The following is a sample report for the Computer Administered Symptom Inventories (CASI) completed by the parent of an 8 year old boy. The report is the same for the Scoring Program for the Symptom Inventories (SPSI).

1. Summary of Scores provides a list of all of the symptom categories contained in the CASI and the following scores:

“Symptom Severity Score” is the total of item scores within each category. Items are scored 0=never,
1=sometimes, 2=often, and 3=very often. Symptom Severity scores are used for comparisons with
normative data.

“Symptom Count Score” is the number of clinically significant symptoms endorsed, where items are scored
0=never, 0=sometimes, 1=often, and 1=very often.

“Screening Cutoff Score” indicates whether the child exhibits the prerequisite number of symptoms
according to the diagnostic criteria (1=yes, 0=no).

3. Symptom Count Scoring Template describes the scoring procedure for the child’s Symptom Count Scores and Screening Cutoff Scores. This template includes the following:

“Items” = Items in the category.

“Criterion Score” = number of symptoms needed to meet diagnostic criterion.

“Symptom Count Score” = number of clinically significant symptoms endorsed for the child described in
this sample report.

“Screening Cutoff Score” = whether the child described in this report exhibits the prerequisite number of
symptoms according to diagnostic criterion (1=yes, 0=no).

“Rule Out” = the other categories that need to be considered when conducting a clinical evaluation.

4. Symptom Severity Profile displays in bar graph the child’s Symptom Severity scores expressed as T scores which were derived from the normative sample. Generally, T scores between 60 and 69 indicate symptoms of moderate severity, and T scores 70 and above indicate symptoms of high severity.

This measure is intended for use only by qualified, licensed clinicians in the areas of medicine, psychology, social work, education, or an allied field when used as part of a clinical interview. Users should have a basic understanding of the principles and limitations of psychological/psychiatric assessment and be familiar with the ethical and professional standards of psychological testing and test interpretation. Users must also have a basic understanding of, and specific postgraduate training in child and adolescent psychiatric disorders and diagnostic procedures. Because the determination of an accurate diagnosis requires not only information about current status, but also developmental history, environmental stressors, medical history, physical health, family history of psychopathology, cognitive functioning, and reports from parents and teacher(s), the results of this measure must be interpreted in the context of these additional sources of information.

Users should refer to the Child Symptom Inventory Screening Manual and Norms Manual for the clinical interpretation of the scores contained in this report.

Users of the Computer Administered Symptom Inventories should be aware that to date, the psychometric properties of the Child and Adolescent Symptom Inventories, including the normative data, are based on the paper-and-pencil administered versions of the Symptom Inventories; therefore, Symptom Count, Symptom Severity, and Screening Cutoff scores should be interpreted cautiously.

Child Symptom Inventory-4: Parent Checklist

Sample Report

WARNING: Symptom Category labels (e.g., Autistic Disorder) appear on this Score Sheet simply to identify symptom clusters. Scores in this report do not imply a diagnosis (see Manual).

Diagnosis	Symptom Severity Score	Symptom Count Score	Screening Cutoff Score 1=yes 0=no
ADHD, Inattentive Type	22.0	8	1
Oppositional Defiant Disorder	16.0	6	1
Major Depressive Disorder	15.0	6	1
Dysthymic Disorder	14.5	6	1
ADHD, Combined Type	27.0	8	0
Generalized Anxiety Disorder	12.0	3	0
ADHD, Hyperactive-Impulsive Type	5.0	0	0
Social Phobia	4.0	1	0
Autistic Disorder	3.0	0	0
Separation Anxiety Disorder	3.0	1	0
Conduct Disorder	2.0	1	0
Aspergers Disorder	2.0	0	0
Specific Phobia	0.0	0	0
Obsessions	0.0	0	0
Compulsions	0.0	0	0
Disturbing Events	0.0	0	0
Motor Tics	0.0	0	0
Vocal Tics	0.0	0	0
Schizophrenia	0.0	0	0
Enuresis	0.0	0	0

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Symptom Severity Score for Each Item

The CASI/SPSI Long Report includes a complete listing of all 97 items. Listed below are a few items from this part of the report.

Raw scores are coded : 0=never 1=sometimes 2=often 3=very often

Item		Raw Score
1	Fails to give close attention to details or makes careless mistakes	2
5	Has difficulty organizing tasks and activities	3
9	Is forgetful in daily activities	2
19	Loses temper	2
21	Defies or refuses what you tell him/her to do	2
27	Has played hooky from school	0
30	Bullies, threatens, or intimidates others	0
42	Is overconcerned about abilities in academic, athletic, or social activities	1
45	Is irritable for most of the day	2
50	Cannot get distressing thoughts out of his/her mind (worries about germs or doing things perfectly, etc.)	0
55	Has strange ideas or beliefs that are not real (child's food is poisoned, people are trying to get him/her, etc.)	0
60	Is depressed for most of the day	2
63	Feels worthless or guilty	2
72	Has a peculiar way of relating to others (avoids eye contact, odd facial expressions or gestures, etc)	0
75	Is unaware or takes no interest in other people's feelings	1
84	Tries to avoid contact with strangers; abnormally shy	0
90	Worries that some disaster (getting lost, kidnapped, etc.) will separate child from parents	0
96	Wets bed at night	0

Symptom Count Scoring Template

Category	Category Label	Items	Criterion Score	Symptom Count Score	Screening Cutoff	Rule Outs
A	ADHD, Inattentive Type	1-9	>=6	8	1	D THRU J
A	ADHD, Hyperactive-Impulsive Type	10-18	>=6	0	0	D THRU J
A	ADHD, Combined Type	1-9;10-18	>=6;>=6	8	0	D THRU J
B	Oppositional Defiant Disorder	19-26	>=4	6	1	C,F,G
C	Conduct Disorder	27-41	>=3	1	0
D	Generalized Anxiety Disorder	42-43; 42-47,A-8;G64	>=1;>=3	0	0	D,E50,E51,E52,F,G,I,J
E-49	Specific Phobia	49	=1	0	0	E50,E51,E52,F,G,I,J
E-50	Obsessions	50	=1	0	0	D,E49,E53,E54,F,I,G
E-51	Compulsions	51	=1	0	0	D,E49,E53,E54,F,I,G
E-52	Disturbing Events	52	=1	0	0	E50,E51,F
E-53	Motor Tics	53	=1	0	0
E-54	Vocal Tics	54	=1	0	0
F	Schizophrenia	56;55,57-59	=1;>=1	0	0	A,G,H
G	Major Depressive Disorder	60-61,D45;(60orD45),61-64,67-70	>=1;>=5	6	1	A,F, Dysthymia
G	Dysthymic Disorder	60 or D45;64-68,70	>=1,>=2	6	1	F,MDD
H	Autistic Disorder	72-75;76-79;80- 83;Total	>=2;>=1; >=1;>=6	0	0	F
H	Aspergers Disorder	72-75;80-83	>=2;>=1	0	0	E50,E51,F,AUTISM
I	Social Phobia	84-87	>=3	1	0	D,E49,F,G,H,J
ITEM 96	Enuresis	96	=1	0	0
ITEM 97	Encopresis	97	=1	0	0
J	Separation Anxiety Disorder	88-95	>=3	1	0	D,F,H

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Date of Printing	8/9/01
Gender	Male
Patient Name	Sample Child
Age	8
Completed by	Mother

A: ADHD, Inattentive Type	T-Score	Greater than 78
A: ADHD, Hyperactive-Impulsive Type	T-Score	52.00
A: ADHD, Combined Type	T-Score	74.00
B: Oppositional Defiant Disorder	T-Score	78.00
C: Conduct Disorder	T-Score	56.00
D: Generalized Anxiety Disorder	T-Score	Greater than 78
G: Major Depressive Disorder	T-Score	Greater than 78
G: Dysthymic Disorder	T-Score	Greater than 78
H: Autistic Disorder	T-Score	58.00
H: Aspergers Disorder	T-Score	56.00
I: Social Phobia	T-Score	76.00
J: Separation Anxiety Disorder	T-Score	56.00