[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-psc-17":3,"all-assessments-nav":306,"related-assessments-query":986},{"id":4,"title":5,"body":6,"category":249,"categoryTitle":250,"clinicalCitations":251,"copyright":249,"description":260,"disclaimer":249,"downloadLink":249,"extension":261,"faqs":262,"featured":278,"i18nReady":278,"icon":249,"interpreter":279,"lastReviewed":296,"meta":297,"navigation":298,"path":299,"permissionsNote":249,"published":298,"recommendedFrequency":249,"relatedCodes":249,"relatedConditions":249,"reviewedBy":249,"seo":300,"slug":301,"stem":302,"summary":303,"takeaways":249,"timeline":249,"type":304,"usedToDiagnose":249,"__hash__":305},"assessments\u002Fassessments\u002Fpsc-17.md","PSC-17 Scoring · Pediatric Symptom Checklist-17",{"type":7,"value":8,"toc":234},"minimark",[9,13,18,21,24,28,31,54,57,62,66,77,81,157,160,164,167,171,174,178,198,222,226],[10,11,12],"p",{},"The PSC-17 is a free, 17-item parent-report screener for psychosocial and behavioural problems in children, with three subscales covering internalizing, attention, and externalizing concerns.",[14,15,17],"h3",{"id":16},"about-the-psc-17","About the PSC-17",[10,19,20],{},"The Pediatric Symptom Checklist-17 was derived by William Gardner and colleagues from the original 35-item Pediatric Symptom Checklist developed by Michael Jellinek and Michael Murphy. Working from large primary-care research networks, Gardner's team reduced the checklist to 17 items that load onto three interpretable subscales while preserving the screen's ability to flag children who need a closer look.",[10,22,23],{},"It is completed by a parent or caregiver about a child or adolescent, typically in the roughly 4-to-16 age range, and a youth self-report form (PSC-17-Y) extends it to adolescents who can report on their own behaviour. Because it is brief, free, and in the public domain, the PSC-17 is a common first-line psychosocial screen in paediatrics, primary care, and school-based clinics.",[14,25,27],{"id":26},"what-the-psc-17-measures","What the PSC-17 Measures",[10,29,30],{},"The PSC-17 screens broad psychosocial functioning across three domains:",[32,33,34,42,48],"ul",{},[35,36,37,41],"li",{},[38,39,40],"strong",{},"Internalizing"," (5 items) — depressive and anxious symptoms such as sadness, worry, and low self-worth.",[35,43,44,47],{},[38,45,46],{},"Attention"," (5 items) — distractibility, restlessness, and difficulty sustaining focus.",[35,49,50,53],{},[38,51,52],{},"Externalizing"," (7 items) — oppositional and conduct-type behaviours such as fighting and not listening to rules.",[10,55,56],{},"It is a broad-band screener, not a measure of any single condition, and the subscales point toward the kind of follow-up assessment that may be useful.",[58,59,61],"h2",{"id":60},"psc-17-scoring-interpretation","PSC-17 Scoring & Interpretation",[14,63,65],{"id":64},"how-to-score-the-psc-17","How to Score the PSC-17",[10,67,68,69,72,73,76],{},"Each item is rated ",[38,70,71],{},"0 (Never), 1 (Sometimes), or 2 (Often)",". Sum all 17 items for a ",[38,74,75],{},"total score ranging 0–34",", and sum the items within each subscale for three subscale scores. Higher scores indicate a greater likelihood of psychosocial impairment. Use the interpreter above to place a total against the standard positive-screen threshold.",[14,78,80],{"id":79},"psc-17-cut-points","PSC-17 Cut-Points",[82,83,84,103],"table",{},[85,86,87],"thead",{},[88,89,90,94,97,100],"tr",{},[91,92,93],"th",{},"Score",[91,95,96],{},"Items",[91,98,99],{},"Range",[91,101,102],{},"Positive screen",[104,105,106,121,134,145],"tbody",{},[88,107,108,112,115,118],{},[109,110,111],"td",{},"Total",[109,113,114],{},"17",[109,116,117],{},"0–34",[109,119,120],{},"≥15",[88,122,123,125,128,131],{},[109,124,40],{},[109,126,127],{},"5",[109,129,130],{},"0–10",[109,132,133],{},"≥5",[88,135,136,138,140,142],{},[109,137,46],{},[109,139,127],{},[109,141,130],{},[109,143,144],{},"≥7",[88,146,147,149,152,155],{},[109,148,52],{},[109,150,151],{},"7",[109,153,154],{},"0–14",[109,156,144],{},[10,158,159],{},"The total cut-point of ≥15 and the subscale cut-points come from Gardner et al. (1999). Because a child may screen positive on one subscale while the total remains below 15, review all three subscales rather than the total alone. Optimal thresholds vary by population — a Turkish validation, for example, found a best-fitting total cut-point near 12 in a low-income sample — so apply the cut-points with clinical judgement. A positive screen supports referral for a full evaluation; it is a screening result, not a clinical conclusion.",[14,161,163],{"id":162},"administration","Administration",[10,165,166],{},"The PSC-17 takes about 5 minutes for a caregiver to complete and can be administered by non-clinical staff, but a licensed clinician interprets it alongside history, development, and functional context. Where an adolescent can self-report, the PSC-17-Y can be collected in parallel and the two perspectives compared rather than averaged.",[14,168,170],{"id":169},"psychometric-properties","Psychometric Properties",[10,172,173],{},"The PSC-17's three-factor structure (Internalizing, Attention, Externalizing) has been confirmed across multiple samples, with good internal consistency and acceptable test-retest reliability, and total and subscale scores correlate strongly with the Child Behaviour Checklist as a criterion measure (Wagner et al., 2015; McLean et al., 2025). Classification accuracy is strongest for younger children and for the total score.",[14,175,177],{"id":176},"limitations","Limitations",[32,179,180,186,192],{},[35,181,182,185],{},[38,183,184],{},"Screening, not a clinical conclusion."," A positive PSC-17 indicates psychosocial concerns that warrant full evaluation.",[35,187,188,191],{},[38,189,190],{},"Population-dependent cut-points."," The optimal total threshold shifts across community, clinical, and lower-resource samples.",[35,193,194,197],{},[38,195,196],{},"Informant perspective."," Parent-report and youth self-report can diverge; collect both when feasible.",[10,199,200,201,206,207,211,212,216,217,221],{},"For ADHD-specific follow-up, pair with the ",[202,203,205],"a",{"href":204},"\u002Fassessments\u002Fsnap-iv\u002F","SNAP-IV"," or ",[202,208,210],{"href":209},"\u002Fassessments\u002Fnichq-vanderbilt\u002F","NICHQ Vanderbilt","; for youth anxiety, consider the ",[202,213,215],{"href":214},"\u002Fassessments\u002Fscared\u002F","SCARED","; for depression, the ",[202,218,220],{"href":219},"\u002Fassessments\u002Fphq-a\u002F","PHQ-A",".",[58,223,225],{"id":224},"billing-the-psc-17-cpt-96127","Billing the PSC-17 (CPT 96127)",[10,227,228,229,233],{},"PSC-17 administration qualifies for reimbursement under ",[202,230,232],{"href":231},"\u002Fcpt-codes\u002F96127-brief-emotional-behavioural-assessment\u002F","CPT code 96127"," (brief emotional\u002Fbehavioural assessment) when it is scored and documented with clinical interpretation. The AMA allows up to 4 units per encounter; Medicare limits this to 3.",{"title":235,"searchDepth":236,"depth":236,"links":237},"",3,[238,239,240,248],{"id":16,"depth":236,"text":17},{"id":26,"depth":236,"text":27},{"id":60,"depth":241,"text":61,"children":242},2,[243,244,245,246,247],{"id":64,"depth":236,"text":65},{"id":79,"depth":236,"text":80},{"id":162,"depth":236,"text":163},{"id":169,"depth":236,"text":170},{"id":176,"depth":236,"text":177},{"id":224,"depth":241,"text":225},null,"Child & Adolescent",[252,254,257],{"text":253},"Gardner W, Murphy M, Childs G, et al. The PSC-17: a brief pediatric symptom checklist with psychosocial problem subscales. A report from PROS and ASPN. Ambul Child Health. 1999;5(3):225-236.",{"text":255,"link":256},"Wagner JL, Guilfoyle SM, Rausch J, Modi AC. Psychometric validation of the Pediatric Symptom Checklist-17 in a pediatric population with epilepsy: a methods study. Epilepsy Behav. 2015;51:112-116.","https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.yebeh.2015.06.027",{"text":258,"link":259},"McLean RK, Tully LA, Dadds MR, et al. Reliability, predictive validity and normative data for the Pediatric Symptom Checklist-17 in a national Australian sample. Aust N Z J Psychiatry. 2025;59(8):702-712.","https:\u002F\u002Fdoi.org\u002F10.1177\u002F00048674251342952","PSC-17 scoring guide — Pediatric Symptom Checklist-17 parent screener. 17 items 0–2, total 0–34, positive screen ≥15, plus three subscales. Free.","md",[263,266,269,272,275],{"question":264,"answer":265},"What is the Pediatric Symptom Checklist-17 (PSC-17)?","The PSC-17 is a free, brief parent-report screener for psychosocial and behavioural problems in children and adolescents, derived by Gardner and colleagues from the original 35-item Pediatric Symptom Checklist. Its 17 items load onto three subscales — Internalizing, Attention, and Externalizing — and a youth self-report version (PSC-17-Y) is also available. It is widely used in paediatrics and primary care.",{"question":267,"answer":268},"How is the PSC-17 scored?","Each item is rated 0 (Never), 1 (Sometimes), or 2 (Often) for how often the behaviour has occurred recently. Item scores are summed for a total ranging 0–34, and three subscale scores are also calculated: Internalizing (5 items), Attention (5 items), and Externalizing (7 items). Higher scores indicate greater likelihood of psychosocial impairment.",{"question":270,"answer":271},"What is a positive PSC-17 score?","A total score of 15 or higher is the standard positive-screen threshold for overall psychosocial impairment (Gardner et al., 1999). Subscale cut-points are also used: Internalizing ≥5, Attention ≥7, and Externalizing ≥7. A child can screen positive on a subscale while the total stays below 15, so all three subscales should be reviewed. A positive screen warrants a full clinical evaluation, not a screening result treated as a conclusion.",{"question":273,"answer":274},"Is the PSC-17 free to use?","Yes. The PSC-17 and its parent and youth self-report versions are in the public domain and free for clinical, educational, and research use without licensing fees, which is part of why it is a common first-line psychosocial screener in paediatric settings.",{"question":276,"answer":277},"Can I bill CPT 96127 for the PSC-17?","Yes. CPT 96127 (brief emotional\u002Fbehavioural assessment) covers administration of the PSC-17 when it is scored and documented with clinical interpretation. The AMA allows up to 4 units per encounter; Medicare limits this to 3. See the CPT 96127 billing guide for documentation requirements.",false,{"heading":280,"scaleLabel":281,"min":282,"max":283,"start":284,"note":285,"source":286,"bands":287},"PSC-17 Total Score Interpreter (17-item, 0–34)","PSC-17 total",0,34,15,"A total of ≥15 is the standard positive-screen threshold (Gardner et al., 1999) for psychosocial impairment. A positive screen warrants a fuller clinical evaluation — it is a screening result, not a clinical conclusion. Review the three subscales even when the total is below 15.","Pediatric Symptom Checklist-17 (Gardner et al., 1999). Screening reference only.",[288,292],{"min":282,"label":289,"note":290,"level":291},"Below screening threshold (0–14)","Overall psychosocial functioning not elevated on the PSC-17 total; still review subscales.","success",{"min":284,"label":293,"note":294,"level":295},"Positive screen (≥15)","At or above the threshold for psychosocial impairment; supports referral for full evaluation.","error","2026-06-07",{},true,"\u002Fassessments\u002Fpsc-17",{"title":5,"description":260},"psc-17","assessments\u002Fpsc-17","PSC-17 scoring guide — the Pediatric Symptom Checklist-17, a free parent-report screener for psychosocial problems in children. 17 items rated 0–2, total 0–34 (positive ≥15), with Internalizing, Attention, and Externalizing 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