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Assessment Consultant

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Presentation on theme: "Assessment Consultant"— Presentation transcript:

1 Assessment Consultant
Introduction to The authors of the BASC-3 are Dr. Cecil Reynolds, Emeritus Professor and Distinguished Research Scholar from Texas A&M University and Dr. Randy Kamphaus, Dean of the College of Education at the University of Oregon. BASC published in 1992; BASC -2 in 2004 and the BASC-3 will publish in fall 2015. Gail C. Rodin, PhD Assessment Consultant Pearson/PsychCorp

2 Agenda History and development of the BASC
Revision goals for BASC-3 Introduction to the BASC-3 family of tools In-depth look at TRS/PRS/SRP BASC-3 norms Interpreting BASC-3 Q-global reports

3 Why assess behavior?

4 The 20/20 Problem Of the 20% of children who have a mental health disorder only 20% receive services

5 Social and Emotional Barriers Can Also Lead to . . .
Decreases in: Increases in: Teacher retention Student achievement Graduation rates Student engagement School violence Bullying Suicide Challenging behaviors Smoking and substance abuse More than half of students identified as having significant emotional or behavioral problems drop out Of those that remain in school, only ~42% graduate with a diploma More than 80% of adult prison inmates are dropouts

6 Disproportionate Representation in Education
African American students ages 6 to 21 are: 2.86 times more likely to be identified with an Intellectual Disability 2.28 times more likely to be identified with EBD African American youth account for: 28% of all juvenile arrests, and 58% of youth admitted to a state prison . . . . . . despite being only 16% of the population Copyright © Pearson Clinical Assessment. All rights reserved.

7 Disproportionate Representation in Education
African Americans are 3.5 times more likely than whites to be suspended or expelled from school Suspension from school is the major reason for dropping out Being suspended even once by 9th grade doubles the probability of dropping out (from 16% to 32%) Copyright © Pearson Clinical Assessment. All rights reserved.

8 Why assess behavior using a broadband measure?

9 American Academy of Pediatrics Report on Diagnosis of ADHD
In 2000, American Academy of Pediatrics (AAP) released report on diagnosis of ADHD (AAP Committee on Quality Improvement, 2000) Noting that ADHD is a common problem – and increasingly becoming a controversial one – they recommended a broad diagnostic work-up that is largely behaviorally based Wanted to tell pediatricians how to diagnose ADHD

10 AAP Recommendations The assessment of ADHD should include information:
Obtained: Directly from parents or caregivers -and- From a classroom teacher or other school professional Regarding: The core symptoms of ADHD in various settings Age of onset Duration of symptoms Degree of functional impairment Sounds like the BASC model from the 1980s

11 AAP Recommendations Why?
Evaluation of a child with ADHD should also include assessment for co-existing conditions Learning and language problems Aggression Disruptive behavior Depression or anxiety Why? As many as one-third of children diagnosed with ADHD also have a co-existing condition Sounds like the BASC model from the 1980s

12 Broad-band Assessment is Necessary for Accurate Differential Diagnosis
Along with others (e.g., Goldstein, 1999), AAP recognizes the need for a broad-based assessment of behavior and affect of children suspected of having ADHD “You can’t find what you don’t look for” but “Don’t presuppose what you’ll find” These recommendations apply equally well to all diagnoses of childhood psychopathology

13 History and development of the basc

14 Original BASC Model

15 Six Major Goals of All BASC Versions
Facilitate accurate differential diagnosis of emotional and behavioral problems in ages 2 – 21 Facilitate accurate determination of eligibility for participation in federally reimbursed programs under IDEA With emphasis on EBD classification Aid in design of effective treatment and intervention plans Bring together traditional, tried and true concepts with new constructs and ideas on diagnosis Provide continuity of assessment across entire school age range for both clinical and research purposes Highlight emotional and behavioral strengths – the positive side of behavior – not just problem behavior

16 BASC-3 Revision Goals Maintain measurement integrity and quality
Improve integration of components Improve item content, scale reliability, and score inference validity Offer new content scales without significantly lengthening rating scales Enhance flexibility of administration and reporting options Enhance progress monitoring Enhance links to, and implementation of, verified intervention strategies

17 Additions to Original Model
Parenting Relationship Questionnaire (PRQ) To enhance understanding of child-parent interaction Behavioral and Emotional Screening System (BESS) Flex Monitor and Fixed Monitoring forms Links to, and materials for, verified effective interventions BASC-3 now a multi-dimensional, multi-method approach to assessing and treating child and adolescent EBDs

18 BASC-3 family of tools

19 Comprehensive Behavior Management Solution
Screen Assess Intervene Monitor Behavioral and Emotional Screening System (BESS) BASC-3 Rating Scales - Teacher Rating Scales (TRS) - Parent Rating Scales (PRS) - Self-Report of Personality (SRP) Parenting Relationship Questionnaire (PRQ) Structured Developmental History (SDH) Student Observation System (SOS) Behavior Intervention Guide Behavioral and Emotional Skill-Building Guide Flex Monitor Student Observation System (SOS)

20 BASC-3 Administration and Scoring Options
One version of paper record form - Replaces hand-scoring, computer entry, and scanned forms Requires separate worksheets for hand scoring Paper Pay per reports - Include on-screen administration, scoring, and reporting Unlimited-use scoring subscriptions - Include scoring and reporting only - No on-screen administration Digital Options Hand Scoring Administration: Paper Scoring & Reporting: Paper Hybrid Scoring & Reporting: Q-global unlimited use subscription All Digital Administration: Q-global Scoring & Reporting: Q-global pay per reports

21 Multi-dimensional, Multi-method System
Promoting Competence for Young Children from Low-Income Families Gloria Maccow, Ph.D. and Diane Donaldson Ph.D. Multi-dimensional, Multi-method System Measures different aspects of behavior and personality Includes: Positive, adaptive dimensions Negative, clinical dimensions Uses multiple methods to collect information History Observation Rating scales Self-report Relationship questionnaire Copyright 2010 Pearson Education, Inc., or its affiliates. All rights reserved.

22 Stage 1: Behavioral and Emotional Screening System (BESS)
Ages Designed to quickly and efficiently assess behavioral and emotional risk and overall mental health status Variety of uses: Group-wide screening in schools Tier 1 tool General measure of functioning in settings where it is prohibitive to administer longer TRS/PRS/SRP forms Brief screening took designed to identify behavioral and emotional strengths and weaknesses in children and adolescents in preschool through high school. Includes teacher, parent, and student forms. Short and easy to complete, Spanish (parent and teacher); Paper or digital administration. The BASC–3 Behavioral and Emotional Screening System (BESS) is a brief screening tool designed to identify behavioral and emotional strengths and weaknesses in children and adolescents in preschool through high school. It includes Teacher, Parent, and Student Forms that are short (20, 29, and 28 items, respectively) and easy to complete, usually within 5 minutes or less for the Teacher and Parent Forms, and 5 to 15 minutes for the Student Form. Spanish forms are available for the Parent and Student Forms; both English and Spanish forms can be completed digitally or on paper. On each form, a Behavioral and Emotional Risk Index provides an overall indication for risk of having or developing a behavioral or emotional problem; additional scores are also provided that are used to identify specific risk for more specific problem areas.

23 Stage 1: Behavioral and Emotional Screening System (BESS)
Teacher, Parent, and Self-Report forms Scores include: Behavioral and Emotional Risk Index (T, P, S) Internalizing Risk Index (T, P, S) Externalizing Risk Index (T, P) Adaptive Skills Risk Index (T, P) Self-regulation Risk Index (S) Personal Adjustment Risk Index (S) Brief screening took designed to identify behavioral and emotional strengths and weaknesses in children and adolescents in preschool through high school. Includes teacher, parent, and student forms. Short and easy to complete, Spanish (parent and teacher); Paper or digital administration. The BASC–3 Behavioral and Emotional Screening System (BESS) is a brief screening tool designed to identify behavioral and emotional strengths and weaknesses in children and adolescents in preschool through high school. It includes Teacher, Parent, and Student Forms that are short (20, 29, and 28 items, respectively) and easy to complete, usually within 5 minutes or less for the Teacher and Parent Forms, and 5 to 15 minutes for the Student Form. Spanish forms are available for the Parent and Student Forms; both English and Spanish forms can be completed digitally or on paper. On each form, a Behavioral and Emotional Risk Index provides an overall indication for risk of having or developing a behavioral or emotional problem; additional scores are also provided that are used to identify specific risk for more specific problem areas.

24 Stage 1: Behavioral and Emotional Screening System (BESS)
Q-global administration, scoring, and reporting Group-level administration mode for self-report form Individual and group-level reports Test period/progress reports E.g., Fall and Spring Brief screening took designed to identify behavioral and emotional strengths and weaknesses in children and adolescents in preschool through high school. Includes teacher, parent, and student forms. Short and easy to complete, Spanish (parent and teacher); Paper or digital administration. The BASC–3 Behavioral and Emotional Screening System (BESS) is a brief screening tool designed to identify behavioral and emotional strengths and weaknesses in children and adolescents in preschool through high school. It includes Teacher, Parent, and Student Forms that are short (20, 29, and 28 items, respectively) and easy to complete, usually within 5 minutes or less for the Teacher and Parent Forms, and 5 to 15 minutes for the Student Form. Spanish forms are available for the Parent and Student Forms; both English and Spanish forms can be completed digitally or on paper. On each form, a Behavioral and Emotional Risk Index provides an overall indication for risk of having or developing a behavioral or emotional problem; additional scores are also provided that are used to identify specific risk for more specific problem areas.

25 Screening Practicalities:
Explain purpose and benefits of screening Encourage family decision making/ protect student and family privacy Educate teachers about confidentiality Do not share individual results with teachers – only school-wide results Guard against labeling Develop a plan for communicating information to teachers Develop plan for informing parents, obtaining consent, and opt out procedures (include second gate) Provide clearly written, family-friendly information that outlines the benefits of prevention Provide prompt answers and additional information to any parents who expresses concern

26 Words of Wisdom from Randy Kamphaus
No “Child Find” effort is in place Schools routinely engage in universal screenings for vision, hearing, speech/language, and academic problems to mitigate risk, but not behavioral/emotional problems We need to start thinking more like pediatricians who monitor a child’s medical condition Human judgment lacks evidence of reliability and validity We can’t fix human judgment Nobody knows what the appropriate frequency of screening should be Use screening tools to help with the over-identification of boys (3 to 1 ratio) Screening decreases ratio to 2 to 1 Create your own referral system before others create for you!

27 Stage 2: BASC-3 Rating Scales (TRS, PRS, and SRP)
Comprehensive measure of both adaptive and problem behaviors in the school setting Completed by teachers or others in similar role Three forms: Preschool (ages 2 – 5) Child (Ages 6 – 11) Adolescent (Ages 12 – 21) 10 – 15 minute completion time BASC–3 TEACHER RATING SCALES The BASC–3 Teacher Rating Scales (TRS) is a comprehensive measure of both adaptive and problem behaviors in the school setting. It is designed for use by teachers or others who fill a similar role, such as teacher assistants or preschool caregivers. The TRS has three forms, with items targeted at three age levels: preschool (ages 2 through 5), child (ages 6 through 11), and adolescent (ages 12 through 21). The forms contain descriptors of behaviors that the respondent rates on a four-point scale of frequency, ranging from Never to Almost always. The TRS takes 10 to 15 minutes to complete for teachers with experience completing rating scales.

28 Stage 2: BASC-3 Rating Scales (TRS, PRS, and SRP)
Comprehensive measure of child’s adaptive and problem behaviors in community and home settings Completed by parents or caregivers Three forms: Preschool (ages 2 – 5) Child (Ages 6 – 11) Adolescent (Ages 12 – 21) 10 – 20 minute completion time BASC–3 PARENT RATING SCALES The BASC–3 Parent Rating Scales (PRS), available in English or Spanish, is a comprehensive measure of a child’s adaptive and problem behaviors in community and home settings. The PRS uses the same four-choice response format as the TRS and takes 10 to 20 minutes to complete. Like the TRS, the PRS has three age-level forms: preschool, child, and adolescent.

29 Stage 2: BASC-3 Rating Scales (TRS, PRS, and SRP)
Omnibus personality inventory consisting of T/F and four-point scale of frequency questions Completed by child or adolescent Three forms: Child (ages 8 – 11) Adolescent (Ages 12 – 21) College (Ages 18 – 25) Also, SRP-I (Interview version) for children ages 6 – 7 20 – 30 minute completion time BASC–3 SELF-REPORT OF PERSONALITY The BASC–3 Self-Report of Personality (SRP), available in English and Spanish, is an omnibus personality inventory consisting of statements that respondents answer in one of two ways. Some of the items (presented first on the record form) require a True or False response, while others use the four-point scale of frequency, ranging from Never to Almost always. The SRP takes 20 to 30 minutes to complete. It has three age-level forms: child (ages 8 through 11), adolescent (ages 12 through 21), and young adults attending a postsecondary school (ages 18 through 25). A fourth level of the SRP is the interview version (SRP–I), designed for children ages 6 through 7 years. The SRP–I contains a series of 14 questions asked by an interviewer, who then records the child’s Yes or No responses, along with responses given to follow-up questions that are asked when a child provides an item response that indicates a possible behavioral or emotional problem.

30 TRS, PRS, and SRP – What’s New?
On average, across TRS and PRS forms, 32% new items Each Content Scale now includes a few items unique to scale Significant addition to Executive Functioning items and coverage Four new subscales (Q-global scoring only): Attentional Control Behavioral Control Emotional Control Problem Solving Significant addition of Developmental Social Disorder items

31 TRS, PRS, and SRP – What’s New?

32 TRS, PRS, and SRP – What’s New?
X TRS, PRS, and SRP – What’s New? Hand Scoring Worksheet replaces carbonless forms 4-page, 11” x 17” folded sheet Transfer responses to Worksheet Sum responses and look up T-scores, similar to existing forms Page 1 Page 4 Page 3 Page 2 Scoring –options. Hand score option

33 Completing the SRP-I Used with children ages 6 and 7
On BASC-2, examiner read items to child Now a structured interview, similar to Vineland-II Interviewer asks child series of Yes/No and open-ended questions Administration time typically 25 minutes or less Detailed administration instructions on pp. 13 – 14 of BASC-3 Manual

34 Changes to BASC-3 SRP-I Wanted to get more out of 1-on-1 session than simple Yes/No responses Child is now asked to expand on his/her answers, providing clinically rich information Can be a lot of variability in how younger children interpret questions Especially when asking about wide variety of problem areas Method used on the SRP-I provides much more natural way for children to provide information useful for clinicians Also better accommodates children who think differently

35 SRP-I Interpretation

36 Changes to BASC-3 SRP-I New format also likely to take less time
For many children, not all questions required When same amount of time required, likely to yield much more information than previous version

37 In-depth look at BASC-3 TRS & Prs

38 BASC-3 Scale Types Clinical Scale Type Description
Measure maladaptive behaviors High scores indicate problematic levels of functioning Items are unique to a Clinical scale Adaptive Content Composite Indexes The BASC-3 TRS, PRS, and SRP offer a variety of scale types across many areas of behavioral and emotional functioning. Clinical and adaptive scales provide targeted information for a number of behavioral and emotional domains, and are based on unique sets of items. These scales are commonly used to inform educational classification decisions and clinical diagnoses.

39 TRS/PRS Clinical Scales
Description Aggression Tendency to act in a verbally or physically hostile manner that is threatening to others about real or imagined problems Anxiety Tendency to be nervous, fearful, or worried Attention Problems Tendency to be easily distracted and unable to concentrate more than momentarily Atypicality Tendency to behave in ways that are considered “odd” or commonly associated with psychosis Conduct Problems Tendency to engage in antisocial and rule-breaking behavior, including destroying property Depression Feelings of unhappiness, sadness, and stress that may result in an inability to carry out everyday activities or may bring on thoughts of suicide Hyperactivity Tendency to be overly active, rush through work or activities, and act without thinking Learning Problems Presence of academic difficulties, particularly understanding or completing homework Somatization Tendency to be overly sensitive to, and complain about, relatively minor physical problems and discomforts Withdrawal Tendency to evade others to avoid social contact

40 BASC–3 TRS and PRS Sample Clinical Scale Items
Hyperactivity (boys  on TRS) Acts without thinking Is in constant motion Aggression (boys  on TRS) Bullies others Manipulates others Conduct Problems (boys  on TRS) Disobeys Hurts others on purpose Anxiety (girls  on TRS, SRP) Is fearful Has trouble making decisions Depression Is negative about things Says, “I can’t do anything right” Somatization Is afraid of getting sick Complains of physical problems Italicized items are new

41 Words of Wisdom from Randy Kamphaus
Hyperactivity, Aggression, and Conduct Problems scales go together Worry when they don’t E.g., when Aggression is high, but Hyperactivity is not Elevated Hyperactivity alone is not bad Hyperactivity may have no bearing on academic achievement Many gifted students are hyperactive, but get straight A’s Typical profile of graduate students Hyperactivity with impulsivity is problematic Most items on Aggression scale are verbal, not physical

42 Words of Wisdom from Randy Kamphaus
Anxiety, Depression, and Somatization do not go together (they are not co-linked) Two possible reasons for high Somatization scores Somatization Anxiety Anxiety scale may miss anxiety in children Somatization may do better job of picking it up If Somatization high, follow up with further questions Such as “Does he have headaches/stomachaches during the weekend?” Depression scale may be better referred to as “sadness scale” Because depression is a diagnosis

43 BASC–3 TRS and PRS Sample Clinical Scale Items
Attention Problems Has short attention span Has trouble concentrating Learning Problems Gets failing school grades Demonstrates critical thinking skills Atypicality Seems out of touch with reality Acts as if other children are not there Withdrawal Is fearful Has trouble making decisions Italicized items are new

44 Words of Wisdom from Randy Kamphaus
Attention Problems scores correlate highly with those on Learning Problems scale, but not with Hyperactivity You can’t be inattentive and get straight A’s Attentional problems are more devastating than hyperactivity and impulsivity Remember Hyperactivity scale and giftedness High Attention Problems score with sluggishness indicates problem Remember ~300 different medications can cause attention problems GCR: Also consider Sluggish Cognitive Tempo “Concentration Deficit Disorder” (Barkley)

45 Words of Wisdom from Randy Kamphaus
Atypicality scale May be elevated for many cases, but don’t jump to conclusions Least accurate scale, but included because you can’t have rating scale that doesn’t measure psychosis Psychoticism scales never good because base rate is too low High Atypicality scores may reflect: Intellectual disability Autism Spectrum Disorder Schizophrenia Bipolar Disorder More likely Much less likely

46 BASC-3 Scale Types Adaptive Scale Type Description Clinical
Measure maladaptive behaviors High scores indicate problematic levels of functioning Items are unique to a Clinical scale Adaptive Measure adaptive behaviors or behavioral strengths Low scores indicate possible problem areas Items are unique to an Adaptive scale Content Composite Indexes The BASC-3 TRS, PRS, and SRP offer a variety of scale types across many areas of behavioral and emotional functioning. Clinical and adaptive scales provide targeted information for a number of behavioral and emotional domains, and are based on unique sets of items. These scales are commonly used to inform educational classification decisions and clinical diagnoses.

47 TRS/PRS Adaptive Scales
Description Activities of Daily Living Skills associated with performing basic, everyday tasks in an acceptable and safe manner Adaptability Ability to adapt readily to changes in the environment Functional Communication Ability to express ideas and communicate in a way others can easily understand Leadership Skills associated with accomplishing academic, social, or community goals, including ability to work with others Social Skills Skills necessary for interacting successfully with peers and adults in home, school, and community settings Study Skills Skills that are conducive to strong academic performance, including organizational skills and good study habits

48 BASC–3 TRS and PRS Adaptive Scale Sample Items
Activities of Daily Living Organizes chores or other tasks well Makes healthy food choices Adaptability Adjusts well to changes in plans Accepts things as they are Social Skills Shows interest in others’ ideas Accepts people who are different from his or her self

49 BASC–3 TRS and PRS Adaptive Scale Sample Items
Leadership Is usually chosen as leader Is highly motivated to succeed Study Skills Completes homework Stays on task Functional Communication Responds appropriately when asked a question Starts conversations

50 Words of Wisdom from Randy Kamphaus
If Functional Communication, Adaptability, and Social Skills scales low, follow up with adaptive behavior measure Vineland-II/3 or ABAS-3 completed by parents Parent ratings of adaptive skills always worse than teacher ratings, but have more validity Students who are “difficult” or have a short fuse tend to score low on adaptive behavior scales Study Skills scale indicates whether student is lacking skills in classroom

51 BASC-3 Scale Types Content Scale Type Description Clinical
Measure maladaptive behaviors High scores indicate problematic levels of functioning Items are unique to a Clinical scale Adaptive Measure adaptive behaviors or behavioral strengths Low scores indicate possible problem areas Items are unique to an Adaptive scale Content Measure maladaptive or adaptive behaviors Comprised of a few unique items along with items from other Clinical or Adaptive scales Composite Indexes Content scales are comprised of a combination of unique items and items that overlap with other scales. A primary purpose of these scales is to alert users of specific problem areas that may require further exploration or targeted intervention. While they too can be used to in the classification and/or diagnostic process, their overlapping item content with other scales will result in dependencies between those scales, which is an important thing to remember when interpreting BASC-3 results.

52 TRS/PRS Content Scales
Description Anger Control Tendency to become irritated and/or angry quickly and impulsively, coupled with an inability to regulate affect and self-control Bullying Tendency to be intrusive, cruel, threatening, or forceful to get what is wanted through manipulation or coercion Developmental Social Disorders Tendency to display behaviors characterized by deficits in social skills, communication, interests, and activities; such behaviors may include self-stimulation, withdrawal, and inappropriate socialization Emotional Self-Control Ability to regulate one’s affect and emotions in response to environmental changes Executive Functioning Ability to control behavior by planning, anticipating, inhibiting, or maintaining goal-directed activity, and by reacting appropriately to environmental feedback in a purposeful, meaningful way Negative Emotionality Tendency to react in an overly negative way and to any changes in everyday activities or routines Resiliency Ability to access both internal and external support systems to alleviate stress and overcome adversity

53 BASC–3 TRS & PRS Content Scales – New Items
Anger Control Loses control when angry Gets angry easily Bullying Tells lies about others Puts others down Developmental Social Disorders Engages in repetitive movements Avoids eye contact

54 Words of Wisdom from Randy Kamphaus
Some research indicates that Developmental Social Disorders scale is as accurate as the ADOS and CARS in identifying Autism Spectrum Disorders Correlations between Developmental Social Disorders scale and ASRS: .61 (Ages 2 – 5) .70 (Ages 6 – 18) Reliability for autism should be .90 because “this is a diagnosis that you don’t want to mess up”

55 Words of Wisdom from Randy Kamphaus
Original Content Scales on BASC-2 had only one research study each supporting their use Changed on BASC-3 Each Content Scale now has a few items unique to that scale

56 BASC–3 TRS & PRS Content Scales – New Items
Emotional Self Control Is overly emotional Overreacts to stressful situations Executive Functioning Plans well Breaks large problems into smaller steps Negative Emotionality Reacts negatively Finds fault with everything Resiliency Finds ways to solve problems Is resilient

57 BASC-3 Scale Types Composite Scale Type Description Clinical
Measure maladaptive behaviors High scores indicate problematic levels of functioning Items are unique to a Clinical scale Adaptive Measure adaptive behaviors or behavioral strengths Low scores indicate possible problem areas Items are unique to an Adaptive scale Content Measure maladaptive or adaptive behaviors Comprised of a few unique items along with items from other Clinical or Adaptive scales Composite Comprised of scale groupings based on theory and factor analytic results Indexes Composite scales, consisting of different combinations of scales (for example, Hyperactivity, Aggression, and Conduct Problems are combined to create the Externalizing Problems composite), provide a broad view of behavioral and emotional functioning, and are well suited for establishing the presence of more generalized problem areas. When communicating BASC-3 results to others, it can be helpful to start by reviewing the Composite scale scores, and when applicable, follow up those scores with specific clinical or adaptive scale areas that are of particular concern.

58 TRS/PRS Composite Scales
Externalizing Problems Internalizing Problems School Problems Adaptive Skills Behavioral Symptoms Index TRS-P Hyperactivity Aggression Anxiety Depression Somatization Adaptability Social Skills Functional Comm. Attention Problems Atypicality Withdrawal TRS-C TRS-A Conduct Prob’s. Learning Problems Leadership Study Skills PRS-P Activities of Daily Living PRS-C PRS-A

59 BASC-3 Scale Types Indexes Scale Type Description Clinical
Measure maladaptive behaviors High scores indicate problematic levels of functioning Items are unique to a Clinical scale Adaptive Measure adaptive behaviors or behavioral strengths Low scores indicate possible problem areas Items are unique to an Adaptive scale Content Measure maladaptive or adaptive behaviors Comprised of a few unique items along with items from other Clinical or Adaptive scales Composite Comprised of scale groupings based on theory and factor analytic results Indexes Empirically-derived scales comprised of items from other scales selected for their ability to differentiate those with and without behavioral or emotional functioning diagnosis or classification Finally, the Index scales are empirically derived scales that include items that best differentiated between children with and without clinical disorders or educational classifications. They can be particularly useful for establishing the overall level of impairment, as in the case of the Functional Impairment Index; and they can also be used to inform decision making when the results from the clinical and adaptive scales are not as clear cut.

60 TRS/PRS Clinical Indexes – New!
Teacher Rating Scale Parent Rating Scale Pre-Sc. 2-5 Child 6-11 Adol. 12-21 Pre-S. Index ADHD Probability Index * Emotional Behavior Disorder Probability Index Autism Probability Index Functional Impairment Index1 Clinical Probability Index 1Also available on SRP

61 ADHD, Autism, and EBD Probability Indexes
Probability indexes provide empirical assistance with classification decisions E.g., “What is the likelihood this child has ADHD?” All were created in same way: Compared a clinical sample to the normative sample Statistically identified items that best differentiated those conditions from normality So, for example EBD Probability Index answers question: “Is this child like others in Special Ed with that classification?” *** Had large sample sizes for ADHD, AU, EBD Clinical index is the combination of those 3 categories into 1 group Results were very clear cut ADHD probability indexes – a linear regression kind of thing. You are trying to put in groups. Which items are most predictive of these indexes? Emotional Behavior Disorder probability – items that best differentiate between EBD and social maladjustment. Clinical – problems severe enough to need mental health invasive treatment Functional Impairment scale – comes from DSM work. Lots of problems but it doesn’t impair your judgement. EX: ADHD but high performer. For example, individuals that are typically hyperactive make good sales people.

62 Clinical Probability Index
Works in same way, except we combined all children with these disabilities and compared them to normative sample A broader scale, provided only for preschoolers Children with elevated scores likely presenting with variety of behavioral challenges that may include: Inability to adjust well to change and pay attention Propensity to do or say unusual things Problems with behavioral and/or emotional regulation Difficulty maintaining appropriate social relationships Indicates presence of behavioral or emotional deficit without associating it with precise diagnosis at early age *** Had large sample sizes for ADHD, AU, EBD Clinical index is the combination of those 3 categories into 1 group Results were very clear cut ADHD probability indexes – a linear regression kind of thing. You are trying to put in groups. Which items are most predictive of these indexes? Emotional Behavior Disorder probability – items that best differentiate between EBD and social maladjustment. Clinical – problems severe enough to need mental health invasive treatment Functional Impairment scale – comes from DSM work. Lots of problems but it doesn’t impair your judgement. EX: ADHD but high performer. For example, individuals that are typically hyperactive make good sales people.

63 Functional Impairment Index
Adapted from approach historically used in DSM To give overall indicator of whether or not child is having significant problems in daily functioning due to some type of mental health disorder “Does this child qualify for special education because there is significant impairment in daily functioning?” Includes a number of school-related items Different from the other Clinical Indexes: Others are symptom-matching to children with identified disorders Functional Impairment Index is a collection of functional behaviors that, if scored high, indicate impairment in day-to-day functioning Look closely at this scale when considering eligibility for Section 504 plans

64 Probability Indexes – Sample Items
Clinical Probability Index Acts strangely Has poor self-control Says things that make no sense ADHD Probability Index Is easily distracted Is overly active Acts out of control EBD Probability Index Is negative about things Accepts people who are different from him- or herself Breaks the rules Autism Probability Index Seems odd Babbles to self Engages in repetitive movements Functional Impairment Index Has trouble making new friends Communicates clearly

65 Words of Wisdom from Randy Kamphaus
ADHD sample – highest scale scores: Inattention Hyperactivity Most deviant scores on ADHD Probability Scale Autism sample – highest scale scores: Developmental Social Disorders Autism EBD sample: Every scale elevated (no profile) Bipolar sample: Most deviant scores of any clinical sample Worst adaptive skills Plus depression

66 Executive Functioning Indexes
New to BASC-3 TRS and PRS forms Attentional Control Index Behavioral Control Index Emotional Control Index Problem Solving Index Overall Executive Functioning Index Always ask about sports injuries (concussions)

67 Attentional Control Index
Ability to sustain attention and attend to task at hand High scorers likely to be: Easily distracted Unable to focus attention on any one task for viable period of time Frequently move unpredictably from task to task unproductively

68 Behavioral Control Index
Ability to maintain self-control and avoid distracting or interrupting others High scorers: Often expend considerable effort not to engage in variety of behaviors such as interrupting, speaking out, and acting impulsively Are still unable to control such behaviors in most circumstances Are often mistakenly seen as attention-seeking, when in fact they simply lack control of ordinary inhibitory mechanism

69 Emotional Control Index
Ability to maintain control over emotions in challenging situations High scorers: Tend to be individuals who most often over-react or are seen as histrionic and difficult to console Often recognize intrusiveness of such emotions later and may be regretful Continue to have difficulty controlling their emotions and regulating level of emotional response

70 Problem Solving Index (C and A Forms Only)
Ability to: Demonstrate planfulness Make decisions Solve problems effectively in everyday life Different from problem-solving on abstract tasks Individuals with elevated scores on this scale: Are often disorganized or scattered in their approach to life’s problems and even in carrying out daily activities

71 Executive Functioning Index
Comprised of items from all other executive functioning indexes High scores indicate: Pervasive problems with self-regulation in multiple domains of executive functioning May have many ADHD-like symptoms and are often diagnosed with ADHD and other self-regulation disorders Those with TBI also likely to score high Fail to successfully engage in age-appropriate levels of day-to-day planning, problem-solving, and organization necessary for success in most learning environments Overall Executive Functioning Index. This is comprised of all of the items from each of the executive functioning indexes described above, providing an overall indication of executive functioning.   Traumatic brain injury patients are likely to score highly on this scale

72 Executive Functioning Indexes – Sample Items
Attentional Control Index Is easily distracted Has a short attention span Behavioral Control Index Has poor self-control Acts without thinking Emotional Control Index Overreacts to stressful situations Gets angry easily Problem Solving Index Takes a step-by-step approach to work Finds ways to solve problems

73 TRS/PRS Validity Indexes
F Index Measures respondent’s tendency to be excessively negative about child’s behaviors, self-perceptions, or emotions Scored by counting number of times respondent answered: Almost always to description of negative behavior Never to description of positive behavior

74 TRS/PRS Validity Indexes
Additional validity indexes available with Q-global scoring Consistency Index Flags cases in which respondent has given different responses to items that usually are answered similarly Response Pattern Index Detects two types of response patterning: Repeated Cyclical

75 Words of Wisdom from Randy Kamphaus
Validity Scales Typically do not work very well This is why there are several on BASC-3 Results should be questioned when F Index and Consistency Index are in Extreme Caution range Students who have many problems will have elevated validity scales These kids will have elevated F Index scales Validity scales work better with students who have few or no problems No “fake good” validity index on TRS/PRS because authors could not make it work

76 In-depth look at BASC-3 SRP

77 Words of Wisdom from Randy Kamphaus
SRP should be completed in examiner’s presence Never send home for completion SRP can be completed using: OSA (On-Screen Administration) -or- Paper rating scale form There is no digital option for ROSA (Remote On-Screen Administration) Authors recommend that examiners go over SRP results with student Utilize age-appropriate language

78 SRP – Clinical and Adaptive Scales
Child 8-11 Adolescent 12-21 College 18-25 Alcohol Abuse x Anxiety Attention Problems Attitude to School Attitude to Teachers Atypicality Depression Hyperactivity Interpersonal Relations Locus of Control Relations with Parents School Maladjustment Self-Esteem Self-Reliance Sensation Seeking Sense of Inadequacy Social Stress Somatization ADAPTIVE SCALES CLINICAL SCALES

79 BASC–3 SRP Sample Clinical Scale Items
Attitude to School School is boring I feel safe at school Attitude to Teachers My teacher is proud of me I like my teacher Sensation Seeking (boys ) I dare others to do things I like to take risks Atypicality I see weird things People think I’m strange Locus of Control I am blamed for things I don’t do I never get my way Social Stress I am lonely Other people seem to ignore me Italicized items are new

80 BASC–3 SRP Sample Clinical Scale Items
Anxiety (girls ) Little things bother me I feel stressed Depression I just don’t care anymore I feel lonely Sense of Inadequacy I fail at things Doing my best is never good enough Somatization (girls ) I get sick more than others I am in pain Attention Problems I have attention problems I forget to do things Hyperactivity I have trouble sitting still People tell me to slow down Italicized items are new

81 BASC–3 SRP Sample Clinical Scale Items (College Only)
Alcohol Abuse I drink alcohol to feel better I drink alcohol when I am bored School Maladjustment I am tired of going to school I worry about being able to complete my school degree Italicized items are new

82 BASC–3 SRP Sample Adaptive Scale Items
Relations with Parents My parents are proud of me I like my parents Interpersonal Relations I feel that nobody likes me I have a hard time making friends Self-Esteem I wish I were different I’m happy with who I am Self-Reliance I am dependable Others ask me to help them

83 Content Scales (Adol., College)
Additional SRP Scales Composite Scales Content Scales (Adol., College) School Problems (C, A) Internalizing Problems Inattention/Hyperactivity Emotional Symptoms Index Personal Adjustment Anger Control Ego Strength Mania Test Anxiety Clinical Indexes Functional Impairment Index (C, A)

84 SRP – Differential Diagnosis
Mania scale helps differentiate between ADHD and bipolar disorder If both Depression and Mania scales elevated, may be bipolar disorder rather than ADHD

85 BASC–3 SRP Content Scales – New Items
Anger Control I get angry easily I yell when I get angry Ego Strength I’m a good person I accept my self for who I am Mania My thoughts keep me awake at night Test Anxiety Tests make me nervous I do well on tests

86 SRP Clinical Index – Functional Impairment Index
Adapted from approach historically used in DSM To give overall indicator of whether or not child is having significant problems in daily functioning due to some type of mental health disorder “Does this child qualify for special education because there is significant impairment in daily functioning?” Includes a number of school-related items A collection of functional behaviors that, if scored high, indicate impairment in day-to-day functioning

87 SRP Validity Indexes F Index
Measures child’s tendency to be excessively negative about his/her behaviors, self-perceptions, or emotions Scored by counting number of times child answered: True or Almost always to description of negative behavior or attitude Never or False to description of positive behavior or attitude

88 SRP Validity Indexes L Index
Measures child’s tendency to give an extremely positive picture of him-/herself – sometimes called “faking good” Consists of: Unrealistically positive statements E.g., “I tell the truth every single time.” Mildly self-critical statements that most people would endorse E.g., “I have some bad habits.”

89 SRP Validity Indexes V Index
Serves as basic check on validity of the SRP scores Made up of three or four nonsensical or highly implausible statements E.g., “I drink 50 glasses of milk every day.” If child agrees (i.e., answers True, Often, or Almost always) with several of these statements, SRP may be invalid

90 SRP Validity Indexes Additional validity indexes available with Q-global scoring Consistency Index Flags cases in which child has given different responses to items that usually are answered similarly Response Pattern Index Detects two types of response patterning: Repeated Cyclical

91 Number of Items on BASC-3 TRS, PRS, and SRP
Difference P 105 100 5 C 156 139 17 A 165 26 PRS 134 175 160 15 173 150 23 SRP I ** 65 137 -2 189 176 13 COL 192 185 7

92 General Administration: TRS/PRS/SRP Forms
When conducing a paper-and- pencil (PnP) administration, use: BASC-3 record forms to capture rater responses Hand-Scoring Worksheets to summarize results for examiner interpretation

93 General Administration: TRS/PRS/SRP Using Q-Global
You may also choose to administer the TRS/PRS/or SRP using Q-Global, Pearson’s online scoring and administration database. Using Q-Global, you can administer the BASC-3 online or by sending it to a rater for Remote On-screen administration, and then score, and obtain BASC-3 reports. It is also possible to administer the BASC-3 using paper forms, and then enter the scores manually into Q-Global in order to obtain BASC-3 reports digitally. To learn more about using BASC-3 on Q-Global, please consult the BASC-3 Training Module titled Introducing the BASC-3 on Q-Global.

94 Final Insights from Randy Kamphaus
Do not hand out 5 or 6 teacher rating scales More given  more likely disagreement among raters Be very careful about who you put in special education Because outcomes are very negative Create you own referral system before others do it for you You will find more cases of depression and substance abuse when you begin screening Peers are better at identifying depression than are parents or teachers Challenge: Do not do individual interventions! Don’t think like a psychologist GCR: Look for “system problems”

95 Additional BASC-3 tools

96 Parenting Relationship Questionnaire (PRQ)
Assesses parent’s perspective of relationship between parent and his/her child Can be particularly useful: When implementing behavioral/emotional interventions that require any level of parental involvement In family counseling or other settings where important to assess parent/child relationship dynamics BASC–3 SELF-REPORT OF PERSONALITY The BASC–3 Self-Report of Personality (SRP), available in English and Spanish, is an omnibus personality inventory consisting of statements that respondents answer in one of two ways. Some of the items (presented first on the record form) require a True or False response, while others use the four-point scale of frequency, ranging from Never to Almost always. The SRP takes 20 to 30 minutes to complete. It has three age-level forms: child (ages 8 through 11), adolescent (ages 12 through 21), and young adults attending a postsecondary school (ages 18 through 25). A fourth level of the SRP is the interview version (SRP–I), designed for children ages 6 through 7 years. The SRP–I contains a series of 14 questions asked by an interviewer, who then records the child’s Yes or No responses, along with responses given to follow-up questions that are asked when a child provides an item response that indicates a possible behavioral or emotional problem.

97 PRQ – Child/Adolescent
PRQ Scales PRQ – Preschool PRQ – Child/Adolescent Attachment Discipline Practices Involvement Parenting Confidence Relational Frustration Attachment Discipline Practices Involvement Parenting Confidence Relational Frustration Communication Satisfaction with School

98 Structured Developmental History (SDH)
Provides thorough review of social, psychological, developmental, educational, and medical information about child that may influence diagnosis and treatment decisions Administered as either: Structured interview with parent/caregiver Questionnaire Available in: English and Spanish Paper and digital (Q-global) forms BASC–3 STRUCTURED DEVELOPMENTAL HISTORY The BASC–3 Structured Developmental History (SDH) provides a thorough review of social, psychological, developmental, educational, and medical information about a child that may influence diagnosis and treatment decisions. It is designed to be useful in numerous settings, including clinics, schools, and hospitals. The SDH is used either as a structured interview with a parent (or someone who fills a similar role) or as a questionnaire that can be filled out in a clinician’s office, school, or at home. The SDH is available as an electronic/digital form and a paper form, in both English and Spanish. When used in conjunction with the BASC–3 PRS, the digitally administered version of the SDH can deliver supplemental items based on PRS scale scores that provide additional information for making accurate classification or diagnostic decisions.

99 Student Observation System (SOS)
A 15-minute observation procedure Designed to enable clinician to record and evaluate student’s behavior in a classroom environment Replaces BASC-2 POP Available as: Paper form Web-based via Q-global (no app needed) Can be used on: Desktop/laptop (PC or Mac) Tablet Smartphone Via Q-global, results can be integrated with TRS,PRS, SRP, and SDH in single Integrated Report BASC–3 STUDENT OBSERVATION SYSTEM The BASC–3 Student Observation System (SOS) is a 15-minute observation procedure designed to enable the clinician to record and evaluate a student’s behavior in a classroom environment. The SOS is available digitally using a smartphone, tablet, or laptop computer, and is also available on paper.

100 BASC-3 Behavior Intervention Guide (BIG!)
Designed for school and clinical psychologists Provides comprehensive set of empirically-based interventions for variety of behavioral and emotional problems Like existing version, organized around scales included on BASC-3 TRS, PRS, and SRP forms Also available: Parent Tip Sheets Documentation Checklist BASC–3 SELF-REPORT OF PERSONALITY The BASC–3 Self-Report of Personality (SRP), available in English and Spanish, is an omnibus personality inventory consisting of statements that respondents answer in one of two ways. Some of the items (presented first on the record form) require a True or False response, while others use the four-point scale of frequency, ranging from Never to Almost always. The SRP takes 20 to 30 minutes to complete. It has three age-level forms: child (ages 8 through 11), adolescent (ages 12 through 21), and young adults attending a postsecondary school (ages 18 through 25). A fourth level of the SRP is the interview version (SRP–I), designed for children ages 6 through 7 years. The SRP–I contains a series of 14 questions asked by an interviewer, who then records the child’s Yes or No responses, along with responses given to follow-up questions that are asked when a child provides an item response that indicates a possible behavioral or emotional problem.

101 BASC-3 Parent Tip Sheets
Aggression Conduct Problems Academic Problems Adaptability Anxiety Attention Problems Depression Functional Communication Hyperactivity Somatization Leadership/Social Skills

102 BASC-3 Parent Tip Sheet – Attention Problems
102 102

103 103 103

104 104 104

105 105 105

106 Behavioral and Emotional Skill-Building Guide
Replaces BASC-2 Classroom Intervention Guides Increased emphasis on building skills for all students Rather than individualized “interventions” that take too much teacher time Includes activities and lessons to develop core behavioral and emotional skills For example: Communication Problem solving Listening effectively Relaxation strategies BEHAVIORAL AND EMOTIONAL SKILL BUILDING GUIDE - PART OF THE BASC–3 FAMILY OF PRODUCTS The Behavioral and Emotional Skill Building Guide - part of the BASC–3 family of products provides activities and small-group or classroom-based lessons that promote and develop a number of core behavioral and emotional skills, such as communicating, problem solving, listening effectively, and relaxation strategies. This guide is used by teachers, behavior coaches, counselors, social workers, or others who work in a school or similar setting. When used in conjunction with the BASC–3 BESS, this guide can also be used by school administrators to enhance the skills of the student community and promote behaviors that lead to school-wide success.

107 Behavioral and Emotional Skill-Building Guide
Designed for classroom and small-group use by: Teachers Behavior coaches School counselors Social workers Psychologists Interns Other trained personnel BEHAVIORAL AND EMOTIONAL SKILL BUILDING GUIDE - PART OF THE BASC–3 FAMILY OF PRODUCTS The Behavioral and Emotional Skill Building Guide - part of the BASC–3 family of products provides activities and small-group or classroom-based lessons that promote and develop a number of core behavioral and emotional skills, such as communicating, problem solving, listening effectively, and relaxation strategies. This guide is used by teachers, behavior coaches, counselors, social workers, or others who work in a school or similar setting. When used in conjunction with the BASC–3 BESS, this guide can also be used by school administrators to enhance the skills of the student community and promote behaviors that lead to school-wide success.

108 BASC-3 Flex Monitor Used to progress monitor behavioral and emotional functioning over desired period of time Users have ability to: Choose an existing monitoring form -or- Create a form using an item bank Choose a rater (teacher, parent, or student) Administer digital or paper forms Set up recurring administrations over specified time period Generate monitoring reports to evaluate change over time BASC–3 FLEX MONITOR The BASC–3 Flex Monitor is used to monitor and track the effect of a behavioral intervention implemented by a psychologist or other professional in a school or clinical environment. An Internet-based tool, the BASC–3 Flex Monitor provides a bank of behaviorally or emotionally based items that can be selected to create a customized monitoring form that enables score comparisons to a nationally representative population sample. While creating forms, users can calculate reliability estimates based on a normative sample. In addition, existing forms can simply be selected and used to measure behavioral performance across a variety of common behavioral areas (e.g., hyperactivity, attention). Behavioral performance is measured and displayed over a period of time, thereby helping to establish the effectiveness of an intervention strategy.

109 BASC-3 Flex Monitor – How It Works
For custom forms, users choose from large item pool and “build” a form Items can be filtered/searched When building form, user can compute estimated reliability based on standardization data sample Adjustments can be made to form based on user’s needs

110 BASC-3 Flex Monitor – How It Works
Forms can be saved and shared with other users within school or account hierarchy Reports include T-scores based on TRS/PRS/SRP standardization samples Enables: Comparisons with normative population Describe extremeness of scores Intra-individual comparisons Changes over time

111 BASC-3 Norms

112 Scale and Composite Score Classification

113 Scale and Composite Score Classification
Clinically Significant 70 and above

114 Scale and Composite Score Classification
Clinically Significant 30 and below

115 Impairment and Diagnosis – Guidelines
70+ Functional impairment in multiple settings Typically a diagnosable condition (Reynolds & Kamphaus, 2004) 60 – 69 Functional impairment in one or more settings Sometimes diagnosable condition (Ostrander, et al., 1998, Reynolds & Kamphaus, 2004, 1992) ADHD often diagnosed at lower scores 45 – 59 No functional impairment or condition <45 Notable lack of symptomatology

116 Types of Normative Scores
T scores Indicate distance of scores from norm-group mean Mean = 50; SD = 10 Describe extremeness of a score Percentile Ranks Indicate percentage of norm sample scoring at or below given raw score Describe frequency (or infrequency) of a scores

117 Types of Normative Scores
When a distribution is normal (or normalized), same T score and percentile rank are always paired For example: T = 30, %-ile rank = 2 T = 40, %-ile rank = 16 T = 50, %-ile rank = 50 T = 60, %-ile rank = 84 T = 70, %-ile rank = 98

118 Types of Normative Scores
This is not true for non-normal (skewed) distributions Extreme scores more unusual for some behaviors than others Relationship between T scores and percentile ranks varies, depending on how skewed each distribution is

119 Sample of BASC-3 Score Distributions
 = Depression  = Anxiety  = Aggression  = Atypicality

120 Types of Normative Scores
For example: Social Skills scale has approximately normal distribution T score of 70  98th percentile TRS Aggression scale is extremely (positively) skewed T score of 70  94th percentile Norms tables provide both T score and percentile rank for each raw score Consider both when interpreting scores, remembering: T scores indicate extremeness of a score Percentile ranks indicate (in)frequency of a score

121 Choosing the right norms

122 } } Available Norms Combined-gender norms Separate-gender norms
General Norms } Combined-gender norms Male + female Separate-gender norms Male, female Combined clinical norm group ADHD clinical norm group All are presented by age level Clinical Norms }

123 What are Norms? Commonly misunderstood and misapplied
Norms are simply reference groups Cecil Reynolds advocates renaming them “reference groups” Different reference groups answer different questions

124 Choosing Norms: Asking Questions
General combined-gender norms “Does Rob have problems with depression relative to other children his age?” General separate-gender norms “How does Michelle’s hyperactivity compare to that of other girls?” Combined clinical norms “How severe is Natalie’s psychoticism compared to other children diagnosed with mental health disorders of childhood, including EBDs?” ADHD clinical norms “How severe are Kent’s symptoms of depression in comparison to other children diagnosed with ADHD?”

125 General Norms Based on a large national sample representative of US population with regard to: Gender Race/ethnicity Parent education Clinical or special ed classification Subdivided by age In most instances, general combined-gender norms are superior in: Establishing accurate diagnosis Identifying which individuals need services (Reynolds, 2014)

126 Gender Differences on General Norms
Several BASC-3 scales show gender differences Score differences likely reflect real differences in prevalence between males and females Males Females Higher scores on TRS/PRS Hyperactivity Aggression Conduct Problems Attention Problems Learning Problems Higher scores on SRP Attitude to School Attitude to Teachers Sensation Seeking Self-Esteem Higher scores on TRS/PRS Social Skills Leadership Study Skills Functional Communication Higher scores on SRP Anxiety Somatization

127 Gender Differences on General Norms
Combined-gender norms: Allow these real gender differences to be reflected in normative scores Answer question “How commonly does this level of rated/self-reported behavior occur in the general population at this age?” Using these norms, for example: More males than females will show high T scores on Aggression More females than males will show high T scores on Social Skills

128 Gender Differences on General Norms
Result of unequal diagnoses between genders is desirable if you consider it appropriate for different numbers of boys and girls to receive particular Diagnoses Types of special education services Treatments (e.g., medication) Alternatively, if you believe male-female raw score differences due simply to psychometric artifacts, may prefer to use separate-gender norms

129 Single-Gender Norms Based on subsets of general norms samples
Each representative of general population of children of that age and gender May be particularly helpful for clinical diagnosis Because they identify children with ratings/self-reports that are rare for their age or gender For example: May be interested in fact that a female’s Aggression rating is extremely high compared to other females Even though Aggression score is not especially high when compared with combined male + female norm group

130 So Which Norms Should I Use?
Decision should be guided by whether appropriate for gender differences to exist in outcome of assessment Interested in identifying children with particular problem believed to occur more often in one gender? Then use combined-gender norms Feel most important thing is extremity of child’s score relative to others of same gender? Then use single-gender norms Sometimes appropriate to look at both sets of norms

131 So Which Norms Should I Use?
Per Cecil Reynolds and Randy Kamphaus: Use of single-gender norms will: Deny identification and treatment of disorders across gender for groups with higher prevalence rates -and- Yield unnecessary diagnoses and treatment for those with lower prevalence rates

132 So Which Norms Should I Use?
Per Cecil Reynolds and Randy Kamphaus: Always utilize general combined-gender norms for diagnostic purposes Because combined-gender norms: Preserve known and documented differences on key behavioral and emotional constructs E.g., anxiety, hyperactivity Preserve known and accepted differences in prevalence rates of disorders known to differ as a function of gender Are more accurate overall in diagnostic process with the exception of the most extreme cases In really extreme cases, choice of norms is irrelevant, but these are not the cases that worry us BASC is only rating scale that allows user to choose which they want to use

133 Combined- or Single-Gender Norms?
However, per Russell Barkley, combined-gender norms: Underdiagnose ADHD in girls and women Because ADHD diagnostic criteria based on studies done mostly on males So he recommends using single-gender norms when using rating scales to evaluate ADHD in girls

134 Clinical Norms Most helpful when child’s problems extreme in comparison with general youth population May then encounter ceiling effects with general norms Can make differential diagnosis difficult Using clinical norms helps relieve this problem Also, for many scales, score distributions for seriously emotionally disturbed children differ from those for general population in terms of: Elevation Shape and dispersion Raw-score means Standard deviations Kurtosis Skewness

135 Clinical Norms (cont.) General norms useful to evaluating overall level of behavior problems in these children, but . . . Clinical norms likely more appropriate for determining subcategories of problem E.g., ADHD, depression

136 Multiple Norms Hand-Scoring Worksheets
Record second set of T scores and percentile ranks next to initial set of scores Helpful to use different ink colors for two sets of scores Also provide color key on page with Scoring Summary Q-global Reports Select “additional norm groups” when generating report May also generate second report, selecting different norms

137 Demo: Scoring BASC-3 using Q-global

138 Q-global BASC-3 Report

139 Report Options for BASC-3 Q-Global

140 BASC-3 Interpretive Summary Report with Intervention Recommendations

141 Page 2

142 Page 3

143 Page 4

144 Pages 5 – 6

145 Pages 7 – 8

146 Pages 9 – 17

147 Pages 9 – 17

148 Page 18

149 Page 19

150 Page 20

151 Page 21

152 Pages 22 – 26

153 Page 27

154 Page 28

155 Pages 29 – 37

156 Page 38

157 Additional BASC-3 Reports
Multi-Rater Report Allows you to compare results from any of the BASC-3 components in the context of other case information, including the developmental history, interviews, academic records, observations, and other qualitative and quantitative sources Integrated Summary Report Combines results from individual components and provides recommendations based on all information

158 Gail C. Rodin, Ph.D. Phone: 919-395-6333 Email: gail.rodin@pearson.com
Questions? Gail C. Rodin, Ph.D. Phone:


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