Diagnostic Domain

Domain Questions

Cutoff

Assigned Assessments

Somatic Symptoms

- Been bothered by stomachaches, headaches, or other aches and pains?
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- Worried about your health or about getting sick?

2 - Any question with a response equal to or greater than Several Days.

DSM-5 Level 2 Somatic Symptoms, Child (DSM-5 II Som-C)

Sleep Problems

- Been bothered by not being able to fall asleep or stay asleep, or by waking up too early?

2 - Any question with a response equal to or greater than Several Days.

DSM-5 Level 2 Sleep Disturbance, Child (DSM-5 II Sle-C)

Inattention

- Been bothered by not being able to pay attention when you were in class or doing homework or reading a book or playing a game?

1 - Any question with a response equal or greater than Rare, less than a day or two.

Pediatric Symptom Checklist Youth Self-Report - Attention Subscale (PSC-Y-A)

Depression

- Had less fun doing things than you used to?
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- Felt sad or depressed for several hours?

2 - Any question with a response equal to or greater than Several Days.

Patient Health Questionnaire for Adolescents (PHQ-A)

Anger/Irritability

- Felt more irritated or easily annoyed than usual?
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- Felt angry or lost your temper?

2 - Any question with a response equal to or greater than Several Days.

- Affective Reactivity Index (ARI)
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- DSM-5 Level 2 Anger, Child (DSM-5 II Ang-C)

Mania

- Started lots more projects than usual or done more risky things than usual?
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- Slept less than usual but still had a lot of energy?

2 - Any question with a response equal to or greater than Several Days.

Altman Self-Report Mania Scale (ASRM)

Anxiety

- Felt nervous, anxious, or scared?
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- Not been able to stop worrying?

- Not been able to do things you wanted to or should have done, because they made you feel nervous?

2 - Any question with a response equal to or greater than Several Days.

Generalized Anxiety Disorder 7 (GAD-7)

Psychosis

- Heard voices—when there was no one there—speaking about you or telling you what to do or saying bad things to you?

- Had visions when you were completely awake—that is, seen something or someone that no one else could see?

1 - Any question with a response equal or greater than Rare, less than a day or two.

Yale PRIME Early Psychosis Screening Test (Yale-PRIME)

Repetitive Thoughts/Behavior

- Had thoughts that kept coming into your mind that you would do something bad or that something bad would happen to you or to someone else?
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- Felt the need to check on certain things over and over again, like whether a door was locked or whether the stove was turned off?
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- Worried a lot about things you touched being dirty or having germs or being poisoned?
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- Felt you had to do things in a certain way, like counting or saying special things, to keep something bad from happening?

2 - Any question with a response equal to or greater than Several Days.

Obsessive-Compulsive Inventory (OCI)

Substance Use

- Had an alcoholic beverage (beer, wine, liquor, etc.)?
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- Smoked a cigarette, a cigar, or pipe, or used snuff or chewing tobacco?
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- Used drugs like marijuana, cocaine or crack, club drugs (like Ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like glue), or methamphetamine (like speed)?
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- Used any medicine without a doctor’s prescription to get high or change the way you feel (e.g., painkillers [like Vicodin], stimulants [like Ritalin or Adderall], sedatives or tranquilizers [like sleeping pills or Valium], or steroids)?

1 - Any question with a response equal or greater than Rare, less than a day or two.

DSM-5 Substance Use-Child (DSM5-SU-Child)

Trauma

- Had an experience that caused you to believe you would be injured or killed?

2 - Any question with a response equal to or greater than Several Days.

Child and Adolescent Trauma Screen (CATS)

Eating Pathology

- Judged yourself as a person based on your body weight or shape?

2 - Any question with a response equal to or greater than Several Days.

Eating Disorder Examination-Questionnaire (EDE-Q)

Other

- All Questions

For Clients who do not screen positive for specific mental health conditions or constructs, Blueprint assigns the WEMWBS to measure non-specific outcomes related to overall wellbeing.

The Warwick-Edinburgh Mental Wellbeing Scales (WEMWBS)