Screener ltems Severe Conduct Critical ltems

nstruct¡ons:
I
lnstructions:
1. For each tem number listed below, transferthe circled score from the Scoring 1 - For each item number listed below, transfer the c¡rcled score from the Scoring Grid
Grid into the ltem Score column. into the ltem Score column.
2. lnseri a checkmark (,/) in the Furlher lnvestigation may be Necessary 2. lnsert a checkmark (r') in the lmmediate Attention Recommended
t) column if the ltem Score for any of the Anxiety items is 1, 2. or 3. column if the item score ¡s 1, 2, or 3. -
3. Repeat step 2 for the Depression items.
-
()
? Screener ltems Severe Conduct Critical ltems
cü urther lmmed¡ate

3
F
Item Item I lnvest¡gation Item Attent¡on
R-r Number
Item Content
may be Necessary Number
Item Content Item Score
Recommended

,l (r'\ ()
Anxiety
CE 11 Forced sex

a 4

20
Worries

Trouble controf ling worries 27 Uses a weapon

ú 70 Nervous or jumpy

r! 100 rrita ble

41 Cruel to animals

zZ
I

Depression
78 Fire setting
17 Worthlessness

66 Tired: low energy B9 Breaking and entering

82 Loss of interest or p easure

U 103 Sad, gloomy, or irritable 96 Confrontational stealifi g

Conners 3-Parent Results and IDEA

lnstructions:
lnsert a checkmark (/) in the Follow-up Recomnrended colurnn if any of the following requirements have been met
a) Conners 3-P Scales: f-score ) 60 (refer to the appropriate Profile to obtain I-scores):
b) DSM-IV'TR Symptom Scales: Total Symptom Count has probably been met (refer to the DSIV-IV-TR S\irnptom Count tables) and/or the l-score > 60
(refer to the appropriate Profile to obtain l-scores);
c) Screener ltems: lf Anxiety or Depression has been flagged for further investigatíon (refer to the Screenei. liems table. above)l
d) Critical ltems: lf any critrca item has been flagged for immediate attention (referto the Severe Condlrct Cr¡tícal ltems table, above).

Conners 3-P Content Areas Follow-up Possible IDEA Eligibility Category

Recommended
Conners 3-P Scales
lnattention ED, LD, OHI
Hyperactivltyllmpulsivity DD-Emotional. ED. Ol-11

I-,i Learnrng Problems

; Executive Functioning
LD

F< LD, OHI

Ch Aggression DD-Emotional. ED
Lr
o Peer Relations Autism, DD-Communicat¡on, DD-Emotional, DD-Social, ED
o DSM-IV-TR Symptom Scales
(-)
ADHD Inattentive ED, LD. OHI

() ADHD Hyperactive-lmpulsive ED, OHI

M ADHD Combined ED, LD, OHl
Conduct Disorder ED
Opposrtiona DefiantDisorder ED
Screener ltems
Anxiety ED
Depression ED
Critical ltems
Severe Conduct ED
DD = Developrnental Delay ED = Ernotional Disturbance LD = Specific Learning Dlsability OHI = Other Health lmpairment

U.S. federal law. Speclfic state and local education agencies may have requirements that supersede these recommencJations.