interviewing and observing behavior

INTERVIEWING AND OBSERVING BEHAVIOR

CHILD BEHAVIOR CHECKLIST

- CBCL includes a series of questions concerning child’s activities, chores, friends and grades.

- It is a device by which parents or other individuals who know the child well rate a child's problem behaviors and competencies. This instrument can either be self-administered or administered through an interview.

CHILD BEHAVIOR CHECKLIST

- The first section of this questionnaire consists of 20 competence items and the second section consists of 120 items on behavior or emotional problems during the past 6 months.

- Teacher Report Forms, Youth Self-Reports and Direct Observation Forms are also available for the Child Behavior Checklist.

(PARENT REPORT FORM) (PRF)

- Parents are asked to evaluate their children using 3-point scale.

- Help to Measure children's problem behaviors and competencies and/or behavior changes over time or after treatment

TEACHER REPORT FORM (TRF) - Teacher version of CBCL

YOUTH SELF REPORT (YRF)- self report form for children ages 11-18

DIRECT OBSERVATION FORM(DOF)

SEMISTRUCTURED CLINICAL INTERVIEW FOR CHILDREN AND ADOLESCENTS (SCICA)

use by experienced interviewers and includes instructions, a protocol of questions and probes, observation and self-report forms for rating what the child does and says during the interview, and profiles for scoring ratings. The forms are scorable by the interviewer or observers.

The SYMPTOM scales of CBCL:Anxious/DepressedWithdrawn/DepressedLanguage/Motor ProblemsAttention problemsSocial problems

Aggressive/Rule Breaking delinquent behavior

Self-Control ProblemsSomatic Complaints

The symptom checklist 90-

Revised(SCL-90-R)

The SCL-90-R instrument is used by clinical psychologists, psychiatrists, and professionals in mental health, medical, and educational settings as well as for research purposes.

It is a brief and multidimensional self-report measure to screen persons for major psychiatric symptoms. Consist of 90 items scored on a 5 point scale that reflect 9 validated symptom dimensions.

Administer To:Individuals 13 years and older

Reading Level

6th grade

FormatsPaper-and-pencil, audiocassette, or computer

administration

Scoring OptionsQ Local™ SoftwareMail-in Scoring ServiceHand ScoringSCALES9 Primary Symptom Dimensions

3 Global IndicesNormsAdult non-patients, Adult psychiatric

outpatients, Adult psychiatric inpatients, Adolescent non-patients

SYMPTOM SCALES

1. SOM 2. O-C 3. I-S

4. DEP 5. ANX 6. HOS

7. PHOB 8. PAR 9. PSY

Global Severity Index (GSI)

Positive Distress Index (PSDI)

Positive Symptom Total (PST)

Global Indices

It can be useful in:

Initial evaluation of patients at intake as an objective method for symptom assessment

Measuring patient progress during and after treatment to monitor change

Outcomes measurement for treatment programs and providers through aggregated patient information

Clinical trials to help measure the changes in symptoms such as depression and anxiety

OTHER CHECKLIST AND INVENTORY

CONNER’S RATING SCALES –REVISED

– Focus on the assessment of hyperactivity and other child behavioral problems

How to use this test:used for routine screenings in schools, mental health clinics, residential treatment centers, pediatric offices, Juvenile detention facilities, child protective agencies, and outpatient settings.

The test can help:Measure hyperactivity in children and adolescents through routine screening• Establish a base point• Provide valuable structured and normed information• Provide a perspective of the child’s behavior

CHILDREN’S DEPRESSION INVENTORY

- focus on the child’s depression and other depressive experiences

GOLDFARB FEAR OF FAT SCALE- Used with eating disorder clients

ASPERGER DIAGNOSTIC SCALE- used to evaluate ASPERGER SYNDROME

among children ages 5-18 years old.

- the child does not take the exam. Just about anyone who knows the child well

answers the fifty questions.

- Adolescent Anger Scale

- Adolescent Drinking Index

- Career Assessment Inventory

- Childhood Autism Rating Scale

- Checklist For Child Abuse Evaluation

EXAMPLES OF CHECKLISTS AND INVENTORIES

- Coping Response Inventory

- Dementia Rating Scale

- Eating Disorder Inventory

- Emotional Problems Scale

- Gulford-Zimmerman Temperament Survey

- Hamilton Depression Inventory

- Hare Psychopathy Checklist-revised

- Health Status Questionnaire

- Occupational Stress Inventory-revised

- Parenting Stress Index

- Personality Assessment Inventory

- Quality Of Life Inventory

- Santa Clara Strength Of Religious Faith Questionnaire

- State-trait Anxiety Inventory

- State-trait Anger Expression Inventory-2

- Suicidal Ideation Questionnaire

- Trauma Symptom Inventory

- West Haven-yale Multidimentional Pain Inventory

CASE STUDY: JOSE and the BDI, CBCL,

and SCL-90-R

JOSE is a 17 year-old Hispanic high school junior. He lives with his parents and three siblings. Jose identifies himself as a homosexual.

Referral Question: Parents noticed an abrupt shift from Jose’s

typically cheerful and energetic demeanor to a pattern of tearfulness, lethargy, anxiety, irritability and inability to eat or sleep adequately.

Test administered:- Interview, BDI, CBCL and SCL-90-R

BRIEF SUMMARY ANDINTERPRETAION OF RESULTS:

-Jose score on BDI places him in the “severely depressed” ranged of this measure.

-On the CBCL (PARENT REPORT FORM) significant elevations were obtained on the anxious/depressed , attention problems, somatic complaints and withdrawn scale.

-On the SCL-90-R significant elevation were revealed on the Interpersonal Sensitivity, Depression, Anxiety, Paranoia and Positive Symptom Distress Index Scales.

Physiological Testing

- Psychological states such as anxiety and stress can be assessed through non invasive techniques that measure physiological

activity.

NEUROIMAGING techniques

-(MRI) MAGNETIC RESONANCE IMAGING

-(CAT) COMPUTERIZED TOMOGRAPHY

-(PET) POSITION EMISSION TOMOGRAPHY

POLYGRAPHS OR LIE DETECTOR TEST

- Use to assess physiological activities such as blood pressure,

heart rate, respiration, and muscle tension which indicates

levels of arousal, stress and anxiety.

Biofeedback equipment- Use to measure physiological activity

- Use also to assess people and treat people with overactivity of the sympathetic nervous system.

The Big Picture

Interviews, behavioral observations, checklist and

inventories, and physiological measures provide important information that can be used

in conjunction with other tests to make diagnostic conclusions

and intervention decisions.

Thank you for listening!

Prepared by: Magz