03/10/2004

Behavior Assessment System For Children by Cecil R. Reynolds and Randy W. Kamphaus PARENT RATING SCALES - ADOLESCENT INDIVIDUAL REPORT

Child: Doe, John Test Date: 03/10/2004 Birth Date: 03/10/1988 Age: 16-0

School: High School Grade: 11 Sex: Male 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 ----F Response Pattern Consistency

Raw Score --------2 79 9

Comment ------CAUTION ACCEPTABLE 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. Item ---87. Volunteers to help with things. 96. Shows interest in others' ideas.

Response -------Never 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 55014-1796

03/10/2004 Child: Doe, John Test Date: 03/10/2004

Parent Rating Scales - Adolescent

Page

Rater: Mrs. Jane Doe Age: 16-0

CRITICAL ITEMS Responses of Sometimes, Often, and Almost Always to the following items may deserve attention: Item ---6. Is in trouble with the police. 7. Says, "I want to kill myself." 32. Drinks alcoholic beverages. 50. Says, "I hate myself." 56. Threatens to hurt others. 69. Tries to hurt self. 89. Sleeps with parents. 93. Uses medication. 113. Says, "I want to die" or "I wish I were dead." Always 119. Has muscle spasms. 121. Says, "I'm afraid I'll hurt someone." 123. Has seizures.

Response -------Often Sometimes Sometimes Sometimes Sometimes Sometimes Often Sometimes Almost Sometimes Sometimes Sometimes

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03/10/2004 Child: Doe, John Test Date: 03/10/2004

Parent Rating Scales - Adolescent

Age: 16-0

Rater: Mrs. Jane Doe 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 -----|-----------------|-----------------|-------------|-----|----->110 + | | | + >110 110 + | | | + 110 | | | | | | | | | | | | | | | | | | | | 100 + | | | + 100 | | | | | | | | | | | | | | | | | | | | 90 + | | | + 90 | | | | | | | | X | | | | | | | | | | | | 80 + X | | | + 80 | | X | | | | | | | X | | X | X | | | | X | | | | 70 + | | | + 70 | | | X | | | | X | | | | | X | | | | | | | | 60 +-----------------|-----------------|-------------|-----+ 60 | | | | | | | | X | | | | | | | | X | | | | 50 + | | | + 50 | | | | | | | | | | | | | | | | | | | | 40 +-----------------|-----------------|-------------|-----+ 40 | | | | | | | | | | | | | | | | | | | | 30 + | | | + 30 < 30 + | | | +