ADBB Scale : Alarm Distress Baby Scale

Current Status
Not Enrolled
Get Started
This course is currently closed

The next ADBB scale course will be given in January 2022. To participate, leave your information bellow and you will be recontacted :

“WHAT IS THE ADBB (Baby Distress Alarm) ?

The ADBB is a scale for evaluating relational withdrawal in babies between 0 and 24 months of age, based on 8 observation items. It is an observation aid validated by research.
The ADBB was developed by Pr. A. Guedeney (child psychiatrist, Hôpital Bichat Claude Bernard, AP/HP Paris). The Baby Distress Alarm Scale (ADBB) is an observation aid for child professionals (pediatricians, child psychiatrists, psychologists, nursery nurses, educators, etc. ….). It is used in clinics (screening), for the evaluation of interventions and also for research.


General objective: To be able to detect and evaluate relational withdrawal in children between 0 and 24 months of age using the Baby Distress Alarm Scale (BDA)
Specific objectives: Be able to :

  • Define relational withdrawal,
  • Understand the links between relational withdrawal and developmental risk,
  • Cite key findings from research on relational withdrawal and the validity of the scale,
  • Cite and define each of the items on the ADBB scale,
  • Be aware of the legal, ethical and technical requirements for conducting an assessment,
  • To detect a baby in relational withdrawal in all assessment situations in a reliable manner,
  • Assess the severity of relational withdrawal in a reliable manner.


  • Theories and research on relational withdrawal
  • Scoring manual and assessment methodology
  • Training in rating with the help of videos: Finding your way around the ADBB Scale, first steps with the Scale
  • More in-depth
  • Test-retest and difficult items
  • Use of the video tool in the clinic
  • Preparation for the final test (private certification)
  • Final test


  • Attendance at virtual classes and exchanges on the community
  • Situational exercises: video analysis.
  • Individual evaluation at mid-course
  • Validation of the final test (ADBB private certification).

Final Attestation (private certification)

It is mandatory and involves the rating of 15 ADBB videos and the submission of your results to the trainer on an Excel file. Your results will be subject to a statistical test to determine your reliability in evaluating relational withdrawal. A final certificate will be given to you at the end of the training, informing you of the conditions under which you can use the ADBB Scale based on your results. This certificate is valid for a period of two years. Why this delay? Because a fine observation skill, if not maintained, diminishes with time. At the end of the training, you will be offered simple ways to maintain your ADBB skill, such as continuing with an online supervision group or joining the next ADBB scale training session as a peer tutor.
Reliability criteria:

  • Correlation .60: Use of the ADBB for screening purposes .
  • Correlation. 80: use of the ADBB for clinical, follow-up intervention, and research purposes.
  • Correlation .90: access to ADBB facilitator training, use of ADBB for expert purposes, possibility of using it for written reports.

The ADBB private certification is valid for 2 years, in fact, this knowledge has to be updated regularly and after 2 years it is possible that one has developed biases and feedback from an ADBB expert is necessary. Before the end of this period, it is therefore necessary to complete one’s practice through supervision, by joining the perinatal and early childhood clinical community or by re-registering for a training session (specific fee) in the use of the ADBB scale. You will then become a peer tutor. It is about accompanying the other learners to reflect without giving them the answers while reviewing the content. It is also about being a driving force on the learning community.


This training is intended for professionals accompanying families and babies: nursery nurses, pediatricians, psychologists, psychiatrists, psychomotricians, nurses, nursery professionals, osteopaths (10 to 25 people). This training is not recommended for pregnant women or women who have just given birth, due to its content and its emotional charge.


  • Knowledge of the normal development of the child between 0 and 2 years old.
  • To be a professional of the medico-social or mental health field


Online training: 65 hours (20 hours synchronous and 45 hours asynchronous) over 12 to 14 weeks (if school vacations in the schedule).
This training can be adapted (duration and content) for your team.

NB: If you miss a virtual class, the replay will be available and you will be able to ask questions to the trainer on the learning community. Replays, resources and the community remain accessible throughout the course. Registration is possible up to 10 days before the start of the course.


The evaluations conducted on the spot (at the end of the training) and afterwards (1 to 3 months after the training) allow us to collect your comments and suggestions for improvement. They are also transmitted to the trainers. 
The evaluation procedure also makes it possible to determine whether the trainee has acquired the knowledge whose mastery constitutes the initial objective of the action.
Before : A webinar to introduce the training and answer questions from those potentially interested in taking the training. Pre-training questionnaire to assess participants’ expectations of the training. During: Learning activities will be monitored throughout the training thanks to the recording of connection times on the platform, the involvement of trainees in the learning community, and the completion of pedagogical activities and exercises. During the virtual classes, exchanges on the understanding of the techniques, on their questioning for a practical application in their daily professional life and on their experimentation. Afterwards: End of training evaluation during the last virtual class, then a cold evaluation by questionnaire sent by email, 3 months after the end of the training.


For this distance learning course, learning activities are monitored throughout the course by recording connection times on the platform, recording attendance at virtual classes, your involvement in the learning community and the completion of educational activities and exercises.
A certificate will be given to the trainee at the end of the training.


Alexandra Deprez, B-FamiliesDoctor in psychology, certified trainer for the ADBB, expert trainer and pedagogical tutor. Child and adolescent psychologist. Trained in perinatal psychopathology and different attachment assessment tools (CARE-Index, Adult Attachment Interview, Strange Situation, Crowell Procedure..) and different modalities of informed attachment and trauma therapy interventions: Theraplay, EMDR etc.
Jocelyne Guillon, Humagogie: administrative tutor (management of registrations in France and administrative documents of the training) and Learning Community Manager.