The Allen Cognitive Level Screen Version 5 (ACL-5) is a standardized assessment rooted in theory, performance, and evidence-based methodologies that provides a quick estimate of global functional cognitive capacity, including learning potential and functional performance abilities. This estimate is inferred from observation of a person using the administrator’s verbal and demonstrated directions to problem-solve, learn, and complete three visuospatial-motor stitching tasks of increasing cognitive complexity. Developed within the framework of the Cognitive Disabilities Model (CDM), this assessment is designed to evaluate functional cognition among individuals with known or suspected cognitive impairments. Screen scores are criterion-referenced to the Allen Cognitive Scale of Levels and Modes of Performance and should be verified with additional functional cognitive assessments as part of a comprehensive evaluation. It is particularly invaluable for healthcare practitioners, especially occupational therapists, in gauging cognitive abilities crucial for safe and successful performance of daily activities.
The ACL Screen is available in three forms:
Standard Allen Cognitive Level Screen (ACLS-5) for general use
Large Allen Cognitive Level Screen (LACLS-5) for persons with vision or hand function problems
Disposable LACLS (LACLS[D]-5) for persons with whom infection control is required.
Age: The ACL Screen Version 5 is suitable for individuals across various age groups who present with cognitive impairments impacting their functional abilities. It is suitable for ages adolescence+.
Administration Time: The Screen is untimed and takes approximately 15-30 minutes to administer.
How To Use It:
Administering the ACL Screen Version 5 involves observing individuals as they tackle three visuospatial-motor stitching tasks of increasing cognitive complexity. These tasks include the Running Stitch, Whipstitch, and Single Cordovan Stitch, performed on either a leather or chipboard rectangle.
Through verbal and demonstrated directions, the administrator evaluates problem-solving skills, learning potential, and overall functional cognitive capacity.
Who May Administer, Score and Interpret Scores:
Occupational therapy practitioners and other healthcare professionals within the scope of their practice acts and in compliance with role delineations defined by their professional associations and applicable licensing agencies, and who are:
Familiar with the rationale for and use of the three forms of Version 5
Trained/mentored in use of the CDM and in the administration/scoring/verification/interpretation/reporting of the ACL Screen, Version 5
Experienced in working with persons with temporary or permanent cognitive disabilities or impairments.
What's In The Box:
EVA40403 Standard Allen Cognitive Level Screen (ACLS-5):
1 standardized ACLS leather tool
1 large eye steel needle
2 permalok needles
72" waxed linen thread for Running Stitch task and replacements
60" of 3/32 inch wide leather lace for the Whipstitch and Single Cordovan Stitch tasks
EVA40402 Large Allen Cognitive Level Screen (LACLS):
This is a large form of the ACLS for persons with impaired vision or hand function who have difficulty using the standard ACLS leather piece. Research studies have demonstrated correspondence with the ACLS. Use with new Manual for ACLS-5 and LACLS-5 (sold separately). Please note: the leather lacing in this product contains natural rubber latex which may cause allergic reactions.
1 pre-punched 6x7 inch rounded, tan leather rectangle
1 shoelace with plastic tips on each end
2 large brass threaded locking needles
1 hank of wide leather lace with 2 visibly distinct sides
EVA40406 Disposable LACLS-5(D) 4 Pack:
Developed for use where strict infection control procedures must be observed. This fully disposable tool is designed for a single use or serial use with one individual, after which it should be discarded. Materials to set up four screening tools are provided. Needles are not used with the (LACLS[D]). The “front” of the tool is indicated by the ACLS & LACLS Committee Approved stamp. Follow administration protocol in The Manual for the Allen Cognitive Level Screen-5 (ACLS-5) and Large Allen Cognitive Screen-5 (LACLS-5). Please note: the leather lacing in this product contains natural rubber latex which may cause allergic reactions. Each pack includes:
4 disposable chipboard forms
Pre-cut shoelace lengths
4 pieces of 60” lacing to be cut in half for use with each tool
Set up instructions unique to the tool and contact information to participate in a feedback survey
EVA40405 Standard Allen Cognitive Level Screen (ACLS-5) with Manual
1 newly updated and revised Manual
1 standardized ACLS leather tool
1 clear plastic storage pouch.
EVA40404 Large Allen Cognitive Level Screen (LACLS) with Manual:
1 newly updated and revised Manual
1 standardized LACLS leather tool
1 clear plastic storage pouch.
EVA40419K Disposable LACLS-5(D) with Manual
1 newly updated and revised Manual
1 LACLS-5(D)
1 clear plastic storage pouch.
EVA40407 ACLS Lace Replacement Kit To be used with “ACLS and LACLS Committee approved” ACLS assessment tool. This kit does not include needles. Please note: the leather lacing in this product contains natural rubber latex which may cause allergic reactions. Includes:
72 inches of waxed linen thread to replace Running Stitch task thread 4 times
60 inches of 3/32-inch wide leather lace to replace the Whipstitch and Single Cordovan Stitch task lace
EVA40408 LACLS Lace Replacement Kit To be used with "ACLS and LACLS Committee approved" ACLS assessment tool This kit does not include needles. Please note: Caution- The leather lacing in this product contains natural rubber latex which may cause allergic reactions.. Includes:
1 shoelace to replace Running Stitch task shoelace
60” of 3/15 inch leather lace to replace the Whipstitch and Single Cordovan Stitch tasks
EVA40409 ACLS Needle Replacement Kit
Leather lace and thread not included in this kit. Includes:
2 permalok needles for the ACLS leather lace stitches
1 large eye needle for the linen thread stitch.
EVA40410 LACLS Needle Replacement Kit Replaces needles for the "ACLS and LACLS Committee approved" LACLS-5 assessment. Leather lace and thread not included in this kit. Includes:
2 permalok needles to be used with the wider LACLS lace for the Whipstitch and Single Cordovan leather lacing stitches.
EVA40412 Allen Cognitive Level Screen-5 Manual Only - 2nd Edition The new Manual for Version 5, Second Edition is substantially revised and expanded in response to feedback from practitioners, educators, and researchers. It includes:
Inclusion of set-up, administration, and scoring of the Disposable Large Allen Cognitive Level Screen-5 form
Elaboration of the cognitive disabilities model (CDM) including how theory informs Screen structure, administration, scoring, and verification/interpretation of Screen scores
Clarification of administration instructions and expanded discussion of standardized and dynamic assessment methods in the Administration Protocol
Clarification of scoring process including title changes to two columns in Scoring Tables to support accuracy and consistency of scoring
Elaboration of process for verifying scores including guidelines for selecting assessments for this purpose
Expanded section on the psychometric properties of the Screen including previously unpublished or difficult to access research, as well as recent research for the three forms of Version 5 of the ACL screen
Case example illustrating use of the CDM and ACL Screen, Version 5 in evaluation and to guide intervention
Suggested guidelines and resources for learning to administer Version 5
EVA40413 ACLS-5/LACLS-5 and LACLS-5(D) Scoring Trifold NEW! Scoring Trifold for ACL Screen V5, 2nd Edition, 2022. Portable, sturdy, wipe able, folded scoring tables from the Manual for the ACL Screen V5, 2nd Edition. for use with ACLS-5, LACLS-5 and Disposable LACLS-5.
EVA40415 ACLS Complete Screening Assessment
Please note: the leather lacing in this product contains natural rubber latex which may cause allergic reactions
