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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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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
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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