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 Tool||Full Name||Age Group||Completed By||Cost||Link|
|ASQ:SE||Ages and Stages Questionnaires: Social-Emotional||6 thru 60 months||Parent||Yes. Refer to website for details.||www.brookespublishing.com/asq|
|BITSEA||Brief Infant - Toddler Social and Emotional Assessment||12 to 36 months||Parent||Yes. 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 years||Youth||No||www.ceasar-boston.org/CRAFFT|
|ECSA||Early Childhood Screening Assessment||18-60 months||Parent||No||www.infantinstitute.org/measures-manuals|
|M-CHAT (Screening for Autism Disorders)||Modified Checklist for Autism in Toddlers||16 to 30 months||Parent||No||www2.gsu.edu/~psydlr|
|M-CHAT (Revised with Follow-up)||Modified Checklist for Autism in Toddlers Revised with Follow-up||16 to 30 months||Parent||No||www2.gsu.edu/~psydlr|
|PEDS||Parents’ Evaluation of Developmental Status||Birth to 8 years||Parent||Yes. Refer to website for details.||www.pedstest.com|
|PHQ-9 (Screen for depression)||Patient Health Questionnaire-9; (Screening for depression)||13+ years||Youth||No||www.integration.samhsa.gov/images/res/PHQ%20-%20Questions.pdf|
|PSC||Pediatric Symptom Checklist||4 to 16 years||Parent||No||www.massgeneral.org/psychiatry/services/psc_home.aspx|
|PSC-Y||Pediatric Symptom Checklist – Youth Report||11 to 18 + years||Youth||No||www.massgeneral.org/psychiatry/services/psc_home.aspx|
|SDQ||Strengths and Difficulties Questionnaire||3 thru 16 years||Parent||No||www.sdqinfo.org|
|SWYC/SWYC-MA||Survey of Wellbeing of Young Children||0 thru 60 months||Parent||No||www.theswyc.org/|