Authors: C.K. Allen, S.L. Austin, S. K. David, C. A. Earhart, D. B. McCraith, & L. Riska-Williams

Publisher: ACLS and LACLS Committee, Camarillo, CA, USA, Copyright ©2007

Description: This 5th version of the Allen cognitive level screen with a revised and updated 66 page manual is an evidence based* screening assessment for use with the Allen cognitive disabilities model. The screen consists of learning 3 visual-motor tasks (leather lacing stitches) with increasingly complex activity demands.  Completion of the 3 tasks requires that the person attend to, understand, and use sensory & motor cues from material objects (leather, lace & needles), administrator’s verbal & demonstrated instructions & cues, & feedback from motor actions while making the stitches.  Scores are interpreted using the Allen Cognitive Scale of levels and modes of performance as well as other information about the person’s history, interests, context, etc.  The Screen is available in 3 forms:  standard ACLS, LACLS for persons with vision or hand function problems, & disposable form (LACLS[D]) for persons with whom infection control is required.  *For ACLS-5 and LACLS-5 Test: Psychometric Properties and Use of Scores for Evidence-Based Practice, visit

Sources: Allen Cognitive Group,; Dementia Care Specialists,; S&S Worldwide,; and Therapro, The manual & leather-lacing tools are available separately or as a kit. For more detailed information:

pdf small PDF Handout - ACLS-5 and LACLS-5