Child and Adolescent Impact Assessment (CAIA)

The Child and Adolescent Impact Assessment (CAIA), formerly called the Child and Adolescent Burden Assessment (CABA), was developed by A. Angold, M.K.S. Patrick, B.J. Burns, and E.J. Costello.

Although adult psychiatric disorders have been found to be substantial sources of burden for family caretakers, less attention has been paid to the measurement of impact on the family resulting from children’s psychiatric disturbance. 

The CAIA begins with a brief summary of the symptoms (“problems”) that a parent has previously described his or her child as having and focuses the rest of the interview on questions about the impact of these symptoms on the family. The CAIA is administered to the child’s parent or caretaker by a trained lay interviewer. Like most adult measures of burden, the CAIA takes a multidimensional view, assessing both subjective and objective aspects.

CAIA Documents

The following documents are for review only. Formal training is required to administer the CAIA.


Formal training is required to administer the CAIA and can be accomplished in a half-day training session. Contact Brian Small at for more details.


  • Angold A, Messer SC, Stangl D, Farmer EMZ, Costello EJ, & Burns BJ, ( 1998) Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88:75-80. Copyright 1998 by the American Public Health Association. Download article in PDF format: Download the article.
  • Farmer EMZ, Burns BJ, Angold A, & Costello EJ (1997) Impact of Children’s Mental Health Problems on Families: Relationships with Service Use. Journal of Emotional and Behavioral Disorders, 5:230-238. Copyright (1997) by PRO-ED, Inc. Article available in PDF format, reprinted with permission from PRO-ED. Inc.
  • Messer SC, Angold A, Costello EJ, & Burns BJ (1996) The Child and Adolescent Burden Assessment (CABA): Measuring the family impact of emotional and behavioral problems. International Journal of Methods in Psychiatric Research, 6:261-284. Available in PDF format. Reproduced with the permission of Whurr Publishers Ltd. Download the article.

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If you need any additional information or would like to administer the CAIA, please contact Brian Small at