Behavioral Health Screening Tools
Commonly used screeners in integrated care
By Chloe Pertierra
Integrated behavioral health care follows the population health model in that interventions and clinical applications focus on the entire patient population not individual patients (Hunter et al., 2024). Hunter et al. (2024) report that less intensive intervention provided to larger amounts of people may have a greater impact on the overall population. For this reason, behavioral screening tools are integrated into clinical pathways to identify individuals who might benefit from a targeted intervention.
Screening is a tool used in primary care settings to identify signs and symptoms of common behavioral issues such as depression, anxiety, and alcohol use. Early recognition and treatment of behavioral health disorders “prevents complications, improves quality of life, and helps reduce health care costs” (Mulvaney-Day et al., 2018).
The table below lists commonly used behavioral health screening tools in primary care. These brief self-report measures are typically administered at the beginning of the session by a primary care provider (PCP) or a behavioral health consultant (BHC). All screeners listed below are offered in English and Spanish with some screeners such as the Adverse Childhood Experiences (ACEs) offered in child, adolescent, and adult form.
Behavioral Health Screening Tools
Adverse Childhood Experiences Questionnaire (ACEs)
Used to assess the number of adverse childhood events that an individual has witnessed or experienced. Has been linked to several chronic health outcomes and mental health difficulties.
Available in English, Spanish, Adult, Child, Adolescent
Alcohol Screening Questionnaire (AUDIT)
Used to assess problematic alcohol use and risk levels for alcohol abuse.
Available in English, Spanish
Alcohol Abuse Screening Tool (CAGE)
Used to assess alcohol abuse in adults.
Available in English, Spanish
Columbia Suicide Screener (CSSR)
Used to assess ideation, intent, and means for individuals at risk for suicide.
Available in English, Spanish
Drug and Alcohol Screener for Adolescents (CRAFFT 2.1+N)
Used to assess drug, alcohol, and nicotine use in adolescents.
Available in English, Spanish
Drug Abuse Screening Test (DAST-10)
Used to assess drug use in the past 12 months.
Available in English, Spanish
General Anxiety Disorder Screener (GAD-7)
Used to assess general levels of anxiety in adults.
Available in English, Spanish
Patient Health Questionnaire (PHQ-9)
Used to assess levels of depression in adults.
Available in English, Spanish
Pediatric Symptom Checklist (PSC)
Used to assess mental health difficulties in children.
Available in English, Spanish
PTSD Checklist for DSM-5 (PCL-5)
Used to assess symptoms of PTSD in adults over the last month.
Available in English, Spanish
References:
Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2024). Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention, 3rd ed. American Psychological Association. https://doi-org.alliant.idm.oclc.org/10.1037/0000380-000
Mulvaney-Day, N., Marshall, T., Downey Piscopo, K., Korsen, N., Lynch, S., Karnell, L. H., Moran, G. E., Daniels, A. S., & Ghose, S. S. (2017). Screening for Behavioral Health Conditions in Primary Care Settings: A Systematic Review of the Literature. Journal of General Internal Medicine, 33(3), 335–346. https://doi.org/10.1007/s11606-017-4181-0