The EARL-20B contains 20 items, and the EARL-21G contains 21 items that are organized under three broad sections: Child, Family, and Responsivity. Each risk factor item is rated on a three-point scale where 0=not present, 1=possibly present, and 2=present. For all items, a higher score represents greater risk. All factors are weighted equally to yield a total maximum score of 40 for boys, and 42 for girls.
Each item is presented on two pages: the left side provides a concise literature review and description of the risk factor; the right side contains coding notes and instructions.
Rating for each of the factors are written down on a "Summary Sheet" (included in an appendix of the manual) which allows assessors to render numeric (0-1-2) ratings and red flag individual factors that are particularly concerning through the use of a "Critical Risk" checkbox. The Summary Sheet also provides for an "Overall Clinical Judgment" rating that allows assessors to assign a global assessment of risk. A "Notes" section is also included in order to provide justifications for individual ratings and outline possible treatment strategies.
Click these links for PDF downloads of the table of contents for the EARL-20B and EARL-21G.