Trauma Assessment Packet

A. Traumatic Antecedents Questionnaire (TAQ):

This self-administered assessment tool gathers information about lifetime experiences in 10 domains: (1) competence, (2) safety, (3) neglect, (4) separations, (5) family secrets, (6) conflict resolution, (7) physical trauma, (8) sexual trauma, (9) witnessing trauma and (10) exposure to drugs and alcohol. These domains are assessed at four different age periods: birth to 6 years, 7 to 12, 13 to 18, and adulthood. Thus the TAQ provides invaluable information for guiding clinical inquiry and developmental formulations.

B. Modified PTSD Symptom Scale:

This scale is a 17-item questionnaire that asks patients to rate the frequency and intensity of symptoms in the past two weeks. Responses to the questions enable ratings of DSM-IV symptoms for PTSD, including (1) intrusions, (2) re-experiencing, (3) avoidance and numbing, and (4) increased arousal.

C. 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.

D. 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.

Scoring Software

Microsoft Excel Scoring & Database System (requires Excel 97 or above and Windows 95 or above). This user-friendly program substantially reduces scoring time for the Trauma Assessment Packet and enables users to maintain an ongoing client database that can be used to maintain intake evaluation data, track clinical change over the course of treatment, or facilitate research using these measures. (Note: This software must be used in combination with purchase of the Trauma Assessment Packet).

Purchasing Instruments

We accept checks, money order and also now accept PayPal©. 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:

Lauren Pepe
Research Assistant
The Trauma Center at JRI
1269 Beacon Street, 1st Floor
Brookline, MA 02446
Ph: (617) 232-1303 x 204

Product Pricing:

• Trauma Assessment Packet: $50.00 (plus Shipping and Handling)
• Scoring Software: $50.00 (plus Shipping and Handling)
• Packet & Scoring Software $90.00 (plus Shipping and Handling)

Shipping and Handling :

• $7.00 USPS standard (Includes the United States & Canada)
• $12.00 USPS Priority; $20.00 USPS Air International
• $40.00 USPS Global Express

To purchase products online use the "Add to Cart" buttons in the chart below.