Problem Behaviors Rating Scale of Neppe and Loebel

Problem Behaviors Rating Scale of Neppe and Loebel is a 33 item rating scale developed for nurses and related professionals in a nursing geriatric, neuropsychiatric or other inpatient environment. This ranks patients behaviors over a defined period of time, like a day or a week and can demonstrate change. Each scale scores range from a normal of 0 to an extreme of 3 producing a total of 99 making a range from 0 to 99 ( or 100 with 1 more for inpatients). These criteria are based on unambiguous clinical mental status features using the mnemonic ACCLAIMED covering areas broadly translated under appearance, consciousness and concentration, cognitive function, localization of cortical pathology, affect, insight and judgement, motivation and motoric elements, ego environment interaction, and dangerousness and disability.

View our two versions of the PBRS, which are very similar, but have minor differences: PBRS and Nursing Home PBRS.

Further information in the Neuropsychiatric Evaluation of the Closed Head Injury of Transient Type (CHIT)