Treatment Outcome Measures

Symptoms and Functioning Severity Scale (SFSS)

Bickman et al., 2010

The SFSS is the core measure of treatment progress. This measure assesses general symptom severity and assesses symptoms associated with the most common youth mental health disorders (i.e., ADHD, conduct disorder, oppositional defiant disorder, depression, and anxiety). Each item is rated on a 5-point Likert Scale (“never,” “hardly ever,” “sometimes,” “often,” and “very often”). The SFSS provides a total score, externalizing score, and internalizing score. Three versions are available: youth, caregiver, and clinician. There is also a 26-item version (SFSS-Full), and two 13-14 item versions (SFSS Short Form A; Short Form B). Short-form A and B are meant to be used in alternating sessions. The SFSS is designed to measure changes between brief time periods (i.e., weekly or biweekly sessions).

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