The following list of standardized behavioral-health screening tools is currently approved by MassHealth for use during EPSDT/PPHSD visits. While MassHealth makes every effort to be sure that the list is up to date, providers should check Appendix W of their MassHealth provider manual for the official list of approved behavioral-health screening tools.

Select the tool name below (e.g., ASQ:SE) for a more detailed description of the tool, the number of items in the questionnaire, the estimated time to complete the form, an overview of scoring, and the threshold for identifying risk. Publishers may have their screening tools translated in additional languages not listed here.

 

Screening ToolFull NameAge GroupAdministered ByCostLink
ASQ:SE Ages and Stages Questionnaires: Social-Emotional6 thru 60 monthsParentYes. Refer to website for details.www.brookespublishing.com/asq
BITSEA Brief Infant - Toddler Social and Emotional Assessment12 to 36 monthsParentYes. Refer to website for details.www.pearsonclinical.com/childhood/products/100000150/brief-infant-toddler-social-emotional-assessment-bitsea.html?Pid=015-8007-352
CRAFFT (Screen for substance abuse) Car, Relax, Alone, Forget, Friends, Trouble; (Screening for substance abuse)14 to 21 yearsYouthNowww.ceasar-boston.org/CRAFFT
ECSA Early Childhood Screening Assessment18-60 monthsParentNowww.infantinstitute.org/measures-manuals
M-CHAT (Screening for Autism Disorders) Modified Checklist for Autism in Toddlers16 to 30 monthsParentNowww2.gsu.edu/~psydlr
M-CHAT (Revised with Follow-up) Modified Checklist for Autism in Toddlers Revised with Follow-up16 to 30 monthsParentNowww2.gsu.edu/~psydlr
PEDS Parents’ Evaluation of Developmental StatusBirth to 8 yearsParentYes. Refer to website for details.www.pedstest.com
PHQ-9 (Screen for depression) Patient Health Questionnaire-9; (Screening for depression)13+ yearsYouthNowww.integration.samhsa.gov/images/res/PHQ%20-%20Questions.pdf
PSC Pediatric Symptom Checklist4 to 16 yearsParentNowww.massgeneral.org/psychiatry/services/psc_home.aspx
PSC-Y Pediatric Symptom Checklist – Youth Report11 to 18 + yearsYouthNowww.massgeneral.org/psychiatry/services/psc_home.aspx
SDQ Strengths and Difficulties Questionnaire3 thru 16 yearsParentNowww.sdqinfo.org
SWYC Survey of Wellbeing of Young Children0 thru 60 monthsParentNowww.TheSWYC.org

Download the chart of MassHealth-Approved Standardized Behavioral Health Screening Tools for Children Under the Age of 21 pdf format of MH Approved  Behavioral Health Screening Tools
doc format of MH Approved  Behavioral Health Screening Tools