Achenbach Child Behavior Checklist (CBCL) General Information

As required by 922 KAR 1:360, Levels of Care are determined from two sources, the narrative DPP-886A or "Application for Level of Care Payment" and an objective behavior inventory. The latter is the Achenbach Child Behavior Checklist (CBCL) for children with an IQ of 70 or above.

Initial LOCs or reassignments require CBCLs be submitted with other information if the IQ is 70 or above. Once children are in PCC residential or foster care placements, CBCLs are to be completed every 6 months with the "Application for LOC Payment." For children with an IQ below 70, the Reiss is to be submitted with the Application for Level Payment as required.

For children ages 6 and above the Achenbach Child Behavior Checklist (CBCL) is completed online through the CRP website. If you are already registered as a user, click the following link to enter an online CBCL. If you are not a registered user and would like to register as a DCBS worker or a PCC employee, please contact Tye Reece by e-mail or phone at (859) 455-7452 ext 228. Instructions for on-line CBCL completion are located at LINK.

For children ages 4 & 5, a paper form entitled Child Behavior Checklist for Ages 1 ½-5 is required . This form is also used with children who are less than 4 years of age who are medically fragile or have special needs requiring a level of care. Instructions for completing this CBCL are located at LINK.

For questions or to request additional Child Behavior Checklist for Ages 1 ½-5 forms, contact the CRP office at (859) 455-7452 ext 247 or e-mail Linda Gafranek.

For additional information about the Achenbach Child Behavior Checklist, refer to the ASEBA web site.