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Bright Futures Toolkit: Links to Commonly Used Screening Instruments and Tools

June 21, 2022
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Last updated June 21, 2022

At selected visits, Bright Futures recommends universal screening for developmental concerns, behavioral/social/emotional concerns, maternal depression, adolescent depression and suicide risk, substance use, or oral health concerns. A number of screening tools have been developed and are commonly used. The Toolkit provides a list of links to tools for use at specific Bright Futures visits as well as screening and assessment tools for use at the discretion of the health care professional.

The American Academy of Pediatrics does not approve nor endorse any specific tool for screening purposes. This table is not exhaustive, and other screening tools may be available. For best results, it is recommended that users review available instruction manuals before administering, scoring, and analyzing results of the scoring tools. Availability of a tool in multiple languages does not correlate to validation of the tool in such languages.

Links provided for these commonly used tools go to the author or the owner (or both) of the specific tool to ensure accessibility to the most up-to-date version of the specific tool. Review and comply with any copyright and permissions requirements before use.

 

Instruments for Recommended Universal Screening at Specific Bright Futures Visits

Recommended Visit Recommended Screening Tool by Author/Owner
1 Month
2 Month
4 Month
6 Month
Maternal Depression Edinburgh Postpartum Depression Scale (EPDS)a
A modified version of the EPDS is included as part of the Family Questions section in the Survey of Well-being of Young Children (SWYC).
Patient Health Questionnaires (PHQs)
PHQ-9
PHQ-2b
Universal
6 Month
9 Month

If No Dental Home
12 Month
15 Month
18 Month
2 Year
2½ Year
3 Year
4 Year
5 Year
6 Year
Oral Health AAP Oral Health Risk Assessment (OHRA)
Newborn Through 21 Years Behavioral/Social/Emotional Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ®:SE-2)
Age range: 1–72 months
Baby Pediatric Symptom Checklist
Age range: under 18 months
Preschool Pediatric Symptom Checklist
Age range: 18–65 months
Pediatric Symptom Checklist (PSC)
Translations
Age range: 4–16 years
Strengths & Difficulties Questionnaires (SDQ)
Translations
Age range: 2–17 years
9 Month
18 Month
2½ Year
Child Development AAP Developmental Screening Tools table (found in Supplemental Information)
Ages & Stages Questionnaires®, Third Edition (ASQ®-3)
Age range: 1–60 months
Parents’ Evaluation of Developmental Status (PEDS®)
Age range: 0–8 years
Survey of Well-being of Young Children (SWYC) (milestones)
Age range: 1–65 months
18 Month
2 Year
Autism Spectrum Disorder Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F)
Translations
Survey of Well-being of Young Children (SWYC)
(Parent's Observations of Social Interactions)
11 Through 14 Year
15 Through 17 Year
18 Through 21 Year
Depression and Suicide Risk PHQ-9 Modified for Teens (PHQ-A)b
A version of the PHQ-9 Modified for Teens is available in the Guidelines for Adolescent Depression in Primary Care Toolkit  (in multiple languages).
Another sample of the PHQ-9 Modified for Teens is available through the Community Care of North Carolina.
PHQ-2b
Ask Suicide-Screening Questions (ASQ)
Columbia-Suicide Severity Rating Scale (C-SSRS)
Patient Safety Screener (PSS-3)
11 Through 14 Year
15 Through 17 Year
18 Through 21 Year
Tobacco, Alcohol, or Drug Use Alcohol Screening and Brief Intervention for Youth: A Practitioner's Guide
Brief Screener for Alcohol, Tobacco, and other Drugs (BSTAD)
Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT)
Screening to Brief Intervention (S2BI)

Abbreviation: AAP, American Academy of Pediatrics.

 

 

Other Commonly Used Screening and Assessment Tools

Recommended Screening Tool by Author/Owner
Parent and family assessment Safe Environment for Every Kid (SEEK) Parent Questionnaire– R
Translations
Social determinants (drivers) of health Accountable Health Communities Health-Related Social Needs Screening Tool
Center for Youth Wellness ACE Questionnaire (CYW ACE-Q)
The EveryONE Project Social Needs Screening Tool (American Academy of Family Physicians)
Health Leads Social Needs Screening Toolkit
Hunger Vital Sign
IHELP (Income, Insurance, Hunger, Housing, Homeless, Education, Safety, Legal Status, Power of Attorney) Social History Tool
Pediatric ACEs and Related Life-events (PEARLS) Screener
Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE)
Survey of Well-being of Young Children (SWYC) (Family Questions)
Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education (WE CARE) Survey
 Crosscutting Survey of Well-being of Young Children (SWYC)
Translations
AAP Screening Tool Finderc

Permission required for use. Contact the Royal College of Psychiatrists at permissions@rcpsych.ac.uk to request permission to use.
b This version is not available on the Pfizer website.
c This is a searchable database of screening tools for children 0–5 years of age.

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