Forms and Measures

FORMS

• Pediatric Symptom Checklist-35 Automated scoring sheet

MEASURES

• LACDMH version of PSC-35 Form MH 736
• LACDMH version of CANS-IP Form MH 735

FORMS

• FSP OMA Forms
• Referral and Authorization

FORMS

• PEI Outcome Measures Order Form
• PEI Outcomes Report Order Form
• PEI OMA Worksheets 
• SDR-SP Trainer Form

MEASURES

• NAMI
• DSM-5 Trauma Measures, PTSD-RI-5 and PCL-5
• Prevention Outcomes
• RCADS Questionnaire
• Stigma Discrimination Reduction (SDR) Arabic
• Stigma Discrimination Reduction (SDR) Armenian
• Stigma Discrimination Reduction (SDR) Cambodian
• Stigma Discrimination Reduction (SDR) Chinese
• Stigma Discrimination Reduction (SDR) English
• Stigma Discrimination Reduction (SDR) Korean
• Stigma Discrimination Reduction (SDR) Spanish
• Stigma Discrimination Reduction (SDR) Vietnamese
• Suicide Prevention (SP) Chinese
• Suicide Prevention (SP) English
• Suicide Prevention (SP) Spanish
• DERS Questionnaire English
• DERS Questionnaire Spanish

Translated measure are intended for use by LA County providers, only