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Research on Social Work Practice
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Use of the Child Behavior Checklist as a Diagnostic Screening Tool in Community Mental Health

Carrie W. Rishel

West Virginia University

Catherine Greeno

University of Pittsburgh

Steven C. Marcus

University of Pennsylvania

M. Katherine Shear

Carol Anderson

University of Pittsburgh

Objective: This study examines whether the Child Behavior Checklist (CBCL) can be used as an accurate psychiatric screening tool for children in community mental health settings. Method: Associations, logistic regression models, and receiver operating characteristic (ROC) analysis were used to test the predictive relationship between the CBCL and structured interview-derived diagnoses. Results: Associations between CBCL subscales and specific diagnoses were found, replicating results of previous research. Multivariate models and ROC scoring led to correct diagnostic predictions in a large majority of participants. Corresponding sensitivities, however, were deemed inadequate as they indicated that the screen would miss an unacceptably high number of cases. Conclusions: Using the CBCL as a diagnostic screening tool would result in a large number of cases being missed by the screen. Although the CBCL is unlikely to accurately identify children with specific diagnoses, it could be used as a triage tool to inform practitioners if an in-depth structured diagnostic interview is necessary.

Key Words: children • community mental health • CBCL • screening instrument

Research on Social Work Practice, Vol. 15, No. 3, 195-203 (2005)
DOI: 10.1177/1049731504270382
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