Guide
Online adult ADHD screening for clinicians
Attention-deficit/hyperactivity disorder (ADHD) in adults is assessed with more than one source of information. Implicitify gives clinicians two established self-report measures for that work, sent to a client by secure link and scored the moment the client finishes.
Measures for adult ADHD screening
- Adult ADHD Self-Report Scale (ASRS v1.1). Eighteen questions about current ADHD symptoms in the inattentive and hyperactive-impulsive domains over the past six months.
- Wender Utah Rating Scale (WURS-25). Twenty-five questions that ask an adult to recall childhood behavior and feelings.
- Cognitive Failures scale. A short scale about everyday lapses of attention, memory and action.
What the ASRS v1.1 measures
The Adult ADHD Self-Report Scale (ASRS v1.1) is a questionnaire from the World Health Organization (WHO). Kessler and colleagues published it in 2005 in Psychological Medicine. The ASRS is comprised of 18 items that follow the 18 ADHD symptoms of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Nine items cover ADHD symptoms in the inattentive domain. Nine cover ADHD symptoms in the hyperactive-impulsive domain.
A client rates each item from Never to Very Often. Part A holds the six items that best separated adults with and without a clinical diagnosis in the 2005 study. Part B holds the other twelve. The report shows Part A, Part B and the total, the classic Part A screen, and severity bands for Part A.
Why add a childhood measure
An adult diagnosis of ADHD requires that symptoms began in childhood. The Wender Utah Rating Scale (WURS-25) asks about that period directly. Ward, Wender and Reimherr published the 25-item form in 1993 in the American Journal of Psychiatry. A client rates how well each statement described them as a child. Pairing it with the ASRS gives one report that covers current symptoms and recalled childhood history.
How the workflow runs
You choose the measures in the clinician portal and send the client a secure patient link. The client answers on a phone or computer without creating an account. Scoring follows each measure's published rules. Results appear in your dashboard, with z-scores and percentiles where published comparison data exist, and you can save the report as a PDF.
These are screening measures. A score above a cutoff is not a diagnosis. A full evaluation still needs a clinical interview, a developmental history and, where possible, reports from others who know the client.
Questions
Does a positive ASRS screen mean the client has ADHD?
No. A positive screen means a full evaluation may be useful. Only a qualified clinician can make a diagnosis after a complete assessment.
Does the client need an account?
No. The client opens a secure patient link and answers the questions. The scored results come back to the clinician who sent the link.
Scores and reports describe responses. They are not a diagnosis.