Choose as your client either Rosa (minor) or Maggie (minor) In narrative form, discuss the Content Scales, Symptom Scales, and Symptom Counts for your chosen client (either Rosa or Maggie

Conners 3–Self-Report

By C. Keith Conners, Ph.D.

Copyright © 2008 Multi-Health Systems Inc. All rights reserved. P.O. Box 950, North Tonawanda, NY 14120-0950 3770 Victoria Park Ave., Toronto, ON M2H 3M6

This Assessment report is intended for use by qualified assessors only, and is not to be shown or presented to the respondent or any other unqualified individuals.

Assessment Report

SAMPLE

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

Introduction

The following section provides Maggie R’s scores for the Positive and Negative Impression scales and the Inconsistency Index.

Assessment of Validity

Raw score = 0 (Probably valid) The Positive Impression score does not suggest an overly positive response style.

Positive Impression

Raw score = 4 (Probably invalid) The Negative Impression score indicates a response style which can affect validity of the results. Often, a high Negative Impression score indicates an overly negative description of the youth’s behavior, but there are other reasons why the Negative Impression score may be elevated. You may wish to review individual items used in calculating the Negative Impression score to consider possible reasons why this score is elevated. In the context of an elevated Negative Impression score, results from the Conners 3–SR may be an overestimation of Maggie R’s difficulties.

Negative Impression

Raw score = 7, Number of absolute differences ≥ 2 = 2 (Probably valid) The responses to similar items are consistent with one another.

Inconsistency Index

The Conners 3rd Edition–Self-Report (Conners 3–SR) is an assessment tool that prompts the youth to provide valuable information about herself. This instrument is designed to assess Attention Deficit/Hyperactivity Disorder (ADHD) and its most common co-morbid problems in children and adolescents aged 8 to 18 years old. When used in combination with other information, results from the Conners 3–SR can provide valuable information to guide assessment decisions. This report provides information about the youth’s score, how she compares to other youth, and which scales are elevated. See the Conners 3 Manual (published by MHS) for more information.

This computerized report is an interpretive aid and should not be given to clients or used as the sole criterion for clinical diagnosis or intervention. Administrators are cautioned against drawing unsupported interpretations. Combining information from this report with information gathered from other psychometric measures, interviews, observations, and review of available records will give the assessor or service provider a more comprehensive view of the youth than might be obtained from any one source. This report is based on an algorithm that produces the most common interpretations for the scores that have been obtained. Administrators should review the client’s responses to specific items to ensure that these typical interpretations apply to the youth being described.

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

The following graph provides T-scores for each of the Conners 3–SR Content scales. The error bars on each bar represent Standard Error of Measurement (SEM). For information on SEM, see the Conners 3 Manual.

Conners 3–SR Content Scales: T-scores

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

Conners 3–SR Content Scales: Detailed Scores The following table summarizes the results of Maggie R’s self-assessment and provides general information about how she compares to the normative group. Please refer to the Conners 3 Manual for more information on the interpretation of these results. Caution: please note that T-score cutoffs are guidelines only and may vary depending on the context of assessment. T-scores from 57–63 should be considered borderline and of special note since the assessor must decide (based on other information and knowledge of the youth) whether or not the concerns in the associated area warrant clinical intervention.

Common Characteristics of High Scorers

GuidelineRaw Score

Scale T-score ± SEM (Percentile)

Elevated Score (More concerns than are typically reported)

66 ± 3.0 (93)18Inattention May have poor concentration/attention or difficulty keeping his/her mind on work. May make careless mistakes. May be easily distracted. May give up easily. May have difficulty starting and/or finishing tasks.

Low Score (Fewer concerns than are typically reported)

37 ± 3.4 (3)0Hyperactivity/ Impulsivity

High activity levels, may be restless and/or impulsive. May have difficulty being quiet. May interrupt others or talk too much. May be easily excited.

Average Score (Typical levels of concern)

49 ± 4.1 (54)5Learning Problems

Academic struggles (reading, spelling, and/or math). May have difficulty learning and/or remembering concepts. May need extra help.

Average Score (Typical levels of concern)

40 ± 3.9 (8)0Aggression Physically and/or verbally aggressive. May show violent or destructive tendencies. May bully others. May have poor control of anger and/or aggression. May be manipulative or cruel. May break rules and/or have legal issues.

Average Score (Typical levels of concern)

45 ± 3.1 (42)2Family Relations May feel that parents do not love or notice him/her. May feel unjustly criticized and/or punished at home.

Note: SEM = Standard Error of Measurement

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

DSM-IV-TR Overview This section of the report provides the following information for each DSM-IV-TR diagnosis on the Conners 3–SR:

1. DSM-IV-TR Symptom scales: T-scores 2. DSM-IV-TR Symptom scales: Detailed Scores 3. DSM-IV-TR Total Symptom Counts 4. DSM-IV-TR Symptom Tables

· Listing of Conners 3–SR item(s) that correspond to each DSM-IV-TR Symptom · Criterion status of each DSM-IV-TR Symptom (i.e, whether or not the symptom is

"indicated," "may be indicated," or "not indicated"). Symptoms marked indicated or may be indicated are summed to get the Total Symptom Count for that diagnosis. Please refer to specific DSM-IV-TR Symptom tables for each criterion status and for any exception that may alter the Total Symptom Count. See the Conners 3 Manual for details on how each criterion status is determined.

Interpretive Considerations Results from the Conners 3–SR are a useful component of DSM-IV-TR based diagnosis, but cannot be relied upon in isolation. When interpreting the Conners 3–SR DSM-IV-TR Symptom scales, the assessor should take the following important considerations into account. Please refer to the Conners 3 Manual for further interpretative guidelines. · The Conners 3–SR contains symptom-level criteria, not full diagnostic criteria for DSM-IV-TR

diagnoses. Additional criteria (e.g., course, age of onset, differential diagnosis, level of impairment, pervasiveness) must be met before a DSM-IV-TR diagnosis can be assigned.

· The Conners 3–SR items are approximations of the DSM-IV-TR Symptoms that are intended to represent the main clinical construct in a format that most youth can understand. As a result, some aspects of the DSM-IV-TR criteria may not be fully represented. Before using any diagnostic labels, the assessor must consider all criteria that are required for a DSM-IV-TR diagnosis, including the symptoms from the Conners 3–SR.

· The Conners 3–SR provides information relevant to the DSM-IV-TR diagnoses from two different perspectives: absolute (Symptom Count) and relative (T-score). Results of the DSM-IV-TR Symptom Counts can contribute to consideration of whether a particular DSM-IV-TR diagnosis might be appropriate. A T-score for each DSM-IV-TR diagnosis facilitates comparison of this individual’s symptoms with his or her peers. At times there may be discrepancies between the Symptom Count and T-score for a given diagnosis. This is to be expected, given that they are based on different metrics (i.e., absolute versus relative). The following points provide some concrete guidelines for interpretation of this pair of scores (DSM-IV-TR Symptom Count and T-score).

· Both scores are elevated (i.e., DSM-IV-TR Symptom Count probably met, DSM-IV-TR T- score ³ 60): This diagnosis should be given strong consideration.

· Both scores are average or below (i.e., DSM-IV-TR Symptom Count probably not met, DSM-IV-TR T-score < 60): It is unlikely that the diagnosis is currently present (although criteria may have been met in the past).

· Only Symptom Count is elevated (i.e., DSM-IV-TR Symptom Count probably met, DSM- IV-TR T-score < 60): Although the absolute DSM-IV-TR symptomatic criteria may have been met, the current presentation is not atypical for this age and gender. Consider whether the symptoms are present in excess of developmental expectations (an important requirement of DSM-IV-TR diagnosis).

· Only T-score is elevated (i.e., DSM-IV-TR Symptom Count probably not met, DSM-IV-TR T-score ³ 60): Although the current presentation is atypical for the youth's age and gender, there are not sufficient symptoms reported to meet DSM-IV-TR symptomatic criteria for this disorder. Consider alternative explanations for why the T-scores could be elevated in the absence of this diagnosis (e.g., another diagnosis may be producing these types of concerns in that particular setting).

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

DSM-IV-TR Symptom Scales: T-scores The following graph provides T-scores for each of the DSM-IV-TR Symptom scales. The error bars on each bar represent Standard Error of Measurement for each DSM-IV-TR Symptom scale score.

DSM-IV-TR Symptom Scales: Detailed Scores The following table summarizes the results of Maggie R's self-assessment with respect to the DSM-IV-TR Symptom scales, and provides general information about how she compares to the normative group. Please refer to the Conners 3 Manual for more information on the interpretation of these results. Caution: please note that T-score cutoffs are guidelines only and may vary depending on the context of assessment. T-scores from 57–63 should be considered borderline and of special note since the assessor must decide (based on other information and knowledge of the youth) whether or not the concerns in the associated area warrant clinical intervention.

GuidelineRaw Score

Scale T-score ± SEM (Percentile)

Elevated Score (More concerns than are typically reported)

66 ± 3.6 (86)20ADHD Predominantly Inattentive Type

Low Score (Fewer concerns than are typically reported)

34 ± 4.1 (2)0ADHD Predominantly Hyperactive-Impulsive Type

Average Score (Typical levels of concern)41 ± 4.6 (13)0Conduct Disorder

Average Score (Typical levels of concern)45 ± 4.1 (32)4Oppositional Defiant Disorder

Note: SEM = Standard Error of Measurement

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

The following tables summarize the results of the DSM-IV-TR Symptom scale Total Symptom Counts as indicated by the Conners 3–SR.

DSM-IV-TR Total Symptom Counts

Results from the Conners 3–SR suggest that the Symptom Count requirements are probably met for the following DSM-IV-TR diagnoses:

Symptom Count as indicated by Conners 3–SR

Scale DSM-IV-TR Symptom Count Requirements

7At least 6 out of 9 symptomsADHD Predominantly Inattentive Type (ADHD In)

Results from the Conners 3–SR suggest that the Symptom Count requirements are probably not met for the following DSM-IV-TR diagnoses:

Symptom Count as indicated by Conners 3–SR

Scale DSM-IV-TR Symptom Count Requirements

0At least 6 out of 9 symptomsADHD Predominantly Hyperactive-Impulsive Type (ADHD Hyp-Imp)

ADHD In: 7 ADHD Hyp-Imp: 0

Criteria must be met for both ADHD In and ADHD Hyp-Imp

ADHD Combined Type

0At least 3 out of 15 symptomsConduct Disorder‡

1At least 4 out of 8 symptomsOppositional Defiant Disorder ‡Note: The Conners 3–SR does not assess Criterion A7 (i.e., forced sexual activity) due to the sensitive nature of this criterion.

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

DSM-IV-TR Symptom Tables

DSM-IV-TR ADHD Predominantly Inattentive Type

This section of the report provides information about how Maggie R rated items that correspond to the DSM- IV-TR. Please see the DSM-IV-TR Overview section for important information regarding appropriate use of DSM-IV-TR Symptom Counts. The following response key applies to all of the tables in this section. Rating: 0 = Not true at all (Never, Seldom); 1 = Just a little true (Occasionally); 2 = Pretty much true (Often, Quite a bit); 3 = Very much true (Very often, Very frequently); ? = Omitted item.

Criterion StatusItemDSM-IV-TR Symptoms: Criterion A Rating

0 1 2 3 ?Number

Indicated 31 -or- 39

A1a.

ü ü

Indicated63A1b. ü

Indicated42A1c. ü

Not Indicated 61 -and- 17

A1d. ü

ü

May be Indicated21A1e. ü

May be Indicated51A1f. ü

Indicated5A1g. ü

Not Indicated77A1h. ü

May be Indicated32A1i. ü

DSM-IV-TR ADHD Predominantly Hyperactive-Impulsive Type

DSM-IV-TR ADHD Combined Type

An ADHD Combined Type diagnosis requires the examination of symptoms for ADHD Predominantly Inattentive Type and for ADHD Predominantly Hyperactive-Impulsive Type. See the ADHD Predominantly Inattentive Type and ADHD Predominantly Hyperactive-Impulsive Type symptom tables above. Please also see the DSM-IV-TR or the Conners 3 Manual for additional guidance.

Criterion StatusItemDSM-IV-TR Symptoms: Criterion A Rating

0 1 2 3 ?Number

Hyperactivity

Not Indicated60A2a. ü

Not Indicated64A2b. ü

Not Indicated 20 -or- 7

A2c. ü ü

Not Indicated84A2d. ü

Not Indicated 66 -or- 55

A2e. ü ü

Not Indicated34A2f. ü

Impulsivity

Not Indicated9A2g. ü

Not Indicated27A2h. ü

Not Indicated6A2i. ü

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

DSM-IV-TR Conduct Disorder

Note: The Conners 3–SR does not assess Criterion A7 (i.e., forced sexual activity) due to the sensitive nature of this criterion.

Criterion StatusItemDSM-IV-TR Symptoms: Criterion A Rating

0 1 2 3 ?Number

Not Indicated25A1. ü

Not Indicated38A2. ü

Not Indicated59A3. ü

Not Indicated86A4. ü

Not Indicated47A5. ü

Not Indicated13A6. ü

Not Indicated72A8. ü

Not Indicated82A9. ü

Not Indicated78A10. ü

Not Indicated16A11. ü

Not Indicated52A12. ü

Not Indicated91A13. ü

Not Indicated8A14 ü

Not Indicated33A15. ü

DSM-IV-TR Oppositional Defiant Disorder Criterion StatusItemDSM-IV-TR Symptoms: Criterion A Rating

0 1 2 3 ?Number

Not Indicated67A1. ü

Not Indicated24A2. ü

Not Indicated1RA3. ü

Not Indicated3A4. ü

Not Indicated62A5. ü

Indicated74A6. ü

Not Indicated87A7. ü

Not Indicated94A8. ü

R = This item is reverse scored for score calculations.

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Impairment Maggie R’s report of her level of impairment in academic, social, and home settings is presented below.

Not true at all/never

Just a little true/occasionally

Pretty much true/often

Very much true/very often

Academic

Maggie R indicated that her problems seriously affect her schoolwork or grades often (score of 2).

Social

Maggie R indicated that her problems seriously affect her friendships and relationships often (score of 2).

Home

Maggie R indicated that her problems seriously affect her home life often (score of 2).

Conners 3 ADHD Index

The following graph summarizes Maggie R’s ratings with respect to the Conners 3 ADHD Index.

Among ADHD and general population cases, individuals with ADHD obtained this score 66% of the time. Based on this metric, a classification of ADHD is indicated, but other clinically relevant information should also be carefully considered in the assessment process. Please see the Conners 3 Manual for further information about interpretation.

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Anxiety Screener Items The following table displays the results of Maggie R’s behavior with regard to specific items that are related to generalized anxiety.

Guideline based on Maggie R’s ratings to these items: Further investigation may be necessary

Item ContentItem Rating

Number 0 1 2 3 ?

Nervous or jumpy2 ü

Irritable when anxious29 ü

Trouble controlling worries46 ü

Worries90 ü

Rating: 0 = Not true at all (Never, Seldom); 1 = Just a little true (Occasionally); 2 = Pretty much true (Often, Quite a bit); 3 = Very much true (Very often, Very frequently); ? = Omitted item.

Depression Screener Items The following table displays the results of Maggie R’s behavior with regard to specific items that are related to depression. Endorsement of these items may indicate the need for further investigation.

Guideline based on Maggie R’s ratings to these items: Further investigation is recommended

Item ContentItem Rating

Number 0 1 2 3 ?

Worthlessness36 ü

Loss of interest44 ü

Sad, gloomy, or irritable68 ü

Low energy80 ü

Rating: 0 = Not true at all (Never, Seldom); 1 = Just a little true (Occasionally); 2 = Pretty much true (Often, Quite a bit); 3 = Very much true (Very often, Very frequently); ? = Omitted item.

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Severe Conduct Critical Items The following table displays Maggie R’s ratings of her behavior with regard to several Severe Conduct Critical items. Endorsement of any Critical item indicates the need for immediate follow-up.

RecommendationItem ContentItem Rating

0 1 2 3 ?Number

Confrontational stealing13 ü No need for further

investigation is indicated

Trouble with police22 ü No need for further

investigation is indicated

Mean to animals47 ü No need for further

investigation is indicated

Uses a weapon59 ü No need for further

investigation is indicated

Fire setting72 ü No need for further

investigation is indicated

Breaking and entering78 ü No need for further

investigation is indicated

Rating: 0 = Not true at all (Never, Seldom); 1 = Just a little true (Occasionally); 2 = Pretty much true (Often, Quite a bit); 3 = Very much true (Very often, Very frequently); ? = Omitted item.

Additional Questions The following section displays additional comments that Maggie R has about herself.

Item

Number

Item Content Rating

This item was omitted.98 Additional problems

This item was omitted.99 Strengths or skills

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

Conners 3–SR Results and IDEA The Conners 3–SR provides information that may be useful to consider when determining whether a student is eligible for special education and related services under current U.S. federal statutes, such as the Individuals with Disabilities Education Improvement Act of 2004 (IDEA 2004).

Elevated scores on the Conners 3–SR may indicate the need for special education and related services. The following table summarizes areas of IDEA 2004 eligibility that are typically listed for children and adolescents who have elevated scores on various portions of the Conners 3–SR. Checkmarks indicate which areas of the Conners 3–SR were indicated or endorsed, suggesting possible consideration of IDEA 2004 eligibility in related areas. The information in this table is based on the IDEA 2004 and general interpretation/application of this federal law. Specific state and local education agencies may have specific requirements that supersede these recommendations. The assessor is encouraged to consult local policies that may impact decision making. Remember that elevated scores or even a diagnosis is not sufficient justification for IDEA 2004 eligibility. Finally, keep in mind that the IDEA 2004 clearly indicates that categorization is not required for provision of services. Please see the Conners 3 Manual for further discussion of the IDEA 2004 and its relation to the Conners 3–SR content.

Possible IDEA Eligibility CategoryContent Areas Follow-up Recommended

Conners 3–SR Content Scales

ED, LD, OHIInattention ü

DD- Emotional , ED, OHIHyperactivity/Impulsivity LDLearning Problems DD-Emotional, EDAggression DD-Emotional, EDFamily Relations

DSM-IV-TR Symptom Scales

ED, LD, OHIADHD Predominantly Inattentive Type ü

ED, OHIADHD Predominantly Hyperactive-Impulsive Type ED, LD, OHIADHD Combined Type EDConduct Disorder EDOppositional Defiant Disorder

Screener Items

EDAnxiety ü

EDDepression ü

Critical Items

EDSevere Conduct DD=Developmental Delay, ED=Emotional Disturbance, LD=Specific Learning Disability; OHI=Other Health Impairment. Note: The category of Developmental Delay only applies to children through age 9 years.

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

Item Responses Maggie R entered the following response values for the items on the Conners 3–SR.

Response Key: 0 = In the past month, this was not true at all. It never (or seldom) happened. 1 = In the past month, this was just a little true. It happened occasionally. 2 = In the past month, this was pretty much true. It happened often (or quite a bit). 3 = In the past month, this was very much true. It happened very often (very frequently). ? = Omitted Item

Date printed: March 20, 2008 End of Report

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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.

SAMPLE

Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007

Conners 3rd Edition Feedback Handout for Self-Report Ratings

Child's Name:

Child's Age:

Date of Assessment:

Assessor's Name:

Maggie R

16

January 15, 2007

This feedback handout explains scores from ratings of this youth’s behaviors and feelings as assessed by the Conners 3–Self-Report Form (Conners 3–SR). This section of the report may be given to parents (caregivers) or to a third party upon parental consent.

What is the Conners 3? The Conners 3 is a set of rating scales that are used to gather information about the behaviors and feelings of children and adolescents. These rating scales can be completed by parents, teachers, and youth. The Conners forms were developed by Dr. Conners, an expert in child and adolescent behavior, and are used all over the world to assess youth from many cultures. Research has shown that the Conners scal

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