The Treatment Outcome Package (TOP) - Adolescent
Description / Purpose:
Type of Tool: The Treatment Outcome Package (TOP) - Adolescent is both a Screening Tool and Assessment Tool
The Treatment Outcome Package (TOP) - Adolescent is a comprehensive well-being assessment that is used in behavioral health and child welfare settings. It assesses several domains, including Depression, Psychosis, Sleep Problems, Violence, and Suicidality.
The Adolescent TOP Clinical Scale (TOP-CS) is a 58-item scale that assesses 12 domains such as Conduct Problems, Mania, and Substance Abuse. Participants indicate “All” to “None of the Time” for each behavioral item on a 6-point Likert scale. Prior to completing a TOP-CS for a client, demographic information is collected via a Client Registration (CR) form and previous stressful life events that may impact treatment are captured via a Case-Mix (CM) form. These data provide valuable historical information and are used to predict future TOP-CS scores.
Target Population: Adolescent version: 11–21 years of age
Time to Administer: About 10 minutes
Completed By: Self and/or raters who know the client well (e.g., clinician, relative, social worker)
Modalities Available: Computerized, Pen and Paper, Online, Mobile
Scoring Information: Computer program
Languages Available: English, Spanish
Training Requirements for Intended Users: No training is required.
Availability: The tool is available for free with WellnessCheck.net data collection and reporting software subscription.
Summary of Relevant Psychometric Research
This tool has received the Measurement Tools Rating of "B – Psychometrics Demonstrated" based on the published, peer-reviewed research available. The tool must have 1 published, peer-reviewed study that has established the measure’s psychometrics (e.g., reliability and validity, sensitivity and specificity, etc.). Please see the Measurement Tools Rating Scale for more information.
Baxter, E. E., Alexander, P. C., Kraus, D. R., Bentley, J. H., Boswell, J. F., & Castonguay, L. G. (2016). Concurrent validation of the Treatment Outcome Package (TOP) for children and adolescents. Journal of Child and Family Studies, 25, 2415–2422. https://doi.org/10.1007/s10826-016-0419-4
Participants — 203 children and adolescents, ages 3–18 years, from a community sample
Race/Ethnicity — Not specified
The primary purpose of this study was to examine the concurrent validity of the Adolescent version of The Treatment Outcome Package (TOP) with the Child Behavior Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ) with a community sample. Results demonstrated that the TOP for adolescents has strong concurrent validity and measures constructs that are similar to those measured by well-established and widely used psychological assessments. The Adolescent TOP ADHD scale was highly correlated with both the SDQ Hyperactivity scale and the CBCL Attention Problems scale. The Adolescent TOP Depression scale correlated significantly with the SDQ Emotional Problems scale and both of the CBCL Depression scales (Anxious/Depressed and Withdrawn/Depressed). Finally, the TOP Violence scale was highly correlated with the SDQ Conduct scale, the CBCL Rule-breaking scale, and the CBCL Aggressive Behavior scale. Each of these correlations exceeded the Bonferroni-adjusted significance level.
Date Reviewed: September 2021