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1 03/10/2004 Behavior Assessment System For Children by Cecil R. Reynolds and Randy W. Kamphaus PARENT RATING SCALES - ADOLESCENT INDIVIDUAL REPORT School: High School Test Date: 03/10/2004 Grade: 11 Birth Date: 03/10/1988 Sex: Male Age: 16-0 Other Data: Parent: Mrs. Jane Doe Relationship: Mother Sex of Parent: Female The Behavior Assessment System for Children (BASC) is an integrated system designed to facilitate the differential diagnosis and classification of a variety of emotional and behavioral disorders of children and to aid in the design of treatment plans. This computer-generated report is based on one component of this system and should not be the sole basis for making important diagnostic or treatment decisions. Guidance on interpreting the BASC is provided in the BASC Manual. CAUTION INDEXES Index Raw Score Comment F 2 CAUTION Pattern 79 ACCEPTABLE Consistency 9 ACCEPTABLE F INDEX: This is a measure of the rater's tendency to be excessively negative in describing the child's behaviors. The following items caused John's F index to be in the Caution or Extreme Caution range Volunteers to help with things. Never 96. Shows interest in others' ideas. Never If these extremely negative responses are consistent with other information about the child, the PRS-A can be accepted as valid. On the other hand, if these responses seem inconsistent with other information, the possibility should be considered that the PRS-A is invalid. The parent may have adopted a negative response set in completing the form, or may have misunderstood the items. However, the possibility should be considered that the child's negative behavior is specific to the rater or the social situation. Use your judgment and outside data, perhaps including an interview with the parent, to discern the reason for this high F score. COPYRIGHT 1999, AMERICAN GUIDANCE SERVICE, INC., CIRCLE PINES, MN

2 03/10/2004 Parent Rating Scales - Adolescent Page 2 Test Date: 03/10/2004 Age: 16-0 CRITICAL ITEMS s of Sometimes, Often, and Almost Always to the following items may deserve attention: Is in trouble with the police. Often 7. Says, "I want to kill myself." Sometimes 32. Drinks alcoholic beverages. Sometimes 50. Says, "I hate myself." Sometimes 56. Threatens to hurt others. Sometimes 69. Tries to hurt self. Sometimes 89. Sleeps with parents. Often 93. Uses medication. Sometimes 113. Says, "I want to die" or "I wish I were dead." Almost Always 119. Has muscle spasms. Sometimes 121. Says, "I'm afraid I'll hurt someone." Sometimes 123. Has seizures. Sometimes

3 03/10/2004 Parent Rating Scales - Adolescent Page 3 Test Date: 03/10/2004 Age: 16-0 Norm Group: (X) Male CLINICAL SCALES EXTERNALIZING INTERNALIZING T PROBLEMS PROBLEMS T SCORE Hyp Agg Con COM Anx Dep Som COM Aty Wth Att BSI SCORE > > X 80 + X + 80 X X X X X X X X X X < < Hyp Agg Con COM Anx Dep Som COM Aty Wth Att BSI

4

5 03/10/2004 Parent Rating Scales - Adolescent Page 4 Test Date: 03/10/2004 Age: 16-0 Norm Group: (X) Male ADAPTIVE SCALES T T SCORE Soc Led COM SCORE Scale abbreviations key, in order of presentation: (Hyp) Hyperactivity (Agg) Aggression (Con) Conduct Problems (Anx) Anxiety (Dep) Depression (Som) Somatization (Aty) Atypicality (Wth) Withdrawal (Att) Attention Problems (Soc) Social Skills (Led) Leadership Composite abbreviation key: (COM) Composite (BSI) Behavioral Symptoms Index Key to T score cutoffs: X Clinical Scales X X Clinically Significant At-Risk Average Low -30 Very Low Adaptive Scales Very High High Average At-Risk Soc Led COM -30 Clinically Significant

6 03/10/2004 Parent Rating Scales - Adolescent Page 5 SCORE SUMMARY: Male Norm Group NORMATIVE COMPARISON IPSATIVE COMPARISON* Raw Total T 90% Conf Sig Scale Score Omits Score Interval %ile Diff Level Freq CLINICAL SCALES Hyperactivity <1% Aggression NS Conduct Problems NS Anxiety NS Depression NS Somatization NS Atypicality <2% Withdrawal NS Attention Problems <10% ADAPTIVE SCALES Social Skills NS Leadership NS * Clinical scales: Compares scale T score with mean of scales composing BSI (mean=70) Adaptive scales: Compares scale T score with mean of scales composing Adaptive Skills Composite (mean=36) Note: Scales with 1 or 2 omits have been prorated COMPOSITES Sum of 90% Conf Composite T Scores T Score Interval Percentile Externalizing Problems Internalizing Problems Behavioral Symptoms Index Adaptive Skills COMPARISON OF COMPOSITE SCORES Sig Freq of Composite Pairs Diff Level Difference Externalizing Problems < Internalizing Problems 1 NS

7 03/10/2004 Parent Rating Scales - Adolescent Page 6 Test Date: 03/10/2004 Age: 16-0 PARENT RATING SCALES - ADOLESCENT SCORE NARRATIVE: Male Norm Group This report is based on the parent's rating of John's behavior. Any score in the Clinically Significant range suggests a high level of maladjustment. Scores in the At-Risk range identify either a significant problem that may not be severe enough to require formal treatment or a potential of developing a problem that needs careful monitoring. Clinical Scales Overview In the Behavioral Symptom Index, John's raw score yields a T score of 77 (90% confidence interval of 73-81) and a percentile rank of 98. This score was in the Clinically Significant range. Externalizing Problems Composite In the Externalizing Problems composite, John's raw score yields a T score of 73 (90% confidence interval of 67-79) and a percentile rank of 97. This score was in the Clinically Significant range. Externalizing Problems scales and their ranges are as follows: Hyperactivity - Average; Aggression - Clinically Significant; Conduct Problems - Clinically Significant. Internalizing Problems Composite In the Internalizing Problems Composite, John's raw score yields a T score of 74 (90% confidence interval of 69-79) and a percentile rank of 97. This score was in the Clinically Significant range. Internalizing Problems scales and their ranges are as follows: Anxiety - At-Risk; Depression - Clinically Significant; Somatization - At-Risk. Additional Clinical Scales Additional clinical scales are those not included in any composite. These scales and their ranges are as follows: Atypicality - Clinically Significant; Withdrawal - At-Risk; Attention Problems - Average. Adaptive Skills Composite In the Adaptive Skills composite, John's raw score yields a T score of 35 (90% confidence interval of 30-40) and a percentile rank of 7. This score was in the At-Risk range. Adaptive Skills scales and their ranges are as follows: Social Skills - At-Risk; Leadership - At-Risk.

8 03/10/2004 Parent Rating Scales - Adolescent Page 7 ITEMS BY SCALE Scale: AGGRESSION 2. Bullies others. Often 13. Dares other children to do things. Sometimes 24. Orders others around. Sometimes 34. Is a "sore loser." Sometimes 45. Argues when denied own way. Often 56. Threatens to hurt others. Sometimes 66. Blames others. Often 77. Hits other children. Often 88. Is cruel to animals. Often 97. Teases others. Never 108. Breaks other children's things. Sometimes Scale: ANXIETY 3. Has trouble getting to sleep. Sometimes 14. Says, "I'm not very good at this." Sometimes 25. Says, "I'm afraid I will make a mistake." Sometimes 35. Is nervous. Often 46. Gets ill before a major school test. Sometimes 57. Wakes up scared after dreams. Sometimes 67. Is fearful. Often 78. Worries about things that cannot be changed. Never 98. Worries. Often 109. Is afraid of dying. Never Scale: ATTENTION PROBLEMS 4. Forgets things. Sometimes 36. Has a short attention span. Sometimes

9 03/10/2004 Parent Rating Scales - Adolescent Page 8 ITEMS BY SCALE Scale: ATTENTION PROBLEMS (cont) 47. Completes work on time. Sometimes 68. Has trouble concentrating. Sometimes 79. Listens to directions. Often 99. Completes homework from start to finish without Sometimes taking a break Is easily distracted. Often Scale: ATYPICALITY 5. Sees things that are not there. Never 16. Has strange ideas. Sometimes 37. Seems out of touch with reality. Never 48. Stares blankly. Often 58. Complains about being unable to block out unwanted Sometimes thoughts. 69. Tries to hurt self. Sometimes 80. Repeats one activity over and over. Often 90. Eats things that are not food. Often 100. Gets lost. Sometimes 111. Hears sounds that are not there. Sometimes 121. Says, "I'm afraid I'll hurt someone." Sometimes Scale: CONDUCT PROBLEMS 6. Is in trouble with the police. Often 17. Steals at home. Sometimes 27. Runs away from home overnight. Never 32. Drinks alcoholic beverages. Sometimes 38. Smokes or chews tobacco. Often

10 03/10/2004 Parent Rating Scales - Adolescent Page 9 ITEMS BY SCALE Scale: CONDUCT PROBLEMS (cont) 49. Complains about police or other law enforcement Almost Always officers. 59. Has been suspended from school. Never 64. Is more influenced by friends than by parents. Sometimes 70. Uses foul language. Never 81. Gets into trouble in the neighborhood. Sometimes 91. Lies. Often 101. Lies to get out of trouble. Often 112. Uses illegal drugs. Never 122. Has friends who are in trouble. Sometimes Scale: DEPRESSION 7. Says, "I want to kill myself." Sometimes 18. Complains about being teased. Often 28. Pouts. Sometimes 39. Cries easily. Sometimes 50. Says, "I hate myself." Sometimes 60. Is sad. Often 71. Changes moods quickly. Never 82. Says, "Nobody understands me." Sometimes 92. Is easily upset. Sometimes 102. Says, "Nobody likes me." Sometimes 113. Says, "I want to die" or "I wish I were dead." Almost Always Scale: HYPERACTIVITY 8. Needs too much supervision. Sometimes 19. Is restless during movies. Sometimes

11 03/10/2004 Parent Rating Scales - Adolescent Page 10 ITEMS BY SCALE Scale: HYPERACTIVITY (cont) 29. Acts without thinking. Often 40. Throws tantrums. Never 51. Cannot wait to take turn. Never 61. Interrupts parents when they are talking on the Sometimes phone. 72. Taps foot or pencil. Never 83. Is overly active. Sometimes 103. Interrupts others when they are speaking. Sometimes 114. Fiddles with things while at meals. Sometimes Scale: LEADERSHIP 9. Is creative. Sometimes 20. Makes decisions easily. Sometimes 30. Is energetic. Sometimes 41. Has lots of ideas. Often 52. Is usually chosen as a leader. Sometimes 62. Will speak up if the situation calls for it. Often 73. Is good at getting people to work together. Sometimes 84. Attends after-school activities. Sometimes 94. Joins clubs or social groups. Sometimes 104. Gives good suggestions for solving problems. Sometimes 115. Is a "self-starter." Never 125. Works well under pressure. Never Scale: SOCIAL SKILLS 1. Compliments others. Sometimes 12. Begins conversations appropriately. Sometimes

12 03/10/2004 Parent Rating Scales - Adolescent Page 11 ITEMS BY SCALE Scale: SOCIAL SKILLS (cont) 23. Encourages others to do their best. Often 33. Politely asks for help. Often 44. Responds when spoken to. Sometimes 55. Uses appropriate table manners. Often 65. Says, "please" and "thank you." Often 76. Tries to bring out the best in other people. Sometimes 87. Volunteers to help with things. Never 96. Shows interest in others' ideas. Never 107. Makes suggestions without offending others. Never 118. Smiles at others. Sometimes Scale: SOMATIZATION 10. Complains of shortness of breath. Often 21. Complains of being cold. Often 31. Complains of chest pain. Often 42. Complains of dizziness. Never 53. Has headaches. Never 63. Has allergic reactions. Sometimes 74. Complains about health. Sometimes 85. Complains of being hot. Never 95. Makes frequent visits to the doctor. Never 105. Has stomach problems. Often 116. Complains of pain. Never 126. Gets sick. Never Scale: WITHDRAWAL 11. Avoids competing with other adolescents. Sometimes

13 03/10/2004 Parent Rating Scales - Adolescent Page 12 ITEMS BY SCALE Scale: WITHDRAWAL (cont) 22. Will change direction to avoid having to greet Often someone. 43. Is shy with adults. Almost Always 54. Refuses to join group activities. Sometimes 75. Avoids other adolescents. Never 86. Is shy with other adolescents. Never 106. Refuses to talk. Often 117. Has trouble making new friends. Never

14 03/10/2004 Parent Rating Scales - Adolescent Page S 46. S 91. O 2. O 47. S 92. S 3. S 48. O 93. S 4. S 49. A 94. S 5. N 50. S 95. N 6. O 51. N 96. N 7. S 52. S 97. N 8. S 53. N 98. O 9. S 54. S 99. S 10. O 55. O 100. S 11. S 56. S 101. O 12. S 57. S 102. S 13. S 58. S 103. S 14. S 59. N 104. S 15. N 60. O 105. O 16. S 61. S 106. O 17. S 62. O 107. N 18. O 63. S 108. S 19. S 64. S 109. N 20. S 65. O 110. O 21. O 66. O 111. S 22. O 67. O 112. N 23. O 68. S 113. A 24. S 69. S 114. S 25. S 70. N 115. N 26. N 71. N 116. N 27. N 72. N 117. N 28. S 73. S 118. S 29. O 74. S 119. S 30. S 75. N 120. N 31. O 76. S 121. S 32. S 77. O 122. S 33. O 78. N 123. S 34. S 79. O 124. N 35. O 80. O 125. N 36. S 81. S 126. N 37. N 82. S 38. O 83. S 39. S 84. S 40. N 85. N 41. O 86. N 42. N 87. N 43. A 88. O 44. S 89. O 45. O 90. O ITEM RESPONSES

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