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THE MODIFIED OVERT AGGRESSION SCALE MOAS Client Name Gender Date of Birth Male Female / Language Parent/Guardian Name Date of Scale Completion Soc. Sec. - Medicaid ID Relationship Rater Instructions Rate the patient s aggressive behavior over the past week. Select as many items as are appropriate. Verbal Aggression 0 No verbal aggression Shouts angrily curses mildly or makes personal insults Curses viciously is severely insulting has temper outbursts Impulsively threatens violence toward others or self Threatens violence toward others or self repeatedly or deliberately SUM VERBAL AGGRESSION SCORE Aggression Against Property No aggression against property Slams door rips clothing urinates on floor Throws objects down kicks furniture defaces walls Breaks objects smashes windows Sets fires throws objects dangerously Autoaggression Picks or scratches skin pulls hair out hits self without injury Bangs head hits fists into walls throws self onto floor Inflicts minor cuts bruises burns or welts on self Inflicts major injury on self or makes a suicide attempt SUM AUTOAGGRESSION SCORE Modified Overt Aggression Scale Page 1 Physical Aggression No physical aggression Makes menacing gestures swings at people grabs at clothing Strikes pushes scratches pulls hair of others without injury Attacks others causing mild injury bruises sprain welts etc* SUM PHYSICAL AGGRESSION SCORE CATEGORY SUM SCORE WEIGHTS X1 X2 X3 WEIGHTED SUM X4 Total Weighted Score Scoring 1. Add items in each category. 2. In scoring summary multiply sum by weight and add weighted sums for total weighted score. 3. Use this score to assess severity and track changes in level of aggression over time. SOURCE Modified from Kay SR Wolkenfelf F Murrill LM 1988 Profiles of aggression among psychiatric patients I. nature and prevalence. Journal of Nervous and Mental Disease 176 539-546 as modified by American Academy of Pediatrics. Select as many items as are appropriate. Verbal Aggression 0 No verbal aggression Shouts angrily curses mildly or makes personal insults Curses viciously is severely insulting has temper outbursts Impulsively threatens violence toward others or self Threatens violence toward others or self repeatedly or deliberately SUM VERBAL AGGRESSION SCORE Aggression Against Property No aggression against property Slams door rips clothing urinates on floor Throws objects down kicks furniture defaces walls Breaks objects smashes windows Sets fires throws objects dangerously Autoaggression Picks or scratches skin pulls hair out hits self without injury Bangs head hits fists into walls throws self onto floor Inflicts minor cuts bruises burns or welts on self Inflicts major injury on self or makes a suicide attempt SUM AUTOAGGRESSION SCORE Modified Overt Aggression Scale Page 1 Physical Aggression No physical aggression Makes menacing gestures swings at people grabs at clothing Strikes pushes scratches pulls hair of others without injury Attacks others causing mild injury bruises sprain welts etc* SUM PHYSICAL AGGRESSION SCORE CATEGORY SUM SCORE WEIGHTS X1 X2 X3 WEIGHTED SUM X4 Total Weighted Score Scoring 1. Add items in each category. 2. In scoring summary multiply sum by weight and add weighted sums for total weighted score.

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