Clinical tool · Vanderbilt ADHD rating scales

Vanderbilt ADHD Scale Scorer: Parent and Teacher, Initial and Follow-up

Pick the form, then tap each item’s rating by its number from the completed paper form. Counts update as you tap; the result shows when every item is rated.

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About this tool

This tool scores the NICHQ Vanderbilt Assessment Scales for ADHD without showing any of the copyrighted item wording. The clinician chooses the edition and the form — parent or teacher, initial or follow-up — and then taps each item's rating by its number from the completed paper form, using compact 0–3 buttons for symptoms and 1–5 buttons for performance. Running counts show positives per section as you tap, and a helper marks the rest of a section as zero.

On the initial forms a symptom counts as positive when rated 2 or 3. ADHD criteria are met with 6 or more positives in items 1–9 (inattentive) or 10–18 (hyperactive-impulsive), or both (combined), plus impairment: in the current AAP scoring, two performance items rated 4 or one rated 5. The parent form also screens oppositional defiant disorder (4 of 8), conduct disorder (3 of 15 in the 2020 form) and anxiety or depression (3 of 7); the teacher form screens combined oppositional and conduct items (3 of 10), anxiety or depression (3 of 7) and learning problems.

Item numbers differ between the 2002 NICHQ forms and the 2012 and 2020 AAP toolkit editions, so the tool scores each by its own numbering and rules. Follow-up forms give mean scores for the inattentive and hyperactive items, the total symptom score, the average performance score and side effects, compared with baseline. Results end with the DSM-5 requirements and next steps from the AAP 2019 guideline (Wolraich et al., Pediatrics 2019).

Common questions

How is the Vanderbilt ADHD scale scored?

Count symptom items rated 2 (often) or 3 (very often). Six or more of items 1–9 meets the inattentive criteria and six or more of items 10–18 the hyperactive-impulsive criteria; both means combined. Impairment is also needed: in current AAP scoring, at least two performance items rated 4 or one rated 5.

Does a positive Vanderbilt make the diagnosis of ADHD?

No. It supports the diagnosis. DSM-5 also needs symptoms in two or more settings (so get both parent and teacher forms), several before age 12, lasting at least 6 months, with clear impairment and no better explanation such as anxiety, depression, a learning disorder or a sleep problem.

How do you score a Vanderbilt follow-up form?

Add the ratings for items 1–9 and divide by the number answered to get the inattentive mean; do the same for items 10–18. Compare these means with the baseline means — lower is better. Also track the average performance score and any moderate or severe side effects.

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