Multi-level Child Mental Health Interventions in Azerbaijan

Change in child mental health using the Strengths and Difficulties Questionnaire (SDQ)

Questions assess child's internalizing problems (depression, anxiety) and externalizing problems (aggressive or disruptive behavior). Strengths and Difficulties Questionnaire includes five scales: emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and prosocial behaviors reported by parent/caregiver and teacher. With the exception of prosocial behaviors, a higher score indicates a worse outcome. For the prosocial scale, a higher score indicates a better outcome. The total score minimum value is 0 and maximum is 40. For all subscales, minimum value is 0 and maximum is 10.

Changes in child's post-traumatic symptoms using the Revised Child Impact of Events Scale

Revised Child Impact of Events Scale (CRIES-8) is a 8-item child-friendly measure designed to screen children at risk for Post-Traumatic Stress Disorder (PTSD). the CRIES-8 has two sub-scales (Intrusion and Avoidance). Total scores range from 0 to 40, with higher scores indicated higher PTSD symptoms. A reduction in trauma symptoms would indicate improvement.

Change in child mental health using the Revised Children's Anxiety and Depression Scale (RCADS)

The Revised Children's Anxiety and Depression Scale (RCADS) is a self- and parent-reported measure that assesses a child's internalizing problems, specifically symptoms of anxiety and depression. Sub-scales assess for separation anxiety disorder, social phobia, generalized anxiety disorder, panic disorder, obsessive compulsive disorder, and low mood (major depressive disorder). Results produce a total anxiety score and total internalizing score. Higher scores indicate worse outcomes and a greater severity of anxiety or depression. For the total scale, the maximum score is 141 and the minimum is 0. For the sub scales: Generalized Anxiety Disorder (0 to 15), Social Phobia (0 to 15), Separation Anxiety Disorder (0 to 15), Panic Disorder (0 to 15), Depression (0 to 24)

Change in cognitive functioning using Cambridge Neuropsychological Test Automated Battery

Cambridge Neuropsychological Test Automated Battery (CANTAB) of computer-based non-linguistic tasks that provide understanding of brain functions (Attention, Cognitive Control-Response Inhibition, Impulsivity). Children complete Emotional Bias Task (min: 0, max: 15), Motor Screening Task (min: 0, max: 6000), Reaction Time (min: 0, max: 5100), Stockings of Cambridge (min: 0, max: 12), and Spatial Span (min: 2, max: 9). Higher scores indicate better outcomes.

Change in school attendance

School attendance is collected from teachers and school records. Minimum score is 0 and maximum is the number of days in the school year (varies).

Change in cognitive functioning using Wechsler Intelligence Scale for Children (Fifth Edition)

The Wechsler Intelligence Scale for Children (Fifth Edition) is an intelligence test designed to assess the cognitive abilities in children. Children complete Block Design task, which assesses ability to visualize and manipulate spatial forms. Maximum scaled score is 19. Minimum scaled score is 1. A higher score indicates a better outcome.

Change in grade average

Change in school grades is collected from school academic records (report cards). The minimum grade is 0 and the maximum is 5. Higher grades indicate better outcomes.