Depression Problem Severity Ratings
Functional Assessment Rating Scale - FARS1 Valid for Children Ages 18 and above 1. Depression Problem Severity Ratings The following scale was used to make ratings for the individual’s current (last 3 weeks) problem severity for each domain listed below. All adjectives or phrases that describe the person’s problems or assets are marked by an “X” below. ___Depressed Mood ___Worthless ___Lonely ___Anhedonic ___Hopeless ___Sleep Problems ___Sad ___Happy ___Anti-Depression Meds Words or Phrases Definitions Depressed Mood Loss of interest in usual activities; hopeless feelings, flat affect, or gloomy. Worthless Feels of no use or value to self or others; lack of self-esteem. Lonely Feeling of isolation; alone, separate, or empty. Anhedonic Inability to experience pleasure in normally pleasurable acts. Hopeless Having no hope, despairing, bleak. Sleep problems Disturbance in frequency, amount or pattern of sleep. Sad Affected or characterized by sorrow or unhappiness; somber. Happy Having or demonstrating pleasure; seeming gratified. Anti-Depression Meds Taking prescribed medication to treat clinical Depression. No Less than Slight Slight to Moderate Moderate Severe Severe to Extreme Problem Slight Problem Moderate Problem to Severe Problem Extreme Problem Behavioral Anchors for Depression Severity Ratings 1 = No Problem Functioning is consistently average or better than what is typical for this person's age, sex, and subculture. (i.e., There is no problem with depression or need for treatment of Depression.) 2 = Less than Slight Problem 3 = Slight Problem Functioning in this range falls short of typical for a person of this age, sex, and subculture most of the time. That is, a problem with depression may be intermittent or may persist at a low level. The problem or symptoms of depression have little or no impact on other domains or they may be currently controlled by medications. The need for treatment of Depression is not urgent but may require therapeutic intervention in the future. 4 = Slight to Moderate Problem 5 = Moderate Problem Functioning in this range is clearly marginal or inadequate, not meeting the usual expectations of a typical person of this age, sex, and subculture. This means that the dysfunction or problem with depression may persist at a moderate level or become severe on occasion. Depression problems may be related to problems in other domains and do require therapeutic intervention(s). 6 = Moderate to Severe Problem 7 = Severe Problem Functioning in this range is marked by obvious and consistent failures, never meeting expectations for a typical person of this age, sex, and subculture. The dysfunction or problem with depression may be chronic. It almost always extends to other domains and generally interferes with interpersonal or social relationships with others. Hospitalization or some other form of external control may be needed in addition to other therapeutic intervention(s). 8 = Severe to Extreme Problem 9 = Extreme Problem The highest level of the scale, suggesting the person's problem with depression is creating a situation that is totally out of control, unacceptable, and/or potentially life-threatening. The need for external control or intervention is immediate. 2. Anxiety Problem Severity Ratings The following scale was used to make ratings for the individual’s current (last 3 weeks) problem severity for each domain listed below. All adjectives or phrases that describe the person’s problems or assets are marked by an “X” below. Anxiety _______ ___Anxious ___Calm ___Guilt ___Tense ___Fearful ___Anti-Anxiety Meds ___Obsessive ___Panic Words or Phrases Definitions Anxious Worry, distress, or agitation resulting from concern about something impending or anticipated. Calm Absence of emotion or turmoil; serene; not agitated. Guilt A sense of having committed some breach of conduct; recrimination, blaming, self-faulting. Tense In a state of mental or nervous tension; taut; wired. Fearful Unpleasant sensations associated with anticipation or awareness of danger. Includes phobias, which are exaggerated, usually inexplicable and illogical, fears of particular objects or a class of objects. Anti-Anxiety Taking prescribed medication to treat clinical anxiety. Meds Obsessive To be excessively preoccupied. Panic A sudden, overpowering fear or terror. 1 2 3 4 5 6 7 8 9 No Less than Slight Slight to Moderate Moderate Severe Severe to Extreme Problem Slight Problem Moderate Problem to Severe Problem Extreme Problem
1 = No Problem Functioning is consistently average or better than what is typical for this person's age, sex, and subculture. (i.e., There is no problem with anxiety or need for treatment of anxiety.) 2 = Less than Slight Problem 3 = Slight Problem Functioning in this range falls short of typical for a person of this age, sex, and subculture most of the time. That is, a problem with anxiety may be intermittent or may persist at a low level. The problem or symptoms of anxiety have little or no impact on other domains or they may be currently controlled by medications. The need for treatment of anxiety is not urgent but may require therapeutic intervention in the future. 4 = Slight to Moderate Problem 5 = Moderate Problem Functioning in this range is clearly marginal or inadequate, not meeting the usual expectations of a typical person of this age, sex, and subculture. This means that the dysfunction or problem with Anxiety may persist at a moderate level or become severe on occasion. Anxiety problems may be related to problems in other domains and do require therapeutic intervention(s). 6 = Moderate to Severe Problem 7 = Severe Problem Functioning in this range is marked by obvious and consistent failures, never meeting expectations for a typical person of this age, sex, and subculture. The dysfunction or problem with Anxiety may be chronic. It almost always extends to other domains and generally interferes with interpersonal or social relationships with others. Hospitalization or some other form of external control may be needed in addition to other therapeutic intervention(s). 8 = Severe to Extreme Problem 9 = Extreme Problem The highest level of the scale, suggesting the person's problem with Anxiety is creating a situation that is totally out of control, unacceptable, and/or potentially life-threatening. The need for external control or intervention is immediate. 3. Hyper Affect Problem Severity Ratings The following scale was used to make ratings for the individual’s current (last 3 weeks) problem severity for each domain listed below. All adjectives or phrases that describe the person’s problems or assets are marked by an “X” below. Hyper Affect _______ ___ Manic ___Elevated Mood ___Agitated ___Sleep Deficit ___Overactive ___Mood Swings ___Pressured Speech ___Relaxed ___Anti-Manic Meds Words or Phrases Definitions Manic High level of uncontrolled excitement. Elevated Mood Lifted in spirit; elated; high. Agitated Moved with violence or sudden force; stirred up; upset. Sleep Deficit Insufficiency in the frequency, amount or patterning of sleep. Overactive Excessive movement, animation, e.g., pacing, incessant talking. Mood Swings Wide or dramatic shifts or swings from elated or euphoric, to depressed and/or sad. Pressured Speech Urgent, tense, rapid/accelerated or strained speech fast Relaxed Appears calm, reposed, at ease. Anti-Manic Meds Taking prescribed medication to treat symptoms of mania. 1 2 3 4 5 6 7 8 9 No Less than Slight Slight to Moderate Moderate Severe Severe to Extreme Problem Slight Problem Moderate Problem to Severe Problem Extreme Problem
1 = No Problem Functioning is consistently average or better than what is typical for this person's age, sex, and subculture. (i.e., There is no problem with Hyper Affect or need for treatment of Hyper Affect.) 2 = :Less than Slight Problem 3 = Slight Problem Functioning in this range falls short of typical for a person of this age, sex, and subculture most of the time. That is, a problem with Hyper Affect may be intermittent or may persist at a low level. The problem or symptoms of Hyper Affect have little or no impact on other domains or they may be currently controlled by medications. The need for treatment of Hyper Affect is not urgent but may require therapeutic intervention in the future. 4 = Slight to Moderate Problem 5 = Moderate Problem Functioning in this range is clearly marginal or inadequate, not meeting the usual expectations of a typical person of this age, sex, and subculture. This means that the dysfunction or problem with Hyper Affect may persist at a moderate level or become severe on occasion. Hyper Affect problems may be related to problems in other domains and do require therapeutic intervention(s). 6 = Moderate to Severe Problem 7 = Severe Problem Functioning in this range is marked by obvious and consistent failures, never meeting expectations for a typical person of this age, sex, and subculture. The dysfunction or problem with Hyper Affect may be chronic. It almost always extends to other domains and generally interferes with interpersonal or social relationships with others. Hospitalization or some other form of external control may be needed in addition to other therapeutic intervention(s). 8 = Severe to Extreme Problem 9 = Extreme Problem The highest level of the scale, suggesting the person's problem with Hyper Affect is creating a situation that is totally out of control, unacceptable, and/or potentially life-threatening. The need for external control or intervention is immediate. 4. Thought Process Problem Severity Ratings The following scale was used to make ratings for the individual’s current (last 3 weeks) problem severity for each domain listed below. All adjectives or phrases that describe the person’s problems or assets are marked by an “X” below. Thought Process _______ ___Illogical ___Delusional ___Hallucinating ___Loose Associations ___Paranoid ___Ruminative ___Intact ___Derailed Thinking ___Loose Associations ___Anti-Psych. Meds Words or Phrases Definitions Illogical Contradicting or disregarding the principles of logic. Without logic, senseless. Delusional Belief(s) held in the face of evidence normally sufficient enough to destroy that (those) beliefs. Hallucinating Perceptions that appear real to the client but are not supported by objective stimuli or social consensus; basis may be organic or functional. Loose Associations A loose mental connection or relationship between thoughts, feelings, ideas, or sensations. Paranoid Believes that thoughts or actions of others have reference to self in the absence of clear evidence. Ruminative Words, phrases, and/or ideas that occur over and over; obsessive thinking Intact Not mentally impaired in any way. Derailed Thinking Inability to articulate in a single, simple train of thought. Loose Associations A loose mental connection or relation between thoughts, feelings, ideas, or sensations. Anti-Psych. Meds Taking prescribed medication to treat symptoms of psychosis. 1 2 3 4 5 6 7 8 9 No Less than Slight Slight to Moderate Moderate Severe Severe to Extreme Problem Slight Problem Moderate Problem to Severe Problem Extreme Problem Behavioral Anchors for Thought Process Severity Ratings 1 = No Problem Functioning is consistently average or better than what is typical for this person's age, sex, and subculture. (i.e., There is no problem with Thought Processes or need for treatment of a thought disorder(s).) 2 = Less than Slight Problem 3 = Slight Problem Functioning in this range falls short of typical for a person of this age, sex, and subculture most of the time. That is, a problem with Thought Processes may be intermittent or may persist at a low level. The problem or symptoms of difficulties with Thought Processes have little or no impact on other domains or they may be currently controlled by medications. The need for treatment of a thought disorder(s) is not urgent but may require therapeutic intervention in the future. 4 = Slight to Moderate Problem 5 = Moderate Problem Functioning in this range is clearly marginal or inadequate, not meeting the usual expectations of a typical person of this age, sex, and subculture. This means that the dysfunction or problem with Thought Processes may persist at a moderate level or become severe on occasion. Thought disorders may be related to problems in other domains and do require therapeutic intervention(s). 6 = Moderate to Severe Problem 7 = Severe Problem Functioning in this range is marked by obvious and consistent failures, never meeting expectations for a typical person of this age, sex, and subculture. The dysfunction or problem with Thought Processes may be chronic. It almost always extends to other domains and generally interferes with interpersonal or social relationships with others. Hospitalization or some other form of external control may be needed in addition to other therapeutic intervention(s). 8 = Severe to Extreme Problem 9 = Extreme Problem The highest level of the scale, suggesting the person's problem with Thought Processes is creating a situation that is totally out of control, unacceptable, and/or potentially life-threatening. The need for external control or intervention is immediate. 5. Cognitive Performance Problem Severity Ratings The following scale was used to make ratings for the individual’s current (last 3 weeks) problem severity for each domain listed below. All adjectives or phrases that describe the person’s problems or assets are marked by an “X” below. Cognitive Performance _______ ___Poor Memory ___Low Self-Awareness ___Short Attention ___Developmental Disability ___Insightful ___Poor Concentration ___Impaired Judgment ___Slow Processing Words or Phrases Definitions Poor Memory Has loss of recent or remote memory, forgetfulness. Low Self-Awareness Not cognizant of one's effect on other people; not conscious of one’s own self; can't differentiate from other people or things. Short Attention Limitation in ability to focus on current task or issues. Developmental Disability Has difficulty in conceptualizing, understanding, or limited intellectual capacity (IQ). Insightful Cognitive ability to discern the true nature of a situation. Poor Concentration Has difficulty concentrating or focusing attention. Impaired Judgment Inability to adequately assess the impact of one's actions. Difficulty in self-monitoring. Slow Processing Limited ability in speed of processing information. |
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