Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood and can profoundly affect the academic achievement, well-being, and social interactions of children.

Clinical Guidelines

Screening for ADHD

Any of the specific ADHD rating scales can be used for screening/early detection. However, it is more practical to use general mental health and developmental screening instruments for routine surveillance in the primary care setting.

Examples of general screening instruments that include ADHD symptoms along with other mental health symptoms: (These instruments are approved for compliance and reimbursement within the MassHealth screening initiative.)

  • Pediatric Symptom Checklist
    35 item questionnaire, public domain, parent report and youth self-report versions, available in multiple languages.
  • Achenbach System of Empirically Based Assessment (ASEBA)
    Formerly known as CBCL, 113-item questionnaire, parent report, youth self-report, and teacher report versions generate comprehensive profiles with normed subscales when the instrument is scored; requires data entry for computer scoring or fairly complex hand-scoring.

Rating Scales

Vanderbilt ADHD Diagnostic Parent/Teacher Rating Scale-Instructions and Scale

  • For children 6-12 years old
  • Parent form: 55 items; Teacher form: 43 items
  • 10 minutes to complete
  • Parent and teacher complete questionnaire
  • Free
  • Used for information about symptoms and performance in different settings; not intended for diagnosis.

ADHD Rating Scale IV

  • For children 6-12 years old
  • 18 items, takes minutes to complete
  • Parent, child, and clinician complete questionnaire
  • $46 for unlimited copies, manual, parent questionnaires in English and in Spanish; includes both school and home versions
  • For diagnosis and monitoring improvement

Swanson, Nolan, and Pelham (SNAP-IV)

  • For children and adolescents 6-18 years old
  • 90 items
  • 10 minutes to complete
  • Parent and teacher complete questionnaire
  • Free
  • Contains items pertaining to DSM criteria for ADHD; measures impairment and functioning at home and at school

Parent Information and Handouts