Children’s Mental Health Screening Tool

With this tool, please remember that it is critical to think about intensity and frequency of behaviors. As you fill out this tool, ask yourself:

  •  How severe is the behavior?
  •  How many weeks or months has this behavior been occurring?
  •  How long does the behavior last (ex: Minutes, hours)?
  •  How does the behavior compare with other children of the same age?
  •  Are there events at home or in child care that make the behavior better or worse?

This tool is a screening tool not meant to diagnose. 

Infant Mental Health Screening (Birth-12 months) 

1. Is the child unusually difficult to soothe or console? __ Always __ Sometimes __ Never

2. Does the child have limited interest in people or toys? __ Always __ Sometimes __ Never

3. Does the child have consistent strong reactions to touch, sounds or movement? __ Always __ Sometimes __ Never

4. Is the child generally fearful or on guard? __ Always __ Sometimes __ Never

5. Does the child react strongly for no apparent reason? __ Always __ Sometimes __ Never

Toddler Mental Health Screening (12-36 months)

1. Does the child generally display emotion? __ Always __ Sometimes __ Never

2. Is the child unable to comfort or calm self? __ Always __ Sometimes __ Never

3. Does the child have limited interest in people or toys? __ Always __ Sometimes __ Never

4. Does the child turn to familiar adults for comfort/help? __ Always __ Sometimes __ Never

Preschool Mental Health Screening (3-5 years)

1. Does the child prefer not to play with other children? __ Always __ Sometimes __ Never

2. Does the child go with strangers easily? __ Always __ Sometimes __ Never

3. Is the child destructive to themselves or others? __ Always __ Sometimes __ Never

4. Does the child intentionally hurt animals? __ Always __ Sometimes __ Never

5. Does the child have limited use of words to express needs? __ Always __ Sometimes __ Never

If the majority of responses are always, consider a referral to an outside organization for a more thorough assessment.