Child and Adult Screening Tools: ASQ, HEADSS, M-CHAT, GAD-7, CAGE, PHQ-9, STOP-BANG

ASQ

Ages & Stages Questionnaire

Use of ASQ

Developmental screening for children under 5 years across domains like communication, motor, and problem-solving.

Scoring of ASQ

Scores below cutoff in any domain suggest need for further evaluation. Age-specific forms used.

HEADSS

Home, Education, Activities, Drugs, Sexuality, Safety

Use of HEADSS

Psychosocial assessment for adolescents to identify risk behaviors and support systems.

Scoring of HEADSS

Interview-based; no numeric score but guides clinical judgment.

M-CHAT

Modified Checklist for Autism in Toddlers

Use of M-CHAT

Screens for autism spectrum disorder in children aged 16-30 months.

Scoring of M-CHAT

Positive screen if score exceeds threshold; follow-up interview may be needed.

GAD-7

Generalized Anxiety Disorder 7-item Scale

Use of GAD-7

Screens for and assesses severity of generalized anxiety disorder in adults.

Scoring of GAD-7

0-4: minimal, 5-9: mild, 10-14: moderate, 15-21: severe anxiety.

CAGE

CAGE Questionnaire

Use of CAGE

Screens for alcohol use disorder.

Scoring of CAGE

2 or more 'Yes' answers suggest clinically significant alcohol use.

PHQ-9

Patient Health Questionnaire-9

Use of PHQ-9

Screens for depression and monitors severity over time.

Scoring of PHQ-9

0-4: minimal, 5-9: mild, 10-14: moderate, 15-19: moderately severe, 20-27: severe depression.

STOP-BANG

Snoring, Tiredness, Observed apnea, Pressure (BP), BMI, Age, Neck circumference, Gender

Use of STOP-BANG

Screens for obstructive sleep apnea.

Scoring of STOP-BANG

Score ≥5 indicates high risk for OSA; refer for sleep study.