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Get Pediatric Symptom Checklist (psc-35) Scoring Sheet

Pediatric Symptom Checklist (PSC35) Scoring Sheet Note: This is an OPTIONAL tool that a care provider/clinician can use to give meaning to the PSC ratings. Child/Youths Name: Child/Youths Date of.

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How to fill out the Pediatric Symptom Checklist (PSC-35) Scoring Sheet online

The Pediatric Symptom Checklist (PSC-35) Scoring Sheet is a valuable tool for assessing the emotional and behavioral health of children and adolescents. This guide provides step-by-step instructions on how to complete the form online, ensuring clarity and accuracy throughout the process.

Follow the steps to complete the PSC-35 scoring sheet online

  1. Press the ‘Get Form’ button to access the PSC-35 scoring sheet and open it in your preferred editor.
  2. Enter the child or youth's name in the designated field.
  3. Input the child's or youth's date of birth in the specified format (mm/dd/yyyy).
  4. Fill in the assessment date when the scoring sheet is being completed.
  5. Complete the 'Filled out by' section with the name of the care provider, clinician, or case manager.
  6. Begin answering the items in the Attention subscale by marking 'Never', 'Sometimes', or 'Often' for each statement provided.
  7. Calculate and enter the Attention subscale score based on the responses, noting that a cutoff score of 7 and above indicates impairment.
  8. Proceed to the Internalizing subscale and respond to those items in the same manner.
  9. Calculate and enter the Internalizing subscale score, with a cutoff score of 5 and above indicating impairment.
  10. Continue to the Externalizing subscale, marking responses as appropriate.
  11. Calculate and enter the Externalizing subscale score, noting that a score of 7 and above indicates impairment.
  12. Address the additional items by responding with '0', '1', or '2' as applicable.
  13. Total the scores from the Attention, Internalizing, Externalizing subscales, and the extra items not included in the three subscales.
  14. Evaluate the total score: 28 or above indicates psychological impairment, while 27 or below suggests no impairment.
  15. If four or more items are left blank, the questionnaire is invalid, so refrain from calculating the total score.
  16. Save your changes, and use the option to download, print, or share the completed scoring sheet as needed.

Begin filling out the Pediatric Symptom Checklist (PSC-35) Scoring Sheet online today.

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Pediatric Symptom Checklist (PSC-35)

The PSC consists of 35 items that are rated as “Never,” “Sometimes,” or “Often” present and scored 0, 1, and 2, respectively. The total score is calculat- ed by adding together the score for each of the 35 items.

Subscale Analysis: The PSC-35 contains three subscales that can add nuance to the over-all results. The Attention subscale is derived from adding items, 4, 7, 8, 9, and 14. The Anxiety and Depression subscale is derived from adding items 11,13, 19, 22 and 27.

The total score is calculated by adding the 35 individual scores, so the total score will be 0 to 70. If one to three items are left blank, they are ignored (and given a score of 0). If four or more items are left blank, the questionnaire is considered invalid.

What is the PSC–17? The Pediatric Symptom Checklist (PSC) is brief screening questionnaire that is used to improve the recognition and treatment of psychosocial problems in children ages 4 to 17 years. It is used in place of the PHQ-9 for Health Home beneficiaries within this age group.

Parents/caregivers will complete the PSC-35 (parent-completed version) for their children ages 3 and youth up to age 18. The PSC-35 will need to be completed at the beginning of treatment, every six months following the first administration, and at the end of treatment.

The PSC-35 total score is the sum of the 35 items [range 0-70]. See scoring sheet for instructions on scoring the domains. The measure is considered invalid if 4 or more items total are missing. For valid measures with missing items, missing items are scored as 0.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232