The Trauma Center has developed a packet of self-administered questionnaires for adults that assess psychological traumas and their sequelae, including features associated with “disorders of extreme stress” or “complex PTSD”. The test instruments included in this packet provide a comprehensive assessment of trauma histories at different ages and the broad spectrum of posttraumatic adaptations encountered in clinical work. Clinicians can chart patients’ progress over time by collecting information at the initial intake visit and three follow-up visits.
IMPORTANT: Here is a software update to correct the total score for PTSD. Please download the Instructions and INSTALL link.
PLEASE NOTE: The Trauma Assessment Packet is NOT compatible on a MAC operating system.
Trauma Assessment Packet
Here are the system requirements for the software to run on a Windows PC:
2.33 GHz IntelR Pentium R4, AMD AthlonR 64 2800+, or faster processor; MicrosoftR WindowsR XP Home, Professional, Windows VistaR Home Premium, Business, Ultimate or Enterprise (including 64-bit editions) with Service Pack 2; or Windows 7.
512 MB of RAM (1 GB recommended).
A. Traumatic Antecedents Questionnaire (TAQ):
The TAQ is a 41- item self-administered instrument which gathers information about lifetime experiences in ten domains: (1) competence, (2) safety, (3) neglect, (4) separations, (5) family secrets, (6) physical trauma, (7) sexual trauma, (8) witnessing trauma, (9) other traumas (i.e., natural disaster, serious accident), and (10) exposure to familial or personal alcohol or illicit drug use. The first two domains represent experiences of adaptive functioning, while the latter eight domains assess exposure to traumatic or adverse experiences. These domains are assessed at four different age periods: early childhood (birth to 6), latency (7 to 12), adolescence (13 to 18) and adulthood. This instrument allows calculation of summary scores for each of the ten individual domains, as well as across the four developmental periods. While designed as a self-report measure, the TAQ can be administered by the practicing clinician to guide or enhance evaluation of exposure to formative life experiences, with emphasis on exposure to overt and subtle forms of exposure to interpersonal victimization, exploitation and disrupted caregiving as well as to exposure to important protective experiences within pivotal caregiving relationships or as a function of personal resiliency. As such, the TAQ provides invaluable information for guiding clinical inquiry and developmental formulations.
For each item of the TAQ, respondents are asked to rate the extent to which they had a particular experience during each developmental period on a scale from 0 to 3. Numerical markers represent both frequency and severity of experience. Summary scoring for the TAQ is complex, and the accompanying detailed scoring instructions and template should be used to facilitate translation of raw item scores into summary scores by domain and by developmental period. In general, higher scores on the two adaptive domains represent greater levels of adaptive functioning, while higher scores on the eight trauma/adverse event domains represent greater levels of accumulated risk. Extensive clinical use of this measure at our Trauma Center’s complex trauma specialty outpatient clinic suggests that particular indicators of concern are (a) low scores on early childhood measures of competence and/or safety; and (b) presence of multiple forms of trauma exposure occurring during two critical developmental sensitivity periods: early childhood and adolescence. In addition, cumulative exposure to combined exposure to physical, sexual and emotional abuse across the lifespan was found to be associated with greatest likelihood of expression of complex clinical adaptation in the form of complex posttraumatic stress (C-PTSD). In contrast, exposure to impersonal trauma (e.g., accidents, disasters) in adulthood was found in our clinical sample to be most predictive of classic PTSD.
B. Structured Interview for Disorders of Extreme Stress (SIDES) & Self-Report Instrument for Disorders of Extreme Stress (SIDES-SR):
These 45-item scales assess presence and/or severity of the Disorders of Extreme Stress Not Otherwise Specified (DESNOS) diagnostic construct, which reflects the Associated Features of PTSD commonly seen in association with interpersonal stressors: impaired affect modulation; self-destructive and impulsive behavior; dissociative symptoms; somatic complaints; feelings of ineffectiveness, shame, despair, or hopelessness; feelings permanently damaged; a loss of previously sustained beliefs; hostility; social withdrawal; feelings constantly threatened; impaired relationships with others (DSM-IV, p. 425). The clinician-rater version was used for the DSM-IV Field Trials for PTSD, and has been validated as a measure of DESNOS diagnosis. The self-report version has good behavioral anchors and has demonstrated good internal reliability as a measure of current DESNOS severity. Both version of the SIDES consist of six major scales with related subscales: (1) alteration in regulation of affect and impulses, (2) alterations in attention or consciousness; (3) alterations in self-perception; (4) alterations in relations with other; (5) somatization, (6) alterations in systems of meaning.
Downloadable PDF of SIDES Instruments and Scoring Coming in 2017!
C. Trauma-Focused Initial Adult Clinical Evaluation:
This structured clinical interview was developed at the Trauma Center to facilitate a comprehensive intake for new patients. It focuses on trauma history and associated symptomatology with an emphasis on developmental, current internal resources, social supports, substance abuse and treatment history. It is informed by empirical findings based on the TAQ, SIDES and PTSD instruments. We invite you to utilize this instrument verbatim or adapt and modify it to best meet the needs of your client populations, service types, and settings.
D. Published Research and Clinical Articles Supporting Use of These Measures and Describing Clinical and Research Applications.
- Dissociation, Somatization, and Affect Dysregulation: The Complexity of Adaptation of Trauma
- Disorders of Extreme Stress: The Empirical Foundation of a Complex Adaptation to Trauma, Journal of Traumatic Stress
- Complex Trauma and Disorders of Extreme Stress (DESNOS) Diagnosis, Part I: Assessment.
- Complex Trauma and Disorders of Extreme Stress (DESNOS) Diagnosis, Part II: Treatment
- Development of a Criteria Set and Structured Interview for Disorders of Extreme Stress (SIDES)
This software allows multiple client files, and allows multiple time points for each client, to help the clinician track changes over time. Clients can use the new self-directed computerized questionnaires for each assessment, or paper copies of the questionnaires can be printed through the software. The computerized assessments are automatically scored with easy to read final score sheets. The raw data is also exportable for additional statistical analysis. Unlike most computer scored psychological software available today, the Trauma Center at JRI packet allows an unlimited number of clients to be scored without additional passcodes.
PLEASE NOTE: Less than 100 Software packages remain and once sold, these will no longer be produced!
We accept checks and money orders in U.S. dollars, as well as online PayPal© payments. Please refer to the chart below to make your purchase online.
To pay by mail, please send a check or money order payable to The Trauma Center at JRI to:
Elizabeth James, Training Division
The Trauma Center at JRI
1269 Beacon Street
Brookline, MA 02446
Tel: (617) 232-1303 x 2045
Trauma Assessment Packet Pricing:
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The scoring software was developed in collaboration with the University at Buffalo School of Social Work, a leader in integrating Trauma Informed Practices into the field of Social Work.