Children's Yale-Brown OC Scale (CY-BOCS) Self-Report Symptom Checklist
The Children's Yale-Brown OC Scale (CY-BOCS) Self-Report Symptom Checklist helps identify obsessive-compulsive symptoms in children and adolescents. It can be filled out by the child, parents, or both. By answering the checklist, you provide valuable information for understanding specific compulsive and obsessive symptoms.
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How do I fill this out?
Filling out this form involves identifying compulsive and obsessive symptoms observed over the past week. Respondents can include the child, parents, or both working together. Simply check all applicable symptoms and provide any additional information where necessary.

How to fill out the Children's Yale-Brown OC Scale (CY-BOCS) Self-Report Symptom Checklist?
1
Start by filling out basic information such as name, date, and informant.
2
Proceed to the 'Compulsive Symptoms' section and check all applicable symptoms observed during the past week.
3
Continue to the 'Obsessive Symptoms' section and check all pertinent symptoms noticed during the past week.
4
Provide descriptions for any additional symptoms not listed on the form.
5
Review the completed form to ensure all relevant information is included before submission.
Who needs the Children's Yale-Brown OC Scale (CY-BOCS) Self-Report Symptom Checklist?
1
Parents or guardians of children displaying compulsive and obsessive symptoms need this form to better understand and address these behaviors.
2
Teachers or school counselors observing potential OCD behavior in students can use this form to provide accurate information to parents and healthcare providers.
3
Healthcare professionals, such as pediatricians and child psychologists, need this checklist to diagnose and treat OCD in children and adolescents.
4
Researchers studying obsessive-compulsive disorder in children can use this form to gather data and identify patterns.
5
Adolescents experiencing OCD symptoms can use this form to communicate their experiences more clearly to healthcare providers and parents.
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Open the CY-BOCS checklist on PrintFriendly.
2
Click the 'Edit' button to access the PDF editor.
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Make necessary changes such as adding checkmarks and notes.
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Review the edited document and ensure all information is accurate.
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Save your changes and download the updated checklist.

What are the instructions for submitting this form?
To submit the CY-BOCS checklist, you can use one of the following methods: email, fax, or online submission. If submitting via email, send the completed form to the provided healthcare professional's email address. If faxing, use the designated fax number. For online submissions, follow the instructions on the healthcare provider's website. It's crucial to ensure all relevant information is filled out accurately and provide any additional descriptions where necessary.
What is the purpose of this form?
The CY-BOCS Self-Report Symptom Checklist is designed to help identify and document the presence of compulsive and obsessive symptoms in children and adolescents. It serves as a valuable tool for parents, teachers, healthcare professionals, and researchers in understanding and addressing these behaviors. By providing a structured format, the checklist enables consistent and accurate reporting of symptoms, facilitating appropriate diagnosis and treatment. Parents and guardians can use this form to monitor their child's OCD symptoms over time, ensuring that any changes or developments are promptly addressed. Teachers and school counselors can utilize the checklist to identify students who may need further evaluation or support. Healthcare professionals, including pediatricians and child psychologists, rely on this form to make informed decisions regarding diagnosis and treatment plans. Additionally, researchers can use the CY-BOCS checklist to gather data and identify patterns in OCD symptomatology, contributing to the broader understanding of this condition in children. Overall, the checklist plays a crucial role in supporting the mental health and well-being of young individuals experiencing obsessive-compulsive symptoms.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Child: This field requires the full name of the child being evaluated.
- 2. Date: This field requires the date when the checklist is being filled out.
- 3. Informant: This field identifies who is completing the form, such as the child, parent, or both.
- 4. Compulsions: This section lists various compulsive behaviors observed over the past week, such as washing/cleaning, checking, repeating, counting, arranging/symmetry, hoarding/saving, and other compulsions.
- 5. Obsessions: This section covers obsessive thoughts, sensations, urges, or images experienced during the past week, including contamination, harm, and other types of obsessions.
What happens if I fail to submit this form?
Failure to submit the CY-BOCS checklist may result in a lack of crucial information needed for accurate diagnosis and treatment. This can hinder the identification and management of obsessive-compulsive symptoms, leading to prolonged distress for the child.
- Delayed Diagnosis: Without the checklist, healthcare professionals may struggle to accurately diagnose OCD.
- Inadequate Treatment: Failure to provide necessary information can result in inappropriate or ineffective treatment plans.
- Increased Distress: Prolonged symptoms due to lack of diagnosis and treatment can increase distress for the child and their family.
How do I know when to use this form?

- 1. Identifying Symptoms: Use the form to recognize and document compulsive and obsessive behaviors.
- 2. Seeking Diagnosis: Present the completed checklist to healthcare professionals for accurate diagnosis.
- 3. Monitoring Progress: Regularly update the form to track changes in the child's symptoms over time.
- 4. Research: Researchers can use the form to gather data and study OCD patterns in children.
- 5. Educational Settings: Teachers and school counselors can use the form to identify students who may need further evaluation or support.
Frequently Asked Questions
How do I fill out the CY-BOCS checklist?
Simply check all compulsive and obsessive symptoms observed during the past week, and provide additional information where necessary.
Who can fill out the CY-BOCS form?
The form can be filled out by the child, parents, or both working together.
How can I edit the CY-BOCS checklist on PrintFriendly?
Open the document on PrintFriendly, use our PDF editor to make changes, and save your edits.
Can I sign the CY-BOCS checklist electronically?
Yes, you can use PrintFriendly's signature tool to electronically sign the document.
How do I share the completed CY-BOCS form?
You can share the form by emailing, downloading, or printing it using PrintFriendly's sharing options.
What is the purpose of the CY-BOCS checklist?
The checklist helps identify and document obsessive-compulsive symptoms in children and adolescents.
Why do parents need the CY-BOCS checklist?
Parents can use the checklist to better understand their child's compulsive and obsessive behaviors and seek appropriate help.
Can teachers use the CY-BOCS form?
Yes, teachers can use the form to observe and report potential OCD symptoms in students.
How do healthcare professionals use the CY-BOCS form?
Healthcare professionals use the checklist to diagnose and treat OCD in children and adolescents.
Can I make a copy of the CY-BOCS checklist?
Yes, you can easily make a copy of the checklist for personal use or to share with others using PrintFriendly's download and print options.
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