Achenbach Child Behavior Checklist (CBCL) General Information
There are two ways to complete the Achenbach Child Behavior Checklist (CBCL).
Online
or hardcopy with pencil and paper.
You can use a paper form entitled Child Behavior Checklist for Ages 6-18
for children age 6 and above, but it is easier to complete these online. For children age 4 & 5,
you must use a paper form entitled Child Behavior Checklist for Ages 1 ½-5.
This form is also used with children who are less than 48 months of age and are medically fragile or have special needs
requiring a level of care. To view the instructions for either process, click on the appropriate
link above. If you are a registered user, click on the following link to log in and
enter an online CBCL.
WHO: Persons who complete CBCLs should be adults who know the children well, such as parents, foster
parents, or State Social Workers; but never the children!
WHEN: Initial LOCs or reassignments require CBCLs be submitted with other information,
if the IQ is 70 or above. Once children are in DCBS foster care or 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.
REPORTING PERIOD: On the form Child Behavior Checklist
for Ages 1 ½-5 report behavior happening now or that happened within the past 2 months.
Do not report behavior if it happened before 2 months ago. On form Child Behavior Checklist for Ages 6-18
report behavior happened now or that happened within the past 6 months. Do not report
behavior that happened more than 6 months ago, no matter how dramatic or important that behavior was.
WHY: 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.
MORE FORMS: Call CRP when you need additional forms (859-455-7452 ext 247) or
e-mail Linda Stell.
More Information: You can read more about the Achenbach Child Behavior Checklist on the
ASEBA web site.