[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-rcads":3,"all-assessments-nav":279,"related-assessments-query":959},{"id":4,"title":5,"body":6,"category":241,"categoryTitle":242,"clinicalCitations":243,"copyright":241,"description":250,"disclaimer":241,"downloadLink":241,"extension":251,"faqs":252,"featured":268,"i18nReady":268,"icon":241,"interpreter":241,"lastReviewed":269,"meta":270,"navigation":271,"path":272,"permissionsNote":241,"published":271,"recommendedFrequency":241,"relatedCodes":241,"relatedConditions":241,"reviewedBy":241,"seo":273,"slug":274,"stem":275,"summary":276,"takeaways":241,"timeline":241,"type":277,"usedToDiagnose":241,"__hash__":278},"assessments\u002Fassessments\u002Frcads.md","RCADS Scoring · Revised Children's Anxiety and Depression Scale",{"type":7,"value":8,"toc":226},"minimark",[9,13,18,21,30,34,37,72,83,88,92,103,107,151,154,158,161,165,168,172,192,214,218],[10,11,12],"p",{},"The RCADS is a free, 47-item self-report measure of anxiety and depression symptoms in youth ages 8 to 18, organised into six DSM-aligned subscales.",[14,15,17],"h3",{"id":16},"about-the-rcads","About the RCADS",[10,19,20],{},"The Revised Children's Anxiety and Depression Scale was developed by Bruce Chorpita and colleagues, who revised the Spence Children's Anxiety Scale so that its items would map onto dimensions of several DSM anxiety disorders and major depression. The result is a single self-report measure that screens across the most common internalizing concerns in childhood and adolescence.",[10,22,23,24,29],{},"It is designed for young people roughly ages 8 to 18, with a matching parent-report version (RCADS-P) and shorter forms (such as the 25-item RCADS-25) for briefer screening or repeated monitoring. The RCADS, its norms, and its scoring spreadsheets are free and widely used in schools, paediatric clinics, and ",[25,26,28],"a",{"href":27},"\u002Fmbc\u002F","measurement-based care",".",[14,31,33],{"id":32},"what-the-rcads-measures","What the RCADS Measures",[10,35,36],{},"The RCADS covers six symptom domains:",[38,39,40,47,52,57,62,67],"ul",{},[41,42,43],"li",{},[44,45,46],"strong",{},"Separation Anxiety Disorder",[41,48,49],{},[44,50,51],{},"Social Phobia",[41,53,54],{},[44,55,56],{},"Generalized Anxiety Disorder",[41,58,59],{},[44,60,61],{},"Panic Disorder",[41,63,64],{},[44,65,66],{},"Obsessive-Compulsive Disorder",[41,68,69],{},[44,70,71],{},"Major Depressive Disorder",[10,73,74,75,78,79,82],{},"The five anxiety subscales combine into a ",[44,76,77],{},"Total Anxiety"," score, and all six combine into a ",[44,80,81],{},"Total Anxiety and Depression"," score, giving both a broad internalizing picture and a symptom-specific profile.",[84,85,87],"h2",{"id":86},"rcads-scoring-interpretation","RCADS Scoring & Interpretation",[14,89,91],{"id":90},"how-to-score-the-rcads","How to Score the RCADS",[10,93,94,95,98,99,102],{},"Each of the 47 items is rated ",[44,96,97],{},"0 (Never), 1 (Sometimes), 2 (Often), or 3 (Always)",". Raw subscale sums are then converted to ",[44,100,101],{},"age- and gender-standardized T-scores"," using the RCADS norms, because the symptom level expected of, say, a 9-year-old differs from that of a 16-year-old. Scoring is normally done with the official RCADS scoring spreadsheet, which applies the correct norm table automatically. Higher T-scores indicate more symptoms relative to same-age, same-gender peers.",[14,104,106],{"id":105},"rcads-t-score-bands","RCADS T-Score Bands",[108,109,110,123],"table",{},[111,112,113],"thead",{},[114,115,116,120],"tr",{},[117,118,119],"th",{},"T-score",[117,121,122],{},"Interpretation",[124,125,126,135,143],"tbody",{},[114,127,128,132],{},[129,130,131],"td",{},"Below 65",[129,133,134],{},"Within the normal range",[114,136,137,140],{},[129,138,139],{},"65–69",[129,141,142],{},"Borderline — elevated relative to peers",[114,144,145,148],{},[129,146,147],{},"≥70",[129,149,150],{},"Clinical range — positive screen for that subscale",[10,152,153],{},"These T-score thresholds follow the RCADS scoring guidance (Chorpita). They are applied per subscale, so a young person can fall in the clinical range on one subscale while staying within the normal range on others. A clinical-range T-score is a positive screen that warrants a full clinical evaluation; it is a screening result, not a clinical conclusion.",[14,155,157],{"id":156},"administration","Administration",[10,159,160],{},"The RCADS takes about 10–15 minutes to complete and is self-administered, with the parent-report RCADS-P collected in parallel when possible. Non-clinical staff can administer the form, but scoring requires the norm-based spreadsheet and a licensed clinician interprets the T-score profile alongside history and functional impact. The short forms suit repeated session-to-session monitoring.",[14,162,164],{"id":163},"psychometric-properties","Psychometric Properties",[10,166,167],{},"The RCADS six-factor structure has been confirmed across many samples and languages, with good-to-excellent internal consistency for the total and subscale scores and supportive convergent and known-groups validity, including community normative data for 8- to 17-year-olds (Chorpita et al., 2000; Grothus et al., 2023). Subscale scores correlate with corresponding diagnostic groups, supporting their use as targeted screens.",[14,169,171],{"id":170},"limitations","Limitations",[38,173,174,180,186],{},[41,175,176,179],{},[44,177,178],{},"Screening, not a clinical conclusion."," A clinical-range T-score indicates symptoms consistent with an anxiety or depressive disorder and warrants full evaluation.",[41,181,182,185],{},[44,183,184],{},"Norm-dependent scoring."," T-scores rely on the reference norms; using local or version-matched norms matters for accuracy.",[41,187,188,191],{},[44,189,190],{},"Length and informant."," At 47 items it is longer than single-domain screens; pair self- and parent-report and interpret divergence, especially in younger children.",[10,193,194,195,199,200,204,205,209,210,29],{},"For a briefer youth anxiety screen, consider the ",[25,196,198],{"href":197},"\u002Fassessments\u002Fscared\u002F","SCARED","; for depression alone, the ",[25,201,203],{"href":202},"\u002Fassessments\u002Fmfq\u002F","MFQ","; for adults, the ",[25,206,208],{"href":207},"\u002Fassessments\u002Fgad-7\u002F","GAD-7"," and ",[25,211,213],{"href":212},"\u002Fassessments\u002Fphq-9\u002F","PHQ-9",[84,215,217],{"id":216},"billing-the-rcads-cpt-96127","Billing the RCADS (CPT 96127)",[10,219,220,221,225],{},"RCADS administration qualifies for reimbursement under ",[25,222,224],{"href":223},"\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. Self-report and parent-report forms completed in the same encounter may each be billed as a separate unit.",{"title":227,"searchDepth":228,"depth":228,"links":229},"",3,[230,231,232,240],{"id":16,"depth":228,"text":17},{"id":32,"depth":228,"text":33},{"id":86,"depth":233,"text":87,"children":234},2,[235,236,237,238,239],{"id":90,"depth":228,"text":91},{"id":105,"depth":228,"text":106},{"id":156,"depth":228,"text":157},{"id":163,"depth":228,"text":164},{"id":170,"depth":228,"text":171},{"id":216,"depth":233,"text":217},null,"Child & Adolescent",[244,247],{"text":245,"link":246},"Chorpita BF, Yim L, Moffitt C, Umemoto LA, Francis SE. Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale. Behav Res Ther. 2000;38(8):835-855.","https:\u002F\u002Fdoi.org\u002F10.1016\u002Fs0005-7967(99)00130-8",{"text":248,"link":249},"Grothus S, Sommer A, Claus BB, Stahlschmidt L, Chorpita BF, Wager J. The German version of the Revised Children's Anxiety and Depression Scale — psychometric properties and normative data for German 8- to 17-year-olds. Int J Methods Psychiatr Res. 2023;32(4):e1965.","https:\u002F\u002Fdoi.org\u002F10.1002\u002Fmpr.1965","RCADS scoring guide — Revised Children's Anxiety and Depression Scale. 47 items, ages 8–18, six subscales, T-scores (≥65 borderline, ≥70 clinical).","md",[253,256,259,262,265],{"question":254,"answer":255},"What is the Revised Children's Anxiety and Depression Scale (RCADS)?","The RCADS is a free, 47-item self-report measure of anxiety and depression symptoms in young people ages 8 to 18, developed by Bruce Chorpita and colleagues by revising the Spence Children's Anxiety Scale to align with DSM dimensions. It has six subscales — five anxiety scales plus a major depression scale — and a matching parent-report version (RCADS-P). A 25-item short form (RCADS-25) is also available.",{"question":257,"answer":258},"What are the six RCADS subscales?","The RCADS has five anxiety subscales — separation anxiety, social phobia, generalized anxiety, panic disorder, and obsessive-compulsive — plus a major depressive disorder subscale. Scores also combine into a Total Anxiety scale and a Total Anxiety and Depression scale, each mapped to dimensions of DSM anxiety and depressive disorders.",{"question":260,"answer":261},"How is the RCADS scored?","Each of the 47 items is rated 0 (Never), 1 (Sometimes), 2 (Often), or 3 (Always). Raw subscale sums are converted to age- and gender-standardized T-scores using the RCADS norms, because expected symptom levels differ by age and sex. Higher T-scores indicate more symptoms; scoring is normally done with the official RCADS scoring spreadsheet.",{"question":263,"answer":264},"What RCADS T-score is considered clinical?","Using the RCADS scoring guidance (Chorpita), a T-score of 65 or above is considered borderline (elevated relative to peers) and a T-score of 70 or above is in the clinical range for that subscale. These are screening thresholds: a clinical-range T-score is a positive screen warranting full clinical evaluation, not a clinical conclusion.",{"question":266,"answer":267},"Is the RCADS free to use?","Yes. The RCADS, the parent-report RCADS-P, the short forms, and the scoring spreadsheets are free for clinical, educational, and research use and are distributed without licensing fees, which makes it a widely used youth anxiety and depression measure.",false,"2026-06-07",{},true,"\u002Fassessments\u002Frcads",{"title":5,"description":250},"rcads","assessments\u002Frcads","RCADS scoring guide — the Revised Children's Anxiety and Depression Scale, a free 47-item self-report measure for youth ages 8–18. 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