Bush-Francis Catatonia Rating Scale Assessment Resources
Dr. Wortzel and Dr. Oldham have developed the following educational resources on how to assess for catatonia using the Bush-Francis Catatonia Rating Scale (BFCRS) in collaboration with Dr. Francis.
Overview of Catatonia
Dr. Oldham and Dr. Wortzel provide a brief introduction to the assessment resources available on this webpage.
Standardized Patient Training Videos
In the first of the four training videos below, we illustrate a full clinical assessment for the BFCRS in a standardized patient without catatonia. The subsequent three videos depict assessments of a standardized patient portraying catatonia's three common motoric subtypes. For each video, we provide a completed BFCRS form for how we score these assessments, along with key points for reference.
This video features a standardized patient without catatonia to illustrate how to assess for all items on the BFCRS.
Clinical Assessment for the BFCRS:
Blank BFCRS form for scoring
Examples of Catatonia
Below are videos of test patients A & B and corresponding forms A & B of a multiple-choice test, each with an answer key. You can also access the full 1-hour education course as it was originally presented, with pre-, post-, and 3-month assessments.
Catatonia Information Center
Directed by Andrew Francis, PhD, MD
Wortzel JR, Maeng DD, Francis A, Oldham MA. Evaluating the Effectiveness of an Educational Module for the Bush-Francis Catatonia Rating Scale. Acad Psychiatry. 2022;Jan 7 (online):10.1007/s40596-021-01582-0.
Wortzel JR, Maeng DD, Francis A, Oldham MA. Prevalent gaps in understanding the features of catatonia among psychiatrists, psychiatry trainees, and medical students. J Clin Psychiatry. 2021;82(5):21m14025.
Bush G, Fink M, Petrides G, Dowling F, Francis A. Catatonia. II. Treatment with lorazepam and electroconvulsive therapy. Acta Psychiatr Scand. 1996; 93(2):137-143.
Bush G, Fink M, Petrides G, Dowling F, Francis A. Catatonia. I. Rating scale and standardized examination. Acta Psychiatr Scand. 1996;93(2):129-136.
Joshua Wortzel, MD, MPhil
Resident Physician in Psychiatry, PGY-4
Mark Oldham, MD
Assistant Professor of Psychiatry
University of Rochester, Department of Psychiatry