describe below) 0, 0 - Not true (as far as you know) | 1, 1 - Somewhat or Sometimes True | 2, 2 - Very True or Often True | 8888, Not applicable | 9999, Missing radio
s_anxioustotal Anxious / Depressed: Total score text
s_anxioustscore Anxious / Depressed: T Score text
s_anxiouspercentile Anxious / Depressed: Percentile text
s_withdrawntotal Withdrawn / Depressed: Total Score text
s_withdrawntscore Withdrawn / Depressed: T Score text
s_withdrawnpercentile Withdrawn / Depressed: Percentile text
s_somatictotal Somatic Complaints: Total Score text
s_somatictscore Somatic Complaints: T Score text
s_somaticpercentile Somatic Complaints: Percentile text
s_socialtotal Social Problems: Total Score text
s_socialtscore Social Problems: T Score text
s_socialpercentile Social Problems: Percentile text
s_thoughttotal Thought Problems: Total Score text
s_thoughttscore Thought Problems: T Score text
s_thoughtpercentile Thought Problems: Percentile text
s_attentiontotal Attention Problems: Total score text
s_attentiontscore Attention Problems: T Score text
s_attentionpercentile Attention Problems: Percentile text
s_ruletotal Rule-Breaking Behavior: Total Score text
s_ruletscore Rule-Breaking Behavior: T Score text
s_rulepercentile Rule-Breaking Behavior: Percentile text
s_aggressivetotal Aggressive Behavior: Total Score text
s_aggressivetscore Aggressive Behavior: T Score text
s_aggressivepercentile Aggressive Behavior: Percentile text
s_internalizingtotal Internalizing Problems: Total score text
s_internalizingtscore Internalizing Problems: T Score text
s_internalizingpercentile Internalizing Problems: Percentile text
s_externalizingtotal Externalizing Problems: Total Score text
s_externalizingtscore Externalizing Problems: T Score text
s_externalizingpercentile Externalizing Problems: Percentile text
s_totaltotal Total Problems: Total Score text
s_totaltscore Total Problems: T Score text
s_totalpercentile Total Problems: Percentile text
s_affectivetotal Depressive Problems: Total Score text
s_affectivetscore Depressive Problems: T Score text
s_affectivepercentile Depressive Problems: Percentile text
s_anxietytotal Anxiety Problems text
s_anxietytscore Anxiety Problems: T Score text
s_anxietypercentile Anxiety Problems: Percentile text
s_somatictotal2 Somatic Problems: Total score text
s_somatictscore2 Somatic Problems: T Score text
s_somaticpercentile2 Somatic Problems: Percentile text
s_adhtotal Attention Deficit/Hyperactivity Problems: Total Score text
s_adhtscore Attention Deficit/Hyperactivity Problems: T Score text
s_adhpercentile Attention Deficit/Hyperactivity Problems: Percentile text
s_odtotal Oppositional Defiant Problems: Total Score text
s_odtscore Oppositional Defiant Problems: T Score text
s_odpercentile Oppositional Defiant Problems: Percentile text
s_conducttotal Conduct Problems: Total Score text
s_conducttscore Conduct Problems: T Score text
s_conductpercentile Conduct Problems: Percentile text

5.15 CSHQ - Children’s Sleep Habit Questionnaire

Field Name Description Categories Field Data
a_admitdaystocshq Admit days to CSHQ calc
a_cshq_problem Does the child currently have significant sleeping problems? yesno
a_cshq_m1_01
  1. Difficulty falling asleep <br> {cshq_m1_01_a:icons}
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/ Unknown radio
a_cshq_m1_02
  1. Frequent nighttime awakenings <br> {cshq_m1_02_a:icons}
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/ Unknown radio
a_cshq_m1_03
  1. Early morning awakenings <br> {cshq_m1_03_a:icons}
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/ Unknown radio
a_cshq_m1_04
  1. Other <br> {cshq_m1_04_de:icons} <br> {cshq_m1_04_a:icons}
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/ Unknown radio
a_cshq_m1_04_a age 4 text
a_cshq_wn_bed wn bed text
a_cshq_wn_wake wn wake text
a_cshq_we_bed we bed text
a_cshq_we_wake we wake text
a_cshq_01
  1. Goes to bed at the same time
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_02
  1. Falls asleep in own bed
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_03
  1. Falls asleep in other’s bed
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_04
  1. Needs parent in room to sleep
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_05
  1. Struggles at bedtime
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_06
  1. Afraid of sleeping alone
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_07
  1. Falls asleep in 20 minutes
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_08
  1. Sleeps too little
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_09
  1. Sleeps the right amount
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_10
  1. Sleeps the same amount each day
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_11
  1. Afraid of sleeping in the dark
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_12
  1. Trouble sleeping away
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_13 
  1. Moves to other's bed in night </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_14 
  1. Awakes once during night </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_15 
  1. Awakes more than once </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_16 
  1. Wets the bed at night </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_17 
  1. Talks during sleep </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_18 
  1. Restless and moves a lot </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_19 
  1. Sleepwalks </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_20 
  1. Grinds teeth during sleep </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_21 
  1. Awakens screaming, sweating </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_22 
  1. Alarmed by scary dream </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_23 
  1. Snores loudly </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_24 
  1. Stops Breathing </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_25
  1. Snorts and gasps
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_26
  1. Wakes by himself/herself
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_27
  1. Wakes up in negative mood
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_28 
  1. Others wake child </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_29 
  1. Hard time getting out of bed </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_30
  1. Takes long time to be alert
1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_31 
  1. Seems tired </td>
 1, Usually (5 to 7 times a week) | 2, Sometimes (2 to 4 times a week) | 3, Rarely (0 to 1 times a week) radio
a_cshq_m3_01 Watching TV 0, Not sleepy | 1, Very sleepy | 2, Falls asleep radio
a_cshq_m3_02 Riding in the car 0, Not sleepy | 1, Very sleepy | 2, Falls asleep radio

5.16 DBSES - Difficult Behavior Self-Efficacy Scale

Field Name Description Categories Field Data
d_dbssstatus DBSS Status 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact dropdown
fu_dbssstatus DBSS Status 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact dropdown
d_dbssrespondent Please indicate your role as a caregiver for the child with autism in our program: 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
fu_dbssrespondent Please indicate your role as a caregiver for the child with autism in our program: 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
d_dbss1
  1. How confident are you in dealing with challenging behaviors of the child with autism you care for?
1, 1 Not at all Confident | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Very Confident | 9999, Missing radio
fu_dbss1
  1. How confident are you in dealing with challenging behaviors of the child with autism you care for?
1, 1 Not at all Confident | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Very Confident | 9999, Missing radio
d_dbss2
  1. How difficult do you personally find it to deal with challenging behaviors of the child with autism you care for?
1, 1 very difficult | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Not at all difficult | 9999, Missing radio
fu_dbss2
  1. How difficult do you personally find it to deal with challenging behaviors of the child with autism you care for?
1, 1 very difficult | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Not at all difficult | 9999, Missing radio
d_dbss3
  1. To what extent do you feel that the way you deal with the challenging behaviors of the child with autism you care for has a positive effect?
1, 1 Has no positive effect at all | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Has a very positive effect | 9999, Missing radio
fu_dbss3
  1. To what extent do you feel that the way you deal with the challenging behaviors of the child with autism you care for has a positive effect?
1, 1 Has no positive effect at all | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Has a very positive effect | 9999, Missing radio
d_dbss4
  1. How satisfied are you with the way in which you deal with the challenging behaviors of the child with autism you care for?
1, 1 Not satisfied at all | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Very satisfied | 9999, Missing radio
fu_dbss4
  1. How satisfied are you with the way in which you deal with the challenging behaviors of the child with autism you care for?
1, 1 Not satisfied at all | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Very satisfied | 9999, Missing radio
d_dbss5
  1. To what extent do you feel in control of the challenging behaviors of the child with autism you are for?
1, 1 Not in control at all | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Very much in control | 9999, Missing radio
fu_dbss5
  1. To what extent do you feel in control of the challenging behaviors of the child with autism you are for?
1, 1 Not in control at all | 2, 2 | 3, 3 | 4, 4 | 5, 5 | 6, 6 | 7, 7 Very much in control | 9999, Missing radio

5.17 EDI - Emotion Dysregulation Inventory

Field Name Description Categories Field Data
a_admitdaystoedi Admit days to EDI calc
a_ediage Age: calc
a_edi1s
  1. Appears angry or irritable
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi3s
  1. Has explosive outbursts
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi4s
  1. Cries or stays angry for 5 minutes or longer
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi6s
  1. Cannot calm down without help from someone else
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi7s
  1. Suddenly switches to an opposite emotion
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi8s
  1. Frustrates easily
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi10s
  1. Destroys property on purpose
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi13s
  1. Breaks down if told he/she can’t do something
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi19s
  1. Has extreme or intense emotional reactions
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi21s
  1. Hard to calm him/her down when he/she is mad or upset
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi24s
  1. Reactions are so intense that he/she had to be removed from an activity or place
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi26s
  1. Physically attacks people
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi27s
  1. Seems on edge
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi28s
  1. When upset or angry, he/she stays that way for a long time
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi31s
  1. Does not seem to enjoy anything
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi34s
  1. Emotions go from 0 to 100 instantly
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi36s
  1. Has trouble calming him/herself down
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi38s
  1. Tense or agitated and unable to relax
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi42s
  1. Seems to be in a rage
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi43s
  1. Very little makes him/her happy
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi46s
  1. Reactions usually are more severe than the situation calls for
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi50s
  1. Becomes upset without a clear reason
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi51s
  1. Refuses to leave the house or go to school or activities unless forced
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi52s
  1. Has mood swings
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi53s
  1. Difficult to distract if he/she is frustrated or upset
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi57s
  1. Not responsive to praise or good things happening
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi58s
  1. Cannot change his/her mood even with your best effort
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi59s
  1. Easily triggered/upset
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi63s
  1. Seems sad or unhappy
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi64s
  1. Appears uneasy through the day
0, 0 Not at all | 1, 1 Mild | 2, 2 Moderate | 3, 3 Severe | 4, 4 Very severe | 9999, Missing radio
a_edi1c
  1. Appears angry or irritable
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi3c
  1. Has explosive outbursts
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi4c
  1. Cries or stays angry for 5 minutes or longer
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi6c
  1. Cannot calm down without help from someone else
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi7c
  1. Suddenly switches to an opposite emotion
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi8c
  1. Frustrates easily
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi10c
  1. Destroys property on purpose
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi13c
  1. Breaks down if told he/she can’t do something
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi19c
  1. Has extreme or intense emotional reactions
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi21c
  1. Hard to calm him/her down when he/she is mad or upset
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi24c
  1. Reactions are so intense that he/she has had to be removed from an activity or place
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi26c
  1. Physically attacks people
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi27c
  1. Seems on edge
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi28c
  1. When upset or angry, he/she stays that way for a long time
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi31c
  1. Does not seem to enjoy anything
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi34c
  1. Emotions go from 0 to 100 instantly
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi36c
  1. Has trouble calming him/herself down
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi38c
  1. Tense or agitated and unable to relax
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi42c
  1. Seems to be in a rage
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi43c
  1. Very little makes him/her happy
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi46c
  1. Reactions usually are more severe than the situation calls for
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi50c
  1. Becomes upset without a clear reason
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi51c
  1. Refuses to leave the house or go to school or activities unless forced
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi52c
  1. Has mood swings
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi53c
  1. Difficult to distract if he/she is frustrated or upset
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi57c
  1. Not responsive to praise or good things happening
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi58c
  1. Cannot change his/her mood even with your best efforts
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi59c
  1. Easily triggered/upset
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi63c
  1. Seems sad or unhappy
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio
a_edi64c
  1. Appears uneasy through the day
0, 0 Same | 1, 1 Worse | 2, 2 Better | 3, 3 New | 9999, Missing radio

5.18 EDI Self-Report - Emotion Dysregulation Inventory

Field Name Description Categories Field Data
a_admitdaystoedis Admit days to edis calc
a_edi_self_01 I felt angry or irritable 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_113 I felt cranky 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_114 I felt like I was going to explode 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_115 I had a meltdown 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_03 I had explosive outbursts 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_04 I cried or stayed angry for 5 minutes or longer 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_06 I could not calm down without help from someone else 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_07 I suddenly switched to an opposite emotion (for example, from sad to happy) 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_08 I got frustrated easily 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_10 I destroyed property on purpose 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_13 I broke down (cried, screamed) when told I couldn’t do something 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_19 I had extreme or intense emotional reactions 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_21 It was hard for others to calm me down when I was mad or upset 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_24 My reactions were so intense that I had to be removed from an activity or place 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_116 I got so upset that I couldn’t do what I needed to do 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_26 I physically attacked people 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very Severe radio
a_edi_self_27 I felt on edge 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_28 When upset or angry, I stayed that way for a long time 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_31 I did not enjoy anything 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_112 I got so upset or mad that I tried to hurt someone (for example, hit, scratch, push) 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_34 My emotions went from 0 to 100 instantly 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_36 I had trouble calming myself down 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_38 I was tense or agitated and unable to relax 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_42 I felt like I was in a rage 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_43 Very few things made me happy 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_46 My reactions were usually more severe than the situation called for 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_50 I became upset without a clear reason 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_111 I could not push myself to do what I needed to do 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_51 I refused to leave the house or go to school or activities unless forced 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_52 I had mood swings 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_53 If I was frustrated or upset, it was difficult for others to distract me 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_57 I was not responsive to praise or good things happening 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_109 I had trouble feeling excited even when something good happened 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_58 I could not change my mood even when others tried to help 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_59 I was easily triggered/upset 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_63 I felt sad or unhappy 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_105 I become upset if there is a change that I wasn’t expecting 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_106 I get upset or annoyed when someone does not understand what I am saying 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_76 I try to escape or get out of situations when I am upset 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_94 I break or throw things when angry or upset 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_96 I get upset when an activity or my attempts to communicate are interrupted 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_117 I feel frustrated when my requests are not immediately met 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_107 I get upset with change even when I know it is coming 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_118 It is hard for me to stop thinking about things that made me upset or mad 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_108 It is hard for me to cheer myself up 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio
a_edi_self_64 I felt uneasy throughout the day 0, Not at all | 1, Mild | 2, Moderate | 3, Severe | 4, Very severe radio

5.19 Leiter 3

Field Name Description Categories Field Data
s_leiterage Patient’s age in years calc
s_attenscaled A. Attention Scaled Score text
s_leiterscaledb B. Organization / Impulse ControlScaled Score text
s_leiterscaledcog Cognitive / SocialComposite Scaled Score text
s_leiterscalede E. Energy and Feelings Scaled Score text
s_leiterscaledg G. Anxiety Scaled Score text
s_leiterscaledemo Emotions/Regulations Composite Scaled Score text
s_leiterrawfg Figure Ground (FG) Raw Score text
s_leiterscaledfg Figure Ground (FG) Scaled Score text
s_leiterrawfc Form Completion (FC) Raw Score text
s_leiterscaledfc Form Completion (FC) Scaled Score text
s_leiterrawca Classification / Analogies (CA) Raw Score text
s_leiterscaledca Classification / Analogies (CA) Scaled Score text
s_leiterrawso Sequential Order (SO) Raw Score text
s_leiterscaledso Sequential Order (SO) Scaled Score text
s_leiterrawvp Visual Patterns (VP) Raw Score Optional text
s_leiterscaledvp Visual Patterns (VP) Scaled Score Optional text
s_leiterscalediq Nonverbal IQ - Sum of 4 Scaled Scores text
s_leiteriq Corrected non-verbal IQ score text
s_leiteriqpercentile Nonverbal IQ Percentile (See Appendix F) text
s_leitervalid Leiter data validity 1, Presumed valid | 2, Questionable (specify reason) | 3, Likely invalid (specify reason) | 4, Invalid (specify reason) | 8888, N/A | 9999, Missing dropdown

5.20 OSCBS - Open-Source Challenging Behavior Scale

Field Name Description Categories Field Data
a_admitdaystooscbs Admit days to oscbs calc
a_oscbs_01
  1. Intentionally breaks things around the house
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_02
  1. Treats objects roughly with no regard for damage
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_03
  1. Kicks, throws, slams, or rips things when upset
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_04
  1. Throws objects at other people
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_05
  1. Rough with others without being directly aggressive and without causing harm
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_06
  1. Aggressive toward other people without causing injury (Examples: shoving, bullying, insulting, threatening, other types of verbal or physical aggression)
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_07
  1. Aggression toward other people that causes significant injury
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_08
  1. Wanders if not closely supervised - with a risk of being lost or injured
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_09
  1. Actively tries to escape from home, school, or other premises
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_10
  1. Leaves a safe area without regard for danger
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_11
  1. Has temper tantrums or periods of major upset
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_12
  1. Refuses to follow instructions
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_13
  1. Does the opposite of what they are told to do
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_14
  1. Takes things that are not theirs
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_15
  1. Hurts self without causing significant injury (Examples: Picks skin, bites self without breaking skin, bites nails, or scratches)
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_16
  1. Hits head, face, neck, or other parts of the body (not due to motor difficulties)
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_17
  1. Cuts, stabs, bites, burns, or hurts themselves causing injury
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio
a_oscbs_18
  1. Engages in inappropriate sexual behavior
0, Not at all a problem | 1, Mild Problem | 2, Moderate Problem | 3, Severe Problem | 4, Very Severe Problem radio

Parent Rated Anxiety Scale

Field Name Description Categories Field Data
a_admitdaystopras Admit days to pras calc
a_pras_01
  1. Has difficulty sleeping due to fears or worries
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_02
  1. Uneasy in new situations
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_03
  1. Overly fearful of weather events (e.g., storms, hurricanes or tornados)
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_04
  1. Uncomfortable in social situations
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_05
  1. Gets stuck on what might go wrong
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_06
  1. Consistently avoids certain situations due to anxiety
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_07
  1. On the look-out for any change in routine
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_08
  1. Needs a lot of reassurance that things will work out
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_09
  1. Anxious about upcoming events
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_10
  1. Is fearful when separated from parents
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_11
  1. Is extremely tense or unable to relax
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_12
  1. Complains about heart pounding
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_13
  1. Worries about sticking out or being noticed by others
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_14
  1. Nervous about being late or getting off schedule
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_15
  1. Shuts down when anxious
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_16
  1. Gets upset by loud noises (e.g., public address systems, trains, vacuum cleaners, fire alarms, sirens, loud toilets)
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_17
  1. Gets upset when things are not perfect
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_18
  1. Hyperventilates when anxious or afraid
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_19
  1. Asks the same questions over and over for reassurance
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_20
  1. Is overly self-critical
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_21
  1. Paces or does other repetitive behaviors when tense or worried
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_22
  1. Has difficulty controlling worries
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_23
  1. Complains about physical problems
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_24
  1. Over-reacts when things do not go as planned
0, None | 1, Mild | 2, Moderate | 3, Severe radio
a_pras_25
  1. Fears being alone
0, None | 1, Mild | 2, Moderate | 3, Severe radio

5.21 PSQI - Pittsburgh Sleep Quality Index

Field Name Description Categories Field Data
a_admitdaystopsqi Admit days to psqi calc
a_psqi_sleepprob Do you currently have significant sleeping problems? yesno
a_psqi_m1_01
  1. Difficulty falling asleep <br> {psqi_m1_age_01:icons}
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/Unknown radio
a_psqi_m1_02
  1. Frequent nighttime awakenings <br> {psqi_m1_age_02:icons}
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/Unknown radio
a_psqi_m1_03
  1. Early morning awakenings <br> {psqi_m1_age_03:icons}
0, Not a problem | 1, A slight problem | 2, A major problem | 9999, Missing/Unknown radio
a_psqi_bedtime bedtime text
a_psqi_awaketime awake time text
a_psqi_bedminutes bed minutes text
a_psqi_sleephours sleep hours text
a_psqi_sleepqual During the past month, how would you rate your sleep quality overall? 1, Very good | 2, Fairly good | 3, Fairly bad | 4, Very bad radio
a_psqi_sleepmeds During the past month, how often have you taken medicine (prescribed or "over the counter") to help you sleep? 1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_awaketrouble During the past month, how often have you had trouble staying wake while driving, eating meals, or engaging in social activity? 1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_enthusiasm During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done? 1, Not a problem at all | 2, Only a very slight problem | 3, Somewhat of a problem | 4, A very big problem radio
a_psqi_m2_01
  1. You cannot get to sleep within 30 minutes
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m2_02
  1. Wake up in the middle of the night or early in the morning
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m2_03
  1. Have to get up to use the bathroom
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m2_04
  1. Cannot breathe comfortably
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m2_05
  1. Cough or snore loudly
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m2_06
  1. Feel too cold
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m2_07
  1. Feel too hot
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m2_08
  1. Had bad dreams
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m2_09
  1. Have pain
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_partner Do you have a partner or roommate? 1, No bed partner or roommate | 2, Partner or roommate in other room | 3, Partner in same room but not in same bed | 4, Partner in same bed radio
a_psqi_m3_01
  1. Loud snoring
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m3_02
  1. Long pauses between breaths while asleep
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m3_03
  1. Legs twitch or jerking while you sleep
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m3_04
  1. Episodes of disorientation or confusion during sleep
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio
a_psqi_m3_05
  1. Other <br> {psqi_m3_oth:icons}
1, Not during the past month | 2, Less than once a week | 3, Once or twice a week | 4, Three or more times a week radio

5.22 PPVT - Peabody Picture Vocabulary Test

Field Name Description Categories Field Data
s_ppvtrawscore PPVT Raw Score text
s_ppvtstandardscore PPVT Standard Score text
s_ppvtpercentile PPVT Percentile text

5.23 Puberty Questionnaire

Field Name Description Categories Field Data
s_pub_01
  1. Would you say that your child’s adolescent growth spurt has:
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know radio
s_pub_02
  1. Would you say that your child’s growth in body hair (e.g. underarm/pubic) has:
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know radio
s_pub_03
  1. Pubertal changes in your child’s skin (especially pimples) have:
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know radio
s_pub_04
  1. (Boys) Deepening of your child’s voice has:
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know radio
s_pub_05
  1. (Boys) Facial hair growth has:
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know radio
s_pub_06
  1. (Girls) Breast growth has:
0, Not Started Yet | 1, Barely Started | 2, Definitely Started | 3, Seems Complete | 4, Don’t Know radio
s_pub_07
  1. If female, has the child started having a menstrual cycle?
yesno
s_pub_7a 07a. If yes, how old were they when it started: text

5.24 RBS Caregiver - Repetitive Behaviors Scale

Field Name Description Categories Field Data
a_rbsrrespondent Informant completing test 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
a_rbsr1
  1. Hits self with body part
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
a_rbsr2
  1. Hits self against surface or object
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
a_rbsr3
  1. Hits self with object
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
a_rbsr4
  1. Bites self
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
a_rbsr5
  1. Pulls
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
a_rbsr6
  1. Rubs or scratches self
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
a_rbsr7
  1. Inserts finger or object
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
a_rbsr8
  1. Skin picking
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
a_selfendorsed
  1. Self-injurous BehaviorNumber of subscale items endorsed
text
a_selftotal
  1. Self-injurous BehaviorTotal subscale score
text

5.25 RBS Staff - Repetitive Behaviors Scale

Field Name Description Categories Field Data
s_rbsrespondent_2 RBSR Staff Informant 1, Teacher | 2, Clinician | 3, Social Worker | 9999, Missing dropdown
s_rbs1_2
  1. Hits self with body part
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
s_rbs2_2
  1. Hits self against surface or object
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
s_rbs3_2
  1. Hits self with object
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
s_rbs4_2
  1. Bites self
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
s_rbs5_2
  1. Pulls
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
s_rbs6_2
  1. Rubs or scratches self
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
s_rbs7_2
  1. Inserts finger or object
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
s_rbs8_2
  1. Skin picking
0, 0 - Behavior does not occur | 1, 1 - Behavior occurs and is a mild problem | 2, 2 - Behavior occurs and is a moderate problem | 3, 3 - Behavior occurs and is a severe problem | 9999, Missing radio
s_selfendorsed_2
  1. Self-injurous Behavior Number of subscale items endorsed
text
s_selftotal_2
  1. Self-injurous Behavior Total subscale score
text

5.26 SBQ-ASC - Suicidal Behaviors Questionnaire-Autism Spectrum Conditions

Field Name Description Categories Field Data
a_admitdaystosbqasc Admit days to sbqasc calc
a_sbq_01_a Have you ever thought about or attempted to end your life? 0, Never | 1, It was just a brief passing thought | 2, I have seriously thought about ending my life, but did not plan how or try to do it | 3, I have planned how to end my life, but did not try to do it | 4, I have attempted to end my life radio
a_sbq_02 How often on average have you experienced intense thoughts about ending your life in the past 12 months? 0, Never | 1, Less than once a month | 2, Once a month | 3, 2-3 times a month | 4, Once a week | 5, 2-6 times a week | 6, 1 or more times a day radio
a_sbq_03 When you have intense thoughts about ending your life, how long per day does this typically last? 0, Not Applicable | 1, Less than 5 minutes | 2, Less than 1 hour | 3, 1-4 hours | 4, 5-8 hours | 5, More than 8 hours radio
a_sbq_04 When you experience intense thoughts about ending your life, how likely are you to act on them? 0, Not Applicable | 1, No chance at all | 2, Very Unlikely | 3, Rather unlikely | 4, Rather Likely | 5, Very Likely radio
a_sbq_m1_01 Were thinking about ending your life 9999, Not applicable | 0, No | 1, Yes, once | 2, Yes, more than once radio
a_sbq_m1_02 Were going to attempt to end your life 9999, Not applicable | 0, No | 1, Yes, once | 2, Yes, more than once radio
a_sbq_m1_03 Had attempted to end your life 9999, Not applicable | 0, No | 1, Yes, once | 2, Yes, more than once radio
a_sbq_06 Have you ever purposefully injured yourself, without intending to end your life? yesno
a_sbq_05_b___1 If applicable, who did you tell? 1, An acquaintance checkbox
a_sbq_05_b___2 If applicable, who did you tell? 2, A friend checkbox
a_sbq_05_b___3 If applicable, who did you tell? 3, A family member checkbox
a_sbq_05_b___4 If applicable, who did you tell? 4, A health professional (e.g. General Practitioner, family doctor, Psychiatrist, Psychologist) checkbox
a_sbq_05_b___5 If applicable, who did you tell? 5, Other <br> {sbq_05_b_other:icons} checkbox
a_sbq_05_c___1 If you have never told anyone that you had thought about or attempted to end your life, why was this? 1, I had no one to tell checkbox
a_sbq_05_c___2 If you have never told anyone that you had thought about or attempted to end your life, why was this? 2, I chose not to checkbox
a_sbq_05_c___3 If you have never told anyone that you had thought about or attempted to end your life, why was this? 3, I was worried about the effect on others checkbox
a_sbq_05_c___4 If you have never told anyone that you had thought about or attempted to end your life, why was this? 4, I was worried about the consequences for myself checkbox
a_sbq_05_c___5 If you have never told anyone that you had thought about or attempted to end your life, why was this? 5, I wasn’t sure how to express my thoughts checkbox
a_sbq_05_c___6 If you have never told anyone that you had thought about or attempted to end your life, why was this? 6, I was afraid to checkbox
a_sbq_05_c___7 If you have never told anyone that you had thought about or attempted to end your life, why was this? 7, I didn’t consider telling anyone checkbox
a_sbq_05_c___8 If you have never told anyone that you had thought about or attempted to end your life, why was this? 8, Other <br> {sbq_05_c_other:icons} checkbox
a_sbq_01_b___1 When I attempted to end my life: 1, I had a plan that I carried out checkbox
a_sbq_01_b___2 When I attempted to end my life: 2, I had no plan checkbox
a_sbq_01_b___3 When I attempted to end my life: 3, I suddenly felt the urge to attempt to end my life checkbox
a_sbq_01_b___4 When I attempted to end my life: 4, I happened to have access to the means to end my life checkbox

5.27 SCQ - Social Communication Questionnaire

Field Name Description Categories Field Data
a_admitdaystoscq Admit Days to SCQ calc
a_scqage Chronological age in years calc
a_scq1
  1. Is she/he now able to talk using short phrases or sentences?
0, Yes | 1, No | 9999, Missing radio
a_scq2
  1. Can you have a to and fro "conversation" with her/him that involves taking turns or building on what you have said?
0, Yes | 1, No | 8888, N/A | 9999, Missing radio
a_scq3
  1. Has she/he ever used odd phrases or said the same thing over and over in almost exactly the same way?
1, Yes | 0, No | 8888, N/A | 9999, Missing radio
a_scq4
  1. Has she/he ever used socially inappropriate questions or statements?
1, Yes | 0, No | 8888, N/A | 9999, Missing radio
a_scq5
  1. Has she/he ever got her/his pronouns mixed up?
1, Yes | 0, No | 8888, N/A | 9999, Missing radio
a_scq6
  1. Has she/he ever used words that she/he seemed to have inverted or made up her/himself…?
1, Yes | 0, No | 8888, N/A | 9999, Missing radio
a_scq7
  1. Has she/he ever said the same thing over and over in exactly the same way or insisted that you say the same thing over and over again?
1, Yes | 0, No | 8888, N/A | 9999, Missing radio
a_scq8
  1. Has she/he ever had things that she/he seemed to have to do in a very particular way or order or rituals that she/he insisted that you go through?
1, Yes | 0, No | 9999, Missing radio
a_scq9
  1. Has her/his facial expression usually seemed appropriate to the particular situation, as far as you could tell?
0, Yes | 1, No | 9999, Missing radio
a_scq10
  1. Has she/he ever used your hand like a tool or as if it were part of her/his own body…?
1, Yes | 0, No | 9999, Missing radio
a_scq11
  1. Has she/he ever had any interests that preoccupy her/him and might seem odd to other people…?
1, Yes | 0, No | 9999, Missing radio
a_scq12
  1. Has she/he ever seemed to be more interested in parts of a toy or an object, rather than using the object as it was intended?
1, Yes | 0, No | 9999, Missing radio
a_scq13
  1. Has she/he ever had any special interests that were unusual in their intensity but otherwise appropriate for her/his age and peer group…?
1, Yes | 0, No | 9999, Missing radio
a_scq14
  1. Has she/he ever seemed to be unusually interested in the sight, feel, sound, taste, or smell of things or people?
1, Yes | 0, No | 9999, Missing radio
a_scq15
  1. Has she/he ever had any mannerisms or odd ways of moving her/his hands or fingers, such as flapping or moving her/his fingers in front of her/his eyes?
1, Yes | 0, No | 9999, Missing radio
a_scq16
  1. Has she/he ever had any complicated movements of her/his whole body, such as spinning or repeatedly bouncing up and down?
1, Yes | 0, No | 9999, Missing radio
a_scq17
  1. Has she/he ever injured her/himself deliberately, such as by biting her/his arm or banging her/his head?
1, Yes | 0, No | 9999, Missing radio
a_scq18
  1. Has she/he ever had any objects (other than a soft toy or comfort blanket) that she/he had to carry around?
1, Yes | 0, No | 9999, Missing radio
a_scq19
  1. Does she/he have any particular friends or a best friend?
0, Yes | 1, No | 9999, Missing radio
a_scq20
  1. When she/he was 4 to 5, did she/he ever talk with you just to be friendly…?
0, Yes | 1, No | 9999, Missing radio
a_scq21
  1. When she/he was 4 to 5, did she/he ever spontaneously copy you or what you were doing…?
0, Yes | 1, No | 9999, Missing radio
a_scq22
  1. When she/he was 4 to 5, did she/he ever spontaneously point at things around her/him just to show you things…?
0, Yes | 1, No | 9999, Missing radio
a_scq23
  1. When she/he was 4 to 5, did she/he ever use gestures, other than pointing or pulling your hand, to let you know what she/he wanted?
0, Yes | 1, No | 9999, Missing radio
a_scq24
  1. When she/he was 4 to 5, did she/he nod her/his head to mean yes?
0, Yes | 1, No | 9999, Missing radio
a_scq25
  1. When she/he was 4 to 5, did she/he shake her/his head to mean no?
0, Yes | 1, No | 9999, Missing radio
a_scq26
  1. When she/he was 4 to 5, did she/he usually look at you directly in the face when doing things with you or talking with you?
0, Yes | 1, No | 9999, Missing radio
a_scq27
  1. When she/he was 4 to 5, did she/he smile back if someone smiled at her/him?
0, Yes | 1, No | 9999, Missing radio
a_scq28
  1. When she/he was 4 to 5, did she/he ever show you things that interested her/him to engage your attention?
0, Yes | 1, No | 9999, Missing radio
a_scq29
  1. When she/he was 4 to 5, did she/he ever offer to share things other than food with you?
0, Yes | 1, No | 9999, Missing radio
a_scq30
  1. When she/he was 4 to 5, did she/he ever seem to want you to join in her/his enjoyment of something?
0, Yes | 1, No | 9999, Missing radio
a_scq31
  1. When she/he was 4 to 5, did she/he ever try to comfort you if you were sad or hurt?
0, Yes | 1, No | 9999, Missing radio
a_scq32
  1. When she/he was 4 to 5, when she/he wanted something or wanted help, did she/he look at you and use gestures with sounds or words to get your attention?
0, Yes | 1, No | 9999, Missing radio
a_scq33
  1. When she/he was 4 to 5, did she/he show a normal range of facial expressions?
0, Yes | 1, No | 9999, Missing radio
a_scq34
  1. When she/he was 4 to 5, did she/he ever spontaneously join in and try to copy the actions in social games…?
0, Yes | 1, No | 9999, Missing radio
a_scq35
  1. When she/he was 4 to 5, did she/he play any pretend or make-believe games?
0, Yes | 1, No | 9999, Missing radio
a_scq36
  1. When she/he was 4 to 5, did she/he seem interested in other children of approximately the same age whom she/he did not know?
0, Yes | 1, No | 9999, Missing radio
a_scq37
  1. When she/he was 4 to 5, did she/he respond positively when another child approached her/him?
0, Yes | 1, No | 9999, Missing radio
a_scq38
  1. When she/he was 4 to 5, if you came into a room and started talking to her/him without calling her/his name, did she/he usually look up and pay attention to you?
0, Yes | 1, No | 9999, Missing radio
a_scq39
  1. When she/he was 5 to 5, did she/he ever play imaginative games with another child in such a way that you could tell that they each understood what the other was pretending?
0, Yes | 1, No | 9999, Missing radio
a_scq40
  1. When she/he was 4 to 5, did she/he play cooperatively in games that require joining in with a group of other children…?
0, Yes | 1, No | 9999, Missing radio
a_scqtotal Total Score text

5.28 Vineland 2

Field Name Description Categories Field Data
s_vinestatus Vineland II data status 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact dropdown
s_vinenote Vineland record note for [admission_arm_1][familyid] notes
s_vinedate Test Date text date_mdy
s_vineage Years of age if([vinedate]=‘09-09-9999’ or [admission_arm_1][cdob]=‘09-09-9999’,9999,if([vinedate]=‘08-08-8888’ or [admission_arm_1][cdob]=‘08-08-8888’,8888,round(datediff( [admission_arm_1][cdob],[vinedate],"y","mdy"),1))) calc
s_vinerespondent Relationship to Individual 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
s_vinereceptraw Receptive raw score: text number
s_vinereceptv Receptive v-scale score: text number
s_vineexpraw Expressive raw score: text number
s_vineexpv Expressive v-scale score: text number
s_vinewritraw Written raw score: text number
s_vinewritv Written v-scale score: text number
s_commsum Communication sum text number
s_vinecommstand Communication domain standard score: text number
s_vinepersraw Personal raw score: text number
s_vinepersv Personal v-scale score: text number
s_vinedomraw Domestic raw score: text number
s_vinedomv Domestic v-scale score: text number
s_vinecommraw Community raw score: text number
s_vinecommv Community v-scale score: text number
s_vinelivingsum Daily Living Skills: Sum text number
s_vinelivingstand Daily living skills domain standard score: text number
s_vineinterrelraw Interpersonal relationships raw score: text number
s_vineinterrelv Interpersonal relationships v-scale score: text number
s_vineplayraw Play and leisure time raw score: text number
s_vineplayv Play and leisure time v-scale score: text number
s_vinecopingraw Coping skills raw score: text number
s_vinecopingv Coping skills v-scale score: text number
s_socialsum Socialization sum text number
s_vinesocialstand Socialization domain standard score: text number
s_vinegrossraw Gross raw score: text number
s_vinegrossv Gross v-scale score: text number
s_vinefineraw Fine raw score: text number
s_vinefinev Fine v-scale score: text number
s_motorsum Motor Skills sum text number
s_vinemotorstand Motor skills domain standard score: text number
s_domainsum

Adaptive Behavior Composite Sum

(was "Sum of Domain Standard scores") 		text number
s_vinecomposite Adaptive behavior composite standard score text number
s_internalraw Internalizing raw score text number
s_internalv Internalizing v-Scale Score text number
s_externalraw Externalizing raw score text number
s_externalv Externalizing v-Scale Score text number
s_malraw Maladaptive Behavior Index Raw Score text number
s_malv Maladaptive Behavioral Index v-Scale Score text number

5.29 Vineland 3

Field Name Description Categories Field Data
s_v3_vineage Years of age calc
s_v3_vinecomposite Adaptive behavior composite standard score text
s_v3_vinecommstand Communication domain standard score: text
s_v3_vinelivingstand Daily living skills domain standard score: text
s_v3_vinesocialstand Socialization domain standard score: text
s_v3_vinemotorstand

Motor skills domain standard score:

(If child is 7 years or older, Motor Skills domain is not applicable. Enter 8888.) 		text
s_v3_vinereceptraw Receptive raw score: text
s_v3_vinereceptv Receptive v-scale score: text
s_v3_vineexpraw Expressive raw score: text
s_v3_vineexpv Expressive v-scale score: text
s_v3_vinewritraw Written raw score: text
s_v3_vinewritv Written v-scale score: text
s_v3_vinepersraw Personal raw score: text
s_v3_vinepersv Personal v-scale score: text
s_v3_vinedomraw Domestic raw score: text
s_v3_vinedomv Domestic v-scale score: text
s_v3_vinecommraw Community raw score: text
s_v3_vinecommv Community v-scale score: text
s_v3_vineinterrelraw Interpersonal relationships raw score: text
s_v3_vineinterrelv Interpersonal relationships v-scale score: text
s_v3_vineplayraw Play and leisure time raw score: text
s_v3_vineplayv Play and leisure time v-scale score: text
s_v3_vinecopingraw Coping skills raw score: text
s_v3_vinecopingv Coping skills v-scale score: text
s_v3_vinegrossraw Gross raw score: text
s_v3_vinegrossv Gross v-scale score: text
s_v3_vinefineraw Fine raw score: text
s_v3_vinefinev Fine v-scale score: text
s_v3_internalraw Internalizing raw score text
s_v3_internalv Internalizing v-Scale Score text
s_v3_externalraw Externalizing raw score text
s_v3_externalv Externalizing v-Scale Score text

5.30 AIC 2-Month Followup

Field Name Description Categories Field Data
fu_fustatus ADDIRC 2 month follow up data status 0, Has data | 1, Assessment not applicable | 2, Assessment missed | 3, Refused/Declined | 4, Lost contact dropdown
fu_fura Research Assistant: 1, Christine Peura | 2, Briar DeChant | 3, Katie Friedmann | 4, Alicia Corbo | 5, Kristen Mackenzie | 6, Edyta Chrzanowska | 7, Bridget Crippen | 8, Shannon O’Connor | 9, Angela Geer | 10, Kaela O’Brien | 11, Faith McNeil | 12, Hilary Meyer | 13, Emma Fox | 14, Adam Klever | 15, Jessica Vezzoli | 16, Hannah Marsland | 17, Carrie Best | 18, Claire Walker | 19, Alan Gerber | 20, Jill Benevides | 21, Mashfig Hasan | 22, Mary Andrews | 23, Joshua Montrenes | 24, Amy Stedman | 25, Brittany Troen | 26, Helen Nichols | 27, Madeline Savage | 28, Eliza Appleton | 9999, Missing dropdown
fu_furespondent Parent/Caregiver: (in relation to child) 1, Patient | 2, Bio mother | 3, Bio father | 4, Full sibling | 5, Step/Foster/Adoptive mother | 6, Step/Foster/Adoptive father | 7, Grandparent | 8, Other relative | 9, Non-kin legal guardian | 10, Clinician | 11, Other | 9999, Missing dropdown
fu_fucaresame Same caregiver as at admission and discharge? 0, No | 1, Yes | 9999, Missing dropdown
fu_furxname1
  1. Medication name
(See medication list) dropdown
fu_furxdose1
  1. Medication dose
text
fu_furxdoseunit1
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname2
  1. Medication name
(See medication list) dropdown
fu_furxdose2
  1. Medication dose
text
fu_furxdoseunit2
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname3
  1. Medication name
(See medication list) dropdown
fu_furxdose3
  1. Medication dose
text
fu_furxdoseunit3
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname4
  1. Medication name
(See medication list) dropdown
fu_furxdose4
  1. Medication dose
text
fu_furxdoseunit4
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname5
  1. Medication name
(See medication list) dropdown
fu_furxdose5
  1. Medication dose
text
fu_furxdoseunit5
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname6
  1. Medication name
(See medication list) dropdown
fu_furxdose6
  1. Medication dose
text
fu_furxdoseunit6
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname7
  1. Medication name
(See medication list) dropdown
fu_furxdose7
  1. Medication dose
text
fu_furxdoseunit7
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname8
  1. Medication name
(See medication list) dropdown
fu_furxdose8
  1. Medication dose
text
fu_furxdoseunit8
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname9
  1. Medication name
(See medication list) dropdown
fu_furxdose9
  1. Medication dose
text
fu_furxdoseunit9
  1. Medication dose unit
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_furxname10
  1. Medication name
(See medication list) dropdown
fu_furxdose10
  1. Medication dose
text
fu_furxdoseunit10
  1. Medication dose units
1, mg | 2, ml | 3, tab/tablet | 4, patch | 5, injection | 6, IU | 7, Other | 8888, N/A | 9999, Missing dropdown
fu_fusetting
  1. Current setting
1, Residential/Group home | 2, Crisis unit | 3, Inpatient unit | 4, Family home | 5, Other | 9999, Missing dropdown
fu_fudcsame Same as discharge? 0, No | 1, Yes | 9999, Missing dropdown
fu_fuadmit Number of psychiatric hospitalizations in the past 2 months (since discharge): text
fu_fucrisis Number of in-home crisis evaluations in the past 2 months: text
fu_fuer Number of ER visits for behavioral crisis in the past 2 months: text
fu_fupolice Number of police contacts for behavioral crisis in the past 2 months? text

5.31 Computed Variables