The clinical utility of behavior rating scales: Comments on the diagnostic assessment of ADHD

Responding to Reid and Maag's critique of behavior rating scales in assessing ADHD, published in a previous issue of the Journal of School Psychology, we provided specific recommendations for improving the accuracy of diagnostic decisions using rating scales and affirmed the importance of these procedures in the assessment of ADHD. Strategies for managing the error intrinsic to the use of diagnostic measures, specifically behavior rating scales, were outlined. A multiple stage procedure, involving one or more levels of screening prior to conducting a diagnostic assessment, was recommended as a strategy to increase diagnostic accuracy in a time- and cost-efficient manner.