Children's Global Assessment Scale


Children's Global Assessment Scale

The Children's Global Assessment Scale (CGAS) is a numeric scale (1 through 100) used by mental health clinicians and doctors to rate the general functioning of children under the age of 18.

Application

Ratings on a CGAS scale should be independent of specific mental health diagnoses. The scale is presented and described Schaffer D, Gould MS, Brasic J, et al. (1983) A children's global assessment scale (CGAS). Archives of General Psychiatry, 40, 1228-1231. Adults are evaluated on the Global Assessment Scale (GAS), which was revised to the Global Assessment of Functioning (GAF) DSM-IV-TR.

Score interpretation

100-91 Superior functioning in all areas (at home, at school and with peers); involved in a wide range of activities and has many interests (e.g., has hobbies or participates in extracurricular activities or belongs to an organized group such as Scouts, etc.); likeable, confident; ‘everyday’ worries never get out of hand; doing well in school; no symptoms.

90-81 Good functioning in all areas; secure in family, school, and with peers; there may be transient difficulties and ‘everyday’ worries that occasionally get out of hand (e.g., mild anxiety associated with an important exam, occasional ‘blowups’ with siblings, parents or peers).

80-71 No more than slight impairments in functioning at home, at school, or with peers; some disturbance of behavior or emotional distress may be present in response to life stresses (e.g., parental separations, deaths, birth of a sibling), but these are brief and interference with functioning is transient; such children are only minimally disturbing to others and are not considered deviant by those who know them.

70-61 Some difficulty in a single area but generally functioning well (e.g., sporadic or isolated antisocial acts, such as occasionally playing hooky or petty theft; consistent minor difficulties with school work; mood changes of brief duration; fears and anxieties which do not lead to gross avoidance behaviour; self-doubts); has some meaningful interpersonal relationships; most people who do not know the child well would not consider him/her deviant but those who do know him/her well might express concern.

60-51 Variable functioning with sporadic difficulties or symptoms in several but not all social areas; disturbance would be apparent to those who encounter the child in a dysfunctional setting or time but not to those who see the child in other settings.

50-41 Moderate degree of interference in functioning in most social areas or severe impairment of functioning in one area, such as might result from, for example, suicidal preoccupations and ruminations, school refusal and other forms of anxiety, obsessive rituals, major conversion symptoms, frequent anxiety attacks, poor to inappropriate social skills, frequent episodes of aggressive or other antisocial behaviour with some preservation of meaningful social relationships.

40-31 Major impairment of functioning in several areas and unable to function in one of these areas i.e., disturbed at home, at school, with peers, or in society at large, e.g., persistent aggression without clear instigation; markedly withdrawn and isolated behaviour due to either mood or thought disturbance, suicidal attempts with clear lethal intent; such children are likely to require special schooling and/or hospitalisation or withdrawal from school (but this is not a sufficient criterion for inclusion in this category).

30-21 Unable to function in almost all areas e.g., stays at home, in ward, or in bed all day without taking part in social activities or severe impairment in reality testing or serious impairment in communication (e.g., sometimes incoherent or inappropriate).

20-11 Needs considerable supervision to prevent hurting others or self (e.g., frequently violent, repeated suicide attempts) or to maintain personal hygiene or gross impairment in all forms of communication, e.g., severe abnormalities in verbal and gestural communication, marked social aloofness, stupor, etc.

10-1 Needs constant supervision (24-hour care) due to severely aggressive or self-destructive behaviour or gross impairment in reality testing, communication, cognition, affect or personal hygiene.

See also


Wikimedia Foundation. 2010.

Look at other dictionaries:

  • Global Assessment of Functioning — The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by mental health clinicians and doctors to rate the social, occupational and psychological functioning of adults. The scale is presented and described in the DSM… …   Wikipedia

  • Global warming controversy — refers to a variety of disputes, significantly more pronounced in the popular media than in the scientific literature,[1][2] regarding the nature, causes, and consequences of global warming. The disputed issues involve the causes of increased… …   Wikipedia

  • Children's Museum of Maine — Children s Museum Theatre of Maine Established Museum: 1976 Theatre: 1923 Location 142 Free Street Portland, ME 04101 Tuesday Saturday: 10am 5pm Sunday: 12pm 5pm Ty …   Wikipedia

  • Global warming — This article is about the change in climate Earth is currently experiencing. For general discussion of how Earth s climate can change, see Climate change …   Wikipedia

  • Global spread of H5N1 in 2006 — The global spread of (highly pathogenic) H5N1 in birds is considered a significant pandemic threat.While prior H5N1 strains have been known, they were significantly different from the current H5N1 strain on a genetic level, making the global… …   Wikipedia

  • Effects of global warming — This article is about (primarily) effects during the 21st century. For longer term effects, see Long term effects of global warming. The variou …   Wikipedia

  • Psychiatric assessment — A psychiatric assessment is a process of gathering information about a from a person within a mental health service, with the purpose of making a diagnosis. The assesment is usually the first stage of a treatment process, but psychiatric… …   Wikipedia

  • Effects of global warming on Australia — This article is about predicted impacts of Climate change and Global warming on Australia and its climate. Australia is the highest emitter of greenhouse gases per capita in the developed world. [ [http://www.cana.net.au/index.php?site var=337… …   Wikipedia

  • Geologic time scale — This clock representation shows some of the major units of geological time and definitive events of Earth history. The Hadean eon represents the time before fossil record of life on Earth; its upper boundary is now regarded as 4.0 Ga.[1] Other… …   Wikipedia

  • Cognitive Assessment System — The Das Naglieri Cognitive Assessment System (CAS) test is a test given to school children to assess their cognitive strengths and weaknesses. Contents 1 History 2 Present Use 3 Criticisms 4 See also …   Wikipedia