Behavior Assessment System for Children (BASC) R. W. Kamphaus, Ph.D. The University of Georgia Acknowledgements Cecil R. Reynolds, BASC senior author Mark Daniel and Rob Altmann of AGS Co-researchers Andy Horne, Carl Huberty, and Michele Lease of UGA, Jean Baker of Michigan State, Christine DiStefano of Louisiana State University, Linda Mayes of Yale Child Study Center, David Pineda of Universidad de Antioquia Student research team members Anne Winsor, Ellen Rowe, Jennifer Thorpe, Cheryl Hendry, Amanda Dix, Erin Dowdy, Anna Kroncke, Sangwon Kim, Robert Brown, Tracey Troutman. Alumni research team members Drs. Nancy Lett, Shayne Abelkop, Martha Petoskey and Ann Heather Cody Research is supported in part by grant number R306F60158 from the At-Risk Institute of the Office of Educational Research and Improvement of the United States Department of Education, to R. W. Kamphaus, J. A. Baker, & A. M. Horne. Multimethod Structured Developmental History (SDH) Student Observation System (SOS) Teacher Rating Scales (TRS) Parent Rating Scales (PRS) Self-Report of Personality Objectives Learn five assessment uses unique to history taking Use the SOS to take a 15 minute classroom observation Write and describe clinically significant findings for the PRS, TRS, and SRP Explain the impact of child culture and sex on TRS and PRS results Describe a TRS-based 7 cluster classification system of child behavioral adjustment status and its use for screening and classifying risk for school problems Describe research findings regarding the use of the BASC as a program evaluation too. Summarize research findings regarding the use of the BASC to classify cases of ADHD. History Taking SDH Identifying age of symptom onset (e.g. ADHD) Developmental course (e.g. LD) Assessment of etiology (e.g. Thyroid condition) Treatment or intervention design (e.g. Prozac related relapse or Cheryl’s head banging) Assessment of risk and resilience factors (e.g. family resemblance, peers, recreation) Documentation of educational or other impairment (e.g. grades, productivity, test scores, relations with parents, school attendance) Student Observation System (SOS) Both adaptive and maladaptive behaviors are observed Multiple methods are used including clinician rating, time sampling, and qualitative recording of classroom functional contingencies A generous time interval is allocated for recording the results of each time sampling interval (27 seconds) Operational definitions of behaviors and time sampling categories are included in the BASC manual Inter-rater reliabilities for the time sampling portion are high which lends confidence that independent observers are likely to observe the same trends in child’s classroom behavior (see Lett & Kamphaus, 1997). SOS Part A - Treatment/IEP Planning; frequency, range, and disruptiveness of classroom behavior Part B - Treatment/Program evaluation of effectiveness (track change with ADHD Monitor software) Part C - Functional analysis of antecedents, behavior, and consequences (e.g. teacher position) SOS Scales Behavior Problem Scales Inappropriate movement Inattention Inappropriate vocalization Somatization Repetitive motor movements Aggression Self-injurious behavior Inappropriate sexual behavior Bowel/bladder problems Adaptive Scales Response to teacher Work on school subjects Peer interaction Transition movement Using Part B There is typically no need to select target behaviors to observe schedule the observation period at a time of day and, in a class, where problems are known to be of teacher or parent concern so that target behaviors can be observed. In addition, the examiner may want to also observe in a class where problems are not present Use an observer who is already familiar to the school, or introducing himself or herself to the teacher ahead of time Develop a timing mechanism (PDA software available April, 2003) Cecilia - Age 8, Optimal Response to Ritalin 18 16 14 12 Mar-Yr1 Mar-Yr2 Apr-Yr2 10 8 6 4 2 0 R to T W on S In Move Inatt In Vocal SOS Functional Assessment Frequency - Part A ratings of NO, SO, or FO. Part B frequencies. Duration - Part B ratings of percentage of time engaged in behavior. Intensity - Part A ratings of disruptive and Part B ratings of relative frequency. Antecedent Events - Part C teacher position and behavior. Consequences - Part C teacher change techniques. Ecological Analysis of Settings - Observations at various times of school day. PRS ratings. Use three classroom observations to establish trajectory of behavior TRS Details Discourage having two or more teachers complete the same form collaboratively Norms extend to age 2 years 6 months General, gender, and clinical norms available for TRS, PRS, SRP When needed help teachers define a “never” response as a behavior that they have not seen or experienced Advise teachers to rate most recent behavior When a current teacher is not available a teacher from the past academic year may provide a good estimate (see next slide) TRS Reliability and Validity Traits that are considered stable are rated consistently by teachers over a 2 to 8 week interval (Reynolds & Kamphaus, 1992). A study of three clinical samples produced median testretest values of .89, .91, and .82 for preschool, child, and adolescent levels. Different teachers rate the same child similarly (Reynolds & Kamphaus, 1992). A sample of 30 children was rated by two teachers each within a few days of one another. Interrater coefficients were variable ranging from a low of .53 for social skills to .94 for learning problems. Most clinical scales had adequate reliabilities such as aggression .71, anxiety .82, attention problems .68, and learning problems. 94. Teacher internal consistency coefficients are higher than those for either parents or adolescent self-reports (Reynolds & Kamphaus, 1992). Behavior is stable as rated by different teachers: TRS-C Means, 1996-2000 80 1996 1997 1998 1999 2000 70 T-Scores 60 50 40 30 20 pt gg nx ttn typ on epr per ead arn Soc om tud aw a A A A A C D S d S dr y L Le A H W BASC Scales TRS Reliability and Validity Teacher ratings are better able to diagnose the subtypes of ADHD than classroom observations by independent observers (Lett & Kamphaus, 1997). The TRS was significantly better than the SOS at differentiating non-disabled, ADHD combined type, and ADHD combined type plus conduct problem groups with about a 70% accuracy rate. Teacher ratings are significantly associated with adjustment to school (Baker, Kamphaus, & Horne, Project ACT Early) Teacher ratings are predictive of adjustment six years later (Verhulst et al., 1994) Discipline Reports for Physical Aggression by Type for ACT Early Year 3 Reported in Proportions of Sample Percent Cited for Physical Aggress Well Adapt ed (Type 1) Avera ge (Type 2) Disrupt Behavio Probs (Type 3) Acade mic Probs (Type 4) Physical Complai nts and Worry (Type 5) Gen Probs Severe (Type 6) Mildly Disrupti ve (Type 7) 1 8 43 15 2 43 14 TRS Hyperactivity (impulsivity) Aggression (verbal or physical) Conduct Problems (delinquency; 6-18 only) Anxiety (worry, nervousness) Depression (sad, unhapppy) Somatization (physical complaints) Attention Problems Learning Problems (academic problems; 6-18 only) Atypicality (hyperactivity, odd behaviors, psychoticism) Withdrawal (avoidance of social interactions) Adaptability (4-11) (adjusts easily to change) Leadership (especially interpersonal skills) Social Skills Study Skills (6-18) Patterning Consistency Fake Bad (F) Schwean, Burt, & Saklofske (1999) Items on the Atypicality scale of the BASC are relevant to several different interpretations…, with many describing behaviors that parallel those seen in a hyperactive-impulsive disorder (e.g., daydreams, complains about being unable to block out unwanted thoughts, stares blankly, babbles to self, sings or hums to self, rocks back and forth). Several examples will help illustrate this point. Although we typically think of inattentive children as “daydreamy”. Research has noted that one of the most common observations made by elementary school teachers about hyperactive children is that they appear to be daydreaming (Goldstein & Goldstein, 1992). Hyperactive-impulsive children are also often known to talk excessively and to hum or make odd noises (American Psychiatric Association, 1994; Barkely, 1990). Moreover, irrelevant and purposeless gross bodily movements (i.e., hyperactivity) can easily be confused with more stereotypic motor behaviors. (p. 59) George - ADHD Combined Type Comorbid with MR Teacher 1 Teacher 2 Teacher 3 Hyperactivity 76 83 66 Attention Problems 69 71 69 Learning Problems 79 81 83 Adaptability 40 36 47 Atypicality 64 72 64 Under-diagnosis of ADHD in Children with MR Pearson and Annan (1994) concluded,“Findings suggest that chronological age should be taken into consideration when behavior ratings are used to assess cognitively delayed children for ADHD. However, the results do not support guidelines stating that mental age must be used to determine which norms should be applied when such children are evaluated clinically.” (p. 395) The use of mental age as a consideration in making the ADHD diagnosis for children with mental retardation may result in the denial of somatic and behavioral treatments that are known to have demonstrated efficacy (Reynolds & Kamphaus, 2002). PRS Details Audiotape administration Spanish edition available Norms to age 2 years 6 months Fifth grade reading level Mothers and fathers produce similar average raw scores Parent feedback form available for PRS, TRS, and SRP results Parent/Caregiver Ratings Primary caregiver and/or person who knows the child’s problems best will indicate more problems Parent ratings are also predictive of behavior problems six years later (Verhulst et al., 1994) Parent ratings of behavior are predicted by early temperament (Nelson et al., 1999) PRS Hyperactivity Aggression Conduct Problems (6-18) Anxiety Depression Somatization Attention Problems Atypicality Withdrawal Adaptability (4-11) Leadership Social Skills Patterning Consistency Fake Bad (F) Lynn - ADHD Ritalin therapy at school, Mother is primary caregiver Mother Father 95 68 Attention Problems 68 68 Hyperactivity Teacher 1 Teacher 2 63 63 Attention Problems 66 64 Hyperactivity SRP Details Validity Scales include: Patterning, Consistency, Lie (L) (12-18), Fake Bad (F), Validity (V) Third grade reading level Spanish version available Children and adolescents may know themselves better that parents or teachers (see next slide) SRP-C Type 9, Internalizing yoked ratings (7.4% of 6-11 year olds, 47% f/53%m) 80 SRP-C PRS-C TRS-C 70 60 50 40 30 Anx Rel Par Att Schl Att Teach Atyp Dep Inter S of I Loc Con Se Est Se Rel Soc Stre Agg Att Hyper SRP - Clinical and Adaptive Scales Depression Somatization Anxiety Atypicality Sense of Inadequacy (feels unsuccessful in school) Social Stress (tension around peers) Locus of Control (rewarded or punished by others) Sensation Seeking (12-18) (risk taking) Attitude Toward Teachers Attitude Toward School Relations with Parents Interpersonal Relations (friendships) Self-Esteem Self-Reliance (dependability) Maryann - Depression, Conduct Disorder, Cognitive Deficit At age 17 she has history of suicide attempts, runaway behavior, STD’s, dental decay, academic failure, family dissolution, problems in foster care. She currently admits to suicidal ideation. 80 70 60 Dep Loc S of I Aty SS Anx Som GCA 50 40 30 20 10 0 SE Jonathan - Depression, Polysubstance Dependence A high school senior, he is hospitalized for a suicidal attempt. He was previously treated for addiction to alcohol at age 14. Now, at age 17, he abuses alcohol, marijuana, heroin, and other drugs. 80 70 60 Dep S of I Anx 50 Aty LocSS 40 Som IR SE RP 30 20 10 0 SR SRP Facts Child ratings are virtually uncorrelated with adult ratings Teachers are unaware of many child problems especially those of an internalizing nature (Kamphaus & Frick, 2002) Children with cognitive delay may be less able to respond untruthfully Adolescents in juvenile detention are known to report high rates of psychopathology (Stowers-Wright, 2000) Ratings Interpretation (Kamphaus & Frick, 2002) All raters possess some evidence of predictive validity Simple Scheme - All indicators of problems weighted equally (e.g. teacher and child ratings of depression weighted equally) Ratings Interpretation Identify all scales with T scores in the atrisk range (T=>60) Confirm or disconfirm the importance of each with available evidence Collect additional evidence as needed Draw conclusions regarding classification, diagnosis, and intervention Ratings Interpretation 70+ Functional impairment in multiple settings, Often diagnosable condition 60-69 Functional impairment in one or more settings, sometimes diagnosable condition 45-59 No functional impairment or condition <45 Notable lack of symptomatology Aggression Scale Interpretation (Reynolds & Kamphaus, 2002) Score Range Interpretation 70+ Often acts in a hostile manner (both verbal or physical) that is threatening to others. Significant functional impairment is noted in home and school settings, and with peers. 60-69 Acts in a hostile manner (either verbal or physical or both) that is threatening to others. Functional impairment may be present in home and/or school settings, and with peers. 45-59 Displays of either verbal or physical aggression are infrequent and age appropriate. No functional impairment is present. <45 Displays of either verbal or physical aggression are extremely rare. No functional impairment is present. BASC + IDEA Impaired relations = Withdrawal, Atypicality, Social Stress, Interpersonal Relations, Social Skills, Relations with Parents Inability to learn = Learning Problems Inappropriate behavior = Atypicality, Withdrawal Unhappiness/depression = Depression, Sense of Inadequacy Physical symptoms/complaints = Somatization Karen - Substance abuse, conduct disorder, bipolar 14 year old female 9th grader with normal development until 1996 Academics declined, began spending large amount of time with peers and smoking marijuana and drinking alcohol Hx of day and residential treatment, truancy, drug paraphernalia at school Avg IQ and achievement Karen Maternal Ratings Hyperactivity Aggression Conduct Problems Anxiety Depression Somatization Atypicality Withdrawal Attention Problems Social Skills Leadership 52 68 120 42 70 55 76 64 60 27 39 Karen SRP Att to School Att to Teach Sensation Atypicality Locus of C Somatization Social Stress Anxiety 71 55 60 41 50 39 38 47 Depression 49 Sense of In 45 Relations Par 30 Interpersonal 57 Self-Esteem 58 Self-Reliance 46 Critical - I just don’t care anymore Stefan - Emotional Distrubance 10 year old fifth grade child with history of poor organization, work incompletion, resistance to teacher direction, anger outbursts, low frustration tolerance Intelligence and achievement are average except for below average scores in written expression including spelling Chaotic family background with loss Stefan SRP Att to School Att to Teach Atypicality Locus of C Social Stress Anxiety 64 84 48 68 60 55 Depression 68 Sense of In 78 Relations Par 10 Interpersonal 31 Self-Esteem 34 Self-Reliance 36 Critical - Sometimes I want to hurt myself Stefan Teacher Ratings Hyperactivity Aggression Conduct Problems Anxiety Depression Somatization Atypicality Learning Problems Withdrawal Attention Problems Adabtability Social Skills Leadership Study Skills 67 73 79 62 77 46 71 63 71 76 27 33 35 27 69 73 79 65 66 64 61 63 61 75 27 34 35 31 Stefan Parent Ratings Mother Father Hyperactivity 65 71 Aggression 76 67 Conduct Problems 75 91 Anxiety 59 59 Depression 74 72 Somatization 73 53 Atypicality 76 50 Withdrawal 57 47 Attention Problems 73 73 Adaptability 25 27 Social Skills 35 37 Leadership 35 37 Effects of Culture and Sex Cross-cultural studies have shown small mean differences between at least 13 cultural groups for the CBCL (Crijnen et al., 1997) and 4 for the BASC (Kamphaus et al., 2000) Sex differences, in direct contrast, are large and in the same direction in all countries studied (Crijnen et al., 1997; Kamphaus et al., 2000) Effects of Culture 12 10 8 Colombian White African-Am U.S. Hispa 6 4 2 0 PRS Hyp TRS Hyp PRS Att TRS ATT PRS Con TRS Con Effects of Child Sex 14 12 10 8 Girls Boys 6 4 2 0 PRS Hyp TRS PRS Att Hyp TRS ATT PRS Con TRS Con Cross-Cultural Assessment Strategies Collect test scores and ratings from parents and recent teacher from country of origin or previous U.S. school Use three classroom observations two weeks apart to establish trajectory of behavior Defer special education classification until child has been in school system long enough to develop linguistic competencies and friendships Seek second opinion from psychologist with cultural knowledge to reduce tendencies toward under or over-diagnosis (Kamphaus & Frick, 2002) Use history taking to clarify standardized test and rating scale results BASC and Treatment/Outcome Evaluation (SRP/TRS/PRS) Significant effects were shown for a therapeutic adventure program with the SRP-A (Faubel, 1998) Effects have been shown for child cancer (Challinor, 1999; Shelby, 1999), and rheumatoid arthritis (Wutzke, 1999; Youseff, 1999) BASC and Risk Assessment A person-oriented approach may be used to identify children at risk for behavioral problems (Project ACT Early; Baker, Horne, & Kamphaus, 1996-present; Petoskey, 2000) Typologies of behavioral adjustment are associated with important child outcomes (Baker, Kamphaus, & Horne, in press) Types of adjustment replicate in numerous samples for differing SES and cultural groups (Pineda, et al., 199; Kamphaus et al., 2000; Kamphaus & DiStefano, in press) Most children with significant behavior problems are not served by special education or other service delivery system (Kamphaus et al., 1997) Person-Oriented Methodology “The concepts of average child and average environment have no utility whatever for the investigation of dynamics ...An inference from the average to the particular case is …impossible” (Lewin, 1931, p. 95; cited in Richters, 1997) Child behavior problems are dimensionally distributed in the population and much variability is associated with subsyndromal behavior problems that nevertheless produce functional impairment (Hudziak, et al., 1999; Scahill, et al., 1999; Cantwell, 1996) “…teachers cope with a high degree of variability in their classrooms… By capturing this variability it may be possible to design interventions that ameliorate the risk of failure for some groups of children” (Speece & Cooper, 1990, p. 119) 30 Note. 61% Female Study Skills Social Skills Leadership Adaptability Withdrawal Atypicality Learning Attention Somatization Depression Anxiety Conduct Hyperactivity Aggression TRS-C Type 1 Well-Adapted (34%) 80 70 60 T-Score 50 40 30 Note. 43% African American Study Skills Social Skills Leadership Adaptability Withdrawal Atypicality Learning Attention Somatization Depression Anxiety Conduct Hyperactivity Aggression TRS-C Type 2 Average (19%) 80 70 60 T-Score 50 40 30 Note. 78% Male; 30% African-American Study Skills Social Skills Leadership Adaptability Withdrawal Atypicality Learning Attention Somatization Depression Anxiety Conduct Hyperactivity Aggression TRS-C Type 3 Disruptive Behavior Problems (8%) 80 70 60 T-Score 50 40 30 Note. 60% Male; 33% African American Study Skills Social Skills Leadership Adaptability Withdrawal Atypicality Learning Attention Somatization Depression Anxiety Conduct Hyperactivity Aggression TRS-C Type 4 Learning Problems (12%) 80 70 60 T-Score 50 40 30 Note. 60% Female Study Skills Social Skills Leadership Adaptability Withdrawal Atypicality Learning Attention Somatization Depression Anxiety Conduct Hyperactivity Aggression TRS-C Type 5 Physical Complaints/Worry (11%) 80 70 60 T-Score 50 40 30 Note. 67% Male Study Skills Social Skills Leadership Adaptability Withdrawal Atypicality Learning Attention Somatization Depression Anxiety Conduct Hyperactivity Aggression TRS-C Type 6 General Problems-Severe (4%) 80 70 60 T-Score 50 40 30 Note. 70% Male; 25% African-American Study Skills Social Skills Leadership Adaptability Withdrawal Atypicality Learning Attention Somatization Depression Anxiety Conduct Hyperactivity Aggression TRS-C Type 7 Mildly Disruptive (12%) 80 70 60 T-Score 50 40 School Services by Type 60 50 40 Refer Spec Ed Disc Maj 30 20 10 0 Type 1 Type 2 Type 3 Type 4 Type 5 Type 6 Type 7 Peer Social Status (A. Michele Lease, in press) Type 1 Type 2 Type 3 Type 4 Type 5 Type 6 Type 7 Likeab .86 ility -.40 -1.76 -1.72 1.15 -2.54 -.98 Friend ships 2.2 .83 .43 .36 1.37 .50 .25 Center .03 (MDS) .01 .87 .88 -.73 1.39 .29 Prevalence of Type by School 1999 - 2000 60 50 40 One Two Three Normative 30 20 10 0 Low Risk Mod. Risk High Risk Prevalence of Types in Four Samples School Avge Rural Well Adapt 15 39 Disrupt Acad Behave Prob 8 13 Phys Severe Mild Worry Disrupt 9 4 13 Medellin 30 24 17 12 12 6 Urban 29 26 13 11 8 3 12 National 34 19 8 12 11 3 12 Disciplinary Actions by Type 110 Cluster 100 90 WA Frequency 80 AVG 70 DBP 60 50 LP 40 PC/W 30 20 R e ns ffe lO ua ex e S ns ffe lO e ba ns er V ffe lO ca D School Outcome Variables si hy P H n io ct A or in M n io ct A or l aj ra M er ef D A ed nd pe us S g tin ee M T S S 10 0 GP-S MD “Services” and Disciplinary Actions by Type 110 Cluster 100 90 WA Frequency 80 AVG 70 DBP 60 50 LP 40 PC/W 30 20 R e ns ffe lO ua ex e S ns ffe lO e ba ns er V ffe lO ca D School Outcome Variables si hy P H n io ct A or in M n io ct A or l aj ra M er ef D A ed nd pe us S g tin ee M T S S 10 0 GP-S MD Well Adapted Pathway Well Adapted Year 1 Well Adapted 69% Average 22% Disruptive Beh 0% Learning Prob 2% Physical Com 3 Psycho Sever 0 Mildly Disrupt 5% Disruptive Pathway Disruptive Beh Year 1 Well Adapted 5% Average 19% Disruptive Beh 41% Learning Prob 12% Physical Com 0 Psycho Sever 3% Mildly Disrupt 19% Behavior and Achievement Relations: Annie Winslet Annie has always had problems with behavior at school. In fact, two of her teachers have rated her as the Disruptive Behavior Problem type over the course of five years of elementary school. In other words, her problems began early and they persisted. How might this pattern of adjustment impact her academic achievement? Dowdy Erin Dowdy is the youngest Erin family member. He has been identified by teachers as pretty well-behaved during the first five years of schooling. He did, however, have a particularly problematic year for unknown reasons. His teacher that year rated him as a Type 3, Disruptive Behavior Problems. Now his parents want to know if his behavior is causing achievement problems. Amanda Kroncke Amanda is a very sweet child who has never had behavior problems at school. She has always gotten along well with others and achieved well in school. In at least two of her first five years of schooling she has been rated by a teacher as a Type 1 (Well Adapted) or 2 (Average). She’s a great kid who is unlikely to have achievement problems. Definitions of Chronicity Group 1 Chronic Disruptive Behavior Group. Children in the Chronic Disruptive Behavior group were rated by two or more teachers as being in the DBP cluster. In other words for at least two of the five years sampled, these children fell in the DBP Cluster. Group 2 Intermittent Disruptive Behavior Group. Children in the Intermittent Disruptive Behavior Group had at least one but not more than one year in which a teacher rated them as being in the Disruptive Behavior Problems Cluster. Cluster membership in other years was not accounted for so that children could have belonged to any other cluster, (Average, Mild Behavior Problems, Learning Problems, etc.) in alternate years. Group 3 Average/Well-Adapted Group. Children in the WellAdapted Group were rated by teachers as being in either the Average or Well-Adapted clusters for at least two of the five years sampled. Chronicity of Behavior Problems and Mathematics Achievement 740 720 700 680 660 640 620 600 1.00 2.00 Behavioral Chronicity Levels 3.00 Chronicity of Behavior Problems and Mathematics Achievement 230 220 210 200 190 180 170 1.00 2.00 Behavioral Chronicity Levels 3.00 Chronicity of Behavior Problems and Reading Achievement 720 700 680 660 640 620 600 1.00 2.00 Behavioral Chronicity Levels 3.00 Chronicity of Behavior Problems and Reading Achievement 220 210 200 190 180 170 1.00 2.00 Behavioral Chronicity Levels 3.00 Risk/Resilience Systems Ann Masten’s review “Ordinary Majic” concluded (2001, American Psychologist) that most children develop behavioral adaptive repertoires, and that three components contribute to child development: Socioeconomic Status Intelligence Relationships with parents and teachers How do ACT Early data fit Masten’s prediction? Robert’s Research Selected a sample of 58 children from the ACT Early pool of approx. 800 children over a one-year period. The children were in 2nd-4th grade in Spring 2000, and 3rd-5th grade in Spring 2001. Children were in one of three patterns: “well-adapted,” “disruptive behavior problems,” and “changers” : Well-adapted and disruptive kids stayed in their respective categories from one year to the next. “Changers” were rated by the first teacher as disruptive but had a better rating by their next teacher the following year. Results: Teacher and Child Relationship Mean Scores 11.5 11 10.5 Mean 10 9.5 9 Well Adapted Changers Disruptive Behavior Seven Types and Two Constructs 4 WA 3 2 1 Adaptive Skills -2 XY (Scatter) 1 0 PCW AV MD 2 -1 0 4 6 -2 -3 LP Externalizing DBP GP-S Levels of need Family School Peers Community Severe Psychopathology Disruptive Behavior Problems Intervention Secondary and Tertiary Prevention Primary Prevention Learning Problems Physical Complaints/Worry Mildly Disruptive Well-Adapted Average The roles of related services based on behavior type ADHD Monitor (Kamphaus & Reynolds, 1998) Ratings by parent, teacher, and classroom observer of: Hyperactivity Internalizing Adaptive Skills Attention Problems Change is plotted in T score units Macintosh version under development References Bergman, L. R., & Magnusson, D. (1997). A person-oriented approach in research on developmental psychopathology. Development & Psychopathology, 9, 291-319. Gottlieb, G. (1991). Experiential canalization of behavioral development: Theory. Developmental Psychology, 27(1), 4-13. Scahill, L., Schwab-Stone, M., Merikangas, K. R., Leckman, J. F., Zhang, H., & Kasl, S. (1999). Psychosocial and clinical correlates of ADHD in a community sample of school-age children. J. Am. Acad. Child Adolesc. Psychiatry, 38, 976984. Hudziak, J. J., Wadsworth, B. A., Heath, A. C., & Achenbach, T. M. (1999). Latent class analysis of child behavior checklist attention problems. J. Am. Acad. Child Adolesc. Psychiatry, 38, 985-991. Kamphaus, R. W., Petoskey, M. D., Cody, A. H., Rowe, E. W., Huberty, C. J., & Reynolds, C. R. (1999). A Typology of Parent Rated Child Behavior for a National U. S. Sample. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 40, 1-10. Kamphaus, R. W., Huberty, C. J., Distefano, C., & Petoskey, M. D. (1997). A typology of teacher rated child behavior for a national U. S. sample. Journal of Abnormal Child Psychology, 25, 253-263. References Challinor, J. M. (1998). Behavioral performance of children with cancer: Assessment using the Behavioral Assessment System for Children. Dissertation Abstracts International Section B: The Sciences and Engineering, 58(12-B), 6484. Faubel, G. (1998). An efficacy assessment of a school-based intervention program for emotionally handicapped students. Dissertation Abstracts International Section A: Humanities and Social Sciences, 58(11-A), 4183. Shelby, M. D. (1999). Risk and resistance factors affecting the psychosocial adjustment of child survivors of cancer. Dissertation Abstracts International Section B: The Sciences and Engineering, 59(7-B), 3740. Wutzke, T. M. (1999). An examination of factors associated with resiliency in siblings of children with juvenile rheumatoid arthritis: A family systems perspective. Dissertation Abstracts International Section B: The Sciences and Engineering, 60(1-B), 0380. Youssef, S. (1999). Students with juvenile rheumatoid arthritis: Psychosocial and health perceptions in relation to the implementation of school interventions. Dissertation Abstracts International Section B: The Sciences and Engineering, 59(10-B), 5591. References Pearson, D. A., & Aman, M. G. (1994). Ratings of Hyperactivity and Developmental Indices: Should Clinicians Correct for Developmental Level?1 Journal of Autism and Developmental Disorders, 24(4), 395-411. Speece, D. L., & Cooper, D. H. (1990). Ontogeny of school failure: Classification of first grade children. American Educational Research Journal, 27, 119-140. Kamphaus, R. W., & Frick, P. J. (2002). Clinical Assessment of Child and Adolescent Personality and Behavior. Needham Heights, MA: Allyn & Bacon. Cantwell, D. P. (1996). Classification of child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 37, 3-12. Richters, J. E. (1997). The Hubble hypothesis and the developmentalists= dilemma. Development & Psychopathology, 9(2), 193-229. Verhulst, F. C., Koot, H. M., & Van der Ende, J. (1994). Differential predictive value of parents’ and teachers’ reports of children’s problem behaviors: a longitudinal study. Journal of Abnormal Child Psychology, 22, 531-546. References Kamphaus, R. W., Jiménez, M. E., Pineda, D. A., Rowe, E. W., Fleckenstein, L., Restrepo, M. A., Mora, O., Puerta, I. C., Jiménez, I., Sanchez, J. L., García, M., & Palacio, L. G. (2000). Análisis transcultural de un instrumento de dimensiones múltiples en el diagnóstico del déficit de atención. Revista de Neuropsicología, Neuropsyqiatría y Neurociencias, 2, 51-63. Pineda, D. A., Kamphaus, R. W., Mora, O., Restrepo, M. A., Puerta, I. C., Palacio, L. G., Jiménez, I., Mejía, S., García, M., Arango, J. C., Jiménez, M. E., Lopera, F., Adams, M., Arcos, M., Velásquez, J. F., López, L. M., Bartolino, N. E., Giraldo, M., García, A., Valencia, C., Vallejo, L. E., & Holguín, J. A. (1999). Sistema de evaluación multidimensional de la conducta. Escala para padres de niños de 6 a 11 años, versión colombiana. Revista de Neurología, 28, 1-10. Petoskey, M.D., Kamphaus, R. W., A. Michele Lease, & Huberty, C. J. (Revision submitted for second review). Stability and change in a dimensional typology of child behavior. Kamphaus, R. W., & DiStefano, C. A. (in press). Evaluación Multidimensional de la Psicopatología Infantíl. Revista de Neuropsicología, Neuropsyqiatría y Neurociencias. Crijnen, A. A. M., Achenbach, T. M., & Verhulst, F. C. (1997). Comparisons of problems reported by parents of children in 12 cultures: Total problems, externalizing, and internalizing. Journal of the American Academy of Child and Adolescent Psychiatry, 36(9), 1269-1277. BASC Contacts/Information www.bascforum.com includes sample cases, research bibliography, and discussion centers for BASC users Project ACT Early, Anne Pierce Winsor, annewinsor@prodigy.net, Randy Kamphaus, Principal Investigator, rkamp@arches.uga.edu American Guidance Service, 4201 Woodland Road, P.O. Box 99, Circle Pines, MN 55014-1796 1 800 328 2560 www.agsnet.com Department of Educational Psychology at The University of Georgia, www.coe.uga.edu/edpsych/ PSYCAN Corporation,12-120 West Beaver Creek Road, Richmond Hill, Ontario, L4B 1L2, 1 800 263 3558 A clinician’s guide to the BASC. Guilford Publications www.guilford.com