> ## Documentation Index
> Fetch the complete documentation index at: https://docs.getrivet.ca/llms.txt
> Use this file to discover all available pages before exploring further.

# Child and adolescent measures — which one, and who fills it in

> Five measures for clients under 18 — PHQ-A, SDQ, RCADS, SNAP-IV and the ASRS. Who completes each one, the age range it was validated in, and how to choose between them.

Measures for younger clients differ from adult ones in a way that matters more
than the item wording: **someone other than the client often fills them in.** A
parent-report and a self-report of the same child rarely agree, and neither is
the wrong answer — they are two vantage points on the same presentation.

## Who completes which

| Measure                                                | Completed by          | Ages  | What it covers                             |
| ------------------------------------------------------ | --------------------- | ----- | ------------------------------------------ |
| [PHQ-A](/clinical-templates/child/phq-a)               | The young person      | 11–17 | Depression, with a self-harm item          |
| [SDQ](/clinical-templates/child/sdq-self)              | The young person      | 11–17 | Broad mental-health screen, five subscales |
| [RCADS parent](/clinical-templates/child/rcads-parent) | A parent or caregiver | 6–18  | Anxiety and depression, six subscales      |
| [SNAP-IV](/clinical-templates/child/snap-iv)           | A parent or caregiver | 6–18  | ADHD and oppositional behaviour            |
| [ASRS v1.1](/clinical-templates/child/asrs-v1-1)       | The client            | 18+   | Adult ADHD — for clients ageing out        |

## Choosing between them

**Start broad if the presentation is unclear.** The SDQ covers emotional
symptoms, conduct, hyperactivity, peer problems and prosocial behaviour in
twenty-five items. It will tell you which direction to look before you commit to
a narrower instrument.

**Go narrow when you already know the question.** RCADS if the referral is
anxiety or mood and you want subscale detail. SNAP-IV if attention or
oppositionality is the presenting concern.

**Depression in a teenager is the PHQ-A, not the PHQ-9.** The adolescent version
has its own cutoff and its own self-harm item. Using the adult instrument on a
fifteen-year-old is a validation problem, not a convenience.

**The ASRS is here for continuity.** A client who has aged out of the SNAP-IV
still needs a measure; that is the one.

## Getting a parent-report completed

Parent-rated measures are usually sent ahead of the session rather than filled
in the room — the parent may not be in the room, and if they are, the young
person is watching them answer. Sending it in advance gives you both a cleaner
answer and something to open the session with.

## The five measures

<CardGroup cols={2}>
  <Card title="PHQ-A" icon="chart-column" href="/clinical-templates/child/phq-a">
    Depression for 11–17, with an adolescent cutoff and a self-harm flag.
  </Card>

  <Card title="SDQ (self-report)" icon="chart-column" href="/clinical-templates/child/sdq-self">
    Goodman's broad screen — twenty-five items across five subscales.
  </Card>

  <Card title="RCADS (parent 6–18)" icon="chart-column" href="/clinical-templates/child/rcads-parent">
    Parent-rated anxiety and depression, mapped to six disorders, read as T-scores.
  </Card>

  <Card title="SNAP-IV" icon="chart-column" href="/clinical-templates/child/snap-iv">
    Parent-rated ADHD and ODD. Public domain — no licence and no fee.
  </Card>

  <Card title="ASRS v1.1" icon="chart-column" href="/clinical-templates/child/asrs-v1-1">
    Adult ADHD screener, for clients who have aged out of the SNAP-IV.
  </Card>
</CardGroup>

## Related articles

<CardGroup cols={2}>
  <Card title="What's in the library" icon="layer-group" href="/clinical-templates/overview">
    All seventy-one templates, and how they are organised.
  </Card>

  <Card title="Sending one ahead of a session" icon="paper-plane" href="/clinical-templates/finding-a-template">
    Finding a template and getting it to a client before you meet.
  </Card>
</CardGroup>
