The Child and Adolescent Impact Assessment (CAIA)

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

Description: 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.

Click the links below to review the CAIA:


CAIA Glossary

Training: Please be advised that formal training is required to administer the CAIA and can be accomplished in a one half-day training session.

If you need any additional information or if you wish to administer the CAIA, please email Brian Small:

Phone: 919-385-0838


Brian Small

Box 3454 DUMC

Durham, NC 27710 USA

Thanks for your interest in the CAIA.


Pertinent Citations:

  • 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 Article Here.
  • 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.
    Available in PDF format. 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 Article Here.