Find Screening & Assessment Tools

Find a tool to:

Evaluate traumatic stress symptoms
Evaluate psychosocial support needs
Guide needs assessment and care planning
Evaluate pain in pediatric patients

Tools are marked to denote those appropriate for use in screening (S) and/or as part of a more in-depth assessment (A).

Evaluate traumatic stress symptoms

Acute Stress Checklist for Children (ASC-Kids) (S) (A)

Purpose & Description: Evaluate acute stress reactions in children or teens. Available as 29 item self-report checklist, and as 3- or 6-item brief screening version.

Language: English, Spanish

Who can administer: Any member of the healthcare team; Child can complete as self-report.

Time to administer: 1-2 mins (brief screen versions); 5-10 mins (full version)

References: Kassam-Adams, 2006; Kassam-Adams et al., 2013; Kassam-Adams et al., 2016

Get a copy of the measure.

Child Trauma Screening Questionnaire (CTSQ) (S)

Purpose & Description: 10 item screening tool. Helps identify recently injured children at higher risk for later PTSD.

Language: English

Who can administer: Any member of the healthcare team. Child can complete as self-report.

Time to administer: 2-3 mins

References: Kenardy et al., 2006.

Get a copy of the measure.

Child-Trauma-Screening-Questionnaire-information.pdf (120.61 KB)

For more information on the CTSQ, contact: Justin Kenardy, University of Queensland.

Acute Stress Disorder Scale (ASDS) (S)

Purpose & Description: Evaluate acute stress reactions in adults or older teens. 19 item self-report checklist.

Language: English

Who can administer: Any member of the healthcare team; Adult or teen can complete as self-report.

Time to administer: 5-10 mins

References: Bryant et al., 2000

Get a copy of the measure.

NOTE: CPTS has created an adapted version of the ASDS suitable for use with healthcare staff in the COVID19 pandemic.

Get a copy of the adapted ASDS measure.

ASDS adapted for COVID.pdf (121.46 KB)

Child Stress Disorders Checklist (CSDC) (A)

Purpose & Description: 35 item checklist completed by parent (or nurse). Assesses acute stress or PTSD symptoms in children or teens.

Language: English

Who can administer: Completed by parent or nurse about child.

Time to administer: 10 mins

References: Saxe et al. (2003). Child Stress Disorders Checklist: A measure of ASD and PTSD in children. Journal of the American Academy of Child & Adolescent Psychiatry, 42(8): 972-978.

Get a copy of the measure.

Child Stress Disorders Checklist (CSDC) Short Form (S)

Purpose & Description: 4 item subset of CSDC to be completed by parent (or physician / nurse). Assesses acute stress of PTSD symptoms in children or teens.

Language: English

Who can administer: Completed by parent or nurse about child.

Time to administer: 1-2 mins

References: Bosquet Enlow et al,. 2010.

Get a copy of the measure.

Child PTSD Symptom Scale (CPSS) for DSM5 (A)

Purpose & Description: 27-item self-report checklist. Assesses PTSD symptoms (and impairment) in children or teens.

Language: English

Who can administer: Child can complete as self-report, or can be administered as interview.

Time to administer: 5-10 mins

References: Foa et al., 2018.

Get information on the measure from: Edna B. Foa, Center for the Study and Treatment of Anxiety, University of Pennsylvania.

PTSD Checklist for DSM5 (PCL-5) (S) (A)

Purpose & Description: 20 item self-report checklist. Assesses PTSD symptoms in older teens and adults.

Language: English, Spanish

Who can administer: Any member of the healthcare team; Adult can complete as self-report.

Time to administer: 5-10 mins

References: Blevins et al., 2015.

Scale available from the National Center for PTSD.

Evaluate psychosocial support needs

Psychosocial Assessment Tool (PAT) (S) (A)

Purpose & Description: Comprehensive questionnaire assessing psychosocial risk in families of children newly diagnosed with cancer. Helps identify children and families who would benefit from targeted psychosocial intervention.

Language: English, Spanish

Who can administer: Any member of the healthcare team.

Time to administer: 10-15 mins

References: Kazak et al. 2018

Get information on the measure from: psychosocialassessmenttool@nemours.org

Hospital Emotional Support Form (A)

Purpose & Description:: Brief clinical assessment tool to aid parents in providing coping assistance to child

Language: English

Who can administer: Any member of the healthcare team.

Time to administer: 5-10 mins

References: N/A

Get a copy of the measure.

Guide needs assessment and care planning

D-E-F Nursing Assessment Form (A)

Purpose & Description: Not just for nurses! Brief checklist completed by physician, nurse or social worker. Needs assessment and care planning with hospitalized children. Organized according to the D-E-F framework to assess Distress, Emotional support needs, and Family needs / strengths.

Language: English

Who can administer: Nurses, or any healthcare or psychosocial care provider

Time to administer: 10-15 mins

References: N/A

Get a copy of the measure.

Medical Trauma Assessment and Action Form for Child Welfare Professionals (A)

Purpose & Description: Brief questionnaire assessing psychosocial risk and medical traumatic stress in families of children in the child welfare system.

Language: English

Who can administer: Any child welfare professional.

Time to administer: 10 mins

References: N/A

Get a copy of the measure.

Evaluate pain in pediatric patients

Faces Pain Scale- Revised (S)

Purpose & Description: Well-validated self-report scale for children or teens. Assesses pain (disease-related, procedural, surgical/trauma, treatment-related).

Language: English, French, and 31 additional languages

Who can administer: Any healthcare provider.

Time to administer: 1-2 min

References: Hicks et al., 2001.

Get a copy of the measure.

field_image

Pediatric Medical Traumatic Stress

Patient Education

Screening & Assessment

Intervention

Trauma-Informed Care

COVID-19

Resources