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What is Children’s Global Assessment Scale?

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Summary

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The Children’s Global Assessment Scale (CGAS) is a tool that mental health professionals use to measure how well a child functions in their daily life. It helps them understand the impact of a child’s mental health challenges on their overall well-being and ability to participate in activities at home, school, and in the community.

Frequently Asked Question

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How does the Children's Global Assessment Scale work?

A specialist talks with the child, parents, or teachers about the child’s behavior and abilities, then gives a score from 1 to 100.

What age range is the Children's Global Assessment Scale for?

The CGAS is intended for kids between the ages of 4 and 16.

What does a higher score on the CGAS indicate?

A higher score on the CGAS indicates better functionality in a child’s social, academic, and home life.

Can parents or caregivers use the CGAS to assess their child's functioning at home?

While the CGAS is primarily administered by mental health professionals, parents and caregivers can provide valuable input to help assess a child’s functioning, especially in the home environment. However, the final CGAS score is typically determined by a clinician.

Scientific Definition

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The Children’s Global Assessment Scale (CGAS) is a numeric scale used by mental health clinicians to rate the general functioning of children under the age of 18. The scale assesses a child’s psychological, social, and occupational functioning, and is used to track clinical progress. Scores range from 1 (severely impaired) to 100 (doing very well).

 

Resources:

Video Explanation

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Real World Example of Children’s Global Assessment Scale

Sarah, a 10-year-old girl with autism, faced significant challenges both in school and at home. To help manage her difficulties, her parents collaborated with a mental health professional who employed the Children’s Global Assessment Scale to gauge Sarah’s overall functioning. Here’s how Sarah’s journey unfolded:

  • Before treatment: Initially, Sarah’s CGAS score was 45, which highlighted moderate problems in critical areas like school performance and social interactions with peers.
  • During treatment: As Sarah began receiving therapy and additional support at school, her situation improved noticeably. Her CGAS score increased to 65, indicating that while some issues persisted, her overall functionality had enhanced significantly.
  • After treatment: With sustained support and ongoing interventions, Sarah continued to make progress. Her Children’s Global Assessment Scale score eventually rose to 85, demonstrating good functionality across various life aspects.

By addressing her unique needs at school and continuing therapy, Sarah was able to overcome many challenges and improve her quality of life. Her progress serves as a hopeful example for others in similar situations.

How Does the Children’s Global Assessment Scale work?

Mental health professionals use CGAS scores to:

  • Assess a child’s current functioning across various areas of life
  • Track progress over time and adjust treatment plans as needed
  • Communicate with other professionals and coordinate care for the child
CGAS Score Range Level of Functioning
1-10 Extremely impaired
11-20 Very severely impaired
21-30 Severe problems
31-40 Serious problems
41-50 Obvious problems
51-60 Some noticeable problems
61-70 Some problems
71-80 Doing alright
81-90 Doing well
91-100 Doing very well

By using CGAS scores, mental health professionals can better understand a child’s needs and provide targeted support to help them thrive.

 

This post was originally published on July 30, 2023. It was updated on April 19, 2024.