PTAN STANDARDS FOR PSYCHOMETRIC TRAUMA ASSESSMENT


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STANDARD 1:
Any single psychometric instrument is not sufficient to establish a clinical diagnosis with an acceptable degree of clinical certainty.

STANDARD 2:
Formulation of a clinical diagnosis for trauma patients should be supported by a battery of standardized psychometric instruments with a high degree of intra- and inter-correlational validity.

STANDARD 3:
Psychometric instruments used for the diagnostic assessment of trauma patients should be clinically recognized and standardized psychometric instruments.

STANDARD 4:
Each component of a psychometric battery used in the assessment of a trauma patient, should be supported by a sufficient amount of corroborative evidence in scientific literature that such instrument was developed, validated, and standardized according to established scientific principles.

STANDARD 5:
Selected psychometric instruments should be supported by scientific research with an acceptable degree of frequency.

STANDARD 6:
All psychometric instruments utilized should have their diagnostic validity established through the assessment of a sufficiently large patient population with similar clinical, gender, age, cultural, ethnic, and other pertinent characteristics.

STANDARD 7:
Selection of psychometric instruments should include those which provide for temporal contiguity of assessment.

STANDARD 8:
Temporal focus of trauma assessment should include the evaluation of the degree of a patient's functionality during both pre- and post-trauma periods.

STANDARD 9:
Psychometric instruments for assessment of PTSD should measure the degree of compliance with DSM-IV diagnostic criteria B, C, D, and F.

STANDARD 10:
Psychometric instruments for trauma assessment should not be limited to either/or diagnostic judgments.

STANDARD 11:
Psychometric instruments for trauma assessment should be diagnostically sensitive to a patient's psychophysiological constitutional vulnerabilities to traumatization.

STANDARD 12:
Psychometric instruments for trauma assessment should be diagnostically sensitive to a patient's psychophysiological constitutional vulnerabilities to retraumatization.

STANDARD 13:
Psychometric instruments for trauma assessment should be diagnostically sensitive to a patient's gender, sociocultural, political and economic vulnerabilities to traumatization.

STANDARD 14:
Psychometric instruments for trauma assessment should be diagnostically sensitive to a patient's gender, sociocultural, political and economic vulnerabilities to retraumatization.

STANDARD 15:
Comprehensive trauma assessment should take into consideration issues related to substance abuse such as:
  • - drug-specific morbidity;

  • - codependence;

  • - lack of rehabilitative certainty;

  • - need for multimodal therapeutic milieu;

  • - potential for and frequency of relapse;

  • - frequency of vulnerability to traumatization and retraumatization inherent in behavioral patterns of drug and alcohol addiction.


  • STANDARD 16:
    Psychometric instruments for trauma assessment should be diagnostically sensitive to trauma disorders not precipitated by specific stressors.

    STANDARD 17:
    Psychometric instruments for trauma assessment should be diagnostically sensitive to trauma disorders precipitated by recurrent stressors.

    STANDARD 18:
    Psychometric instruments for trauma assessment should be diagnostically sensitive to trauma disorders precipitated by concurrent stressors.

    STANDARD 19:
    Psychometric instruments for trauma assessment should be diagnostically sensitive to potential for relapse without recurrent stressors.

    STANDARD 20:
    Psychometric instruments for trauma assessment should include the assessment of psychiatric comorbidity.

    STANDARD 21:
    Psychometric instruments for trauma assessment should include the assessment of physiologic comorbidity.

    STANDARD 22:
    Selection of psychometric instruments for trauma assessment should encompass complexities inherent in the assessment and diagnosis of somatoform disorders.

    STANDARD 23:
    Psychometric instruments for trauma assessment should include the assessment of any clinical impairments such as:
  • - critical impairments,

  • - impairments related to substance use/abuse,

  • - social/interpersonal impairments, and

  • - impairments of a potential for future achievements;


  • STANDARD 24:
    Psychometric instruments for trauma assessment should include the assessment of any impairments of rehabilitative potential.

    STANDARD 25:
    Psychometric instruments for trauma assessment should include the assessment of relapse potential.

    STANDARD 26:
    Psychometric instruments for trauma assessment should include the assessment of a patient's self-efficacy, role, and responsibility in the rehabilitative process.

    STANDARD 27:
    Selection of psychometric instruments for trauma assessment should be free of biases in favor of specific diagnoses.

    STANDARD 28:
    Selection of psychometric instruments for trauma assessment should be free of biases against specific diagnoses.

    STANDARD 29:
    Psychometric instruments for trauma assessment should evaluate symptom-event coincidence.

    STANDARD 30:
    Psychometric instruments for trauma assessment should be capable of identifying the potential for malingering.

    STANDARD 31:
    Psychometric instruments for trauma assessment should be capable of distinguishing between malingering and self-deception.

    STANDARD 32:
    Psychometric instruments for trauma assessment should be capable of identifying primary gains.

    STANDARD 33:
    Psychometric instruments for trauma assessment should be capable of identifying secondary gains.

    STANDARD 34:
    Psychometric instruments for trauma assessment should be capable of identifying tertiary gains.

    STANDARD 35:
    Psychometric instruments for trauma assessment should address the role and impact of litigation upon the patient's rehabilitative process.

    STANDARD 36:
    Psychometric instruments for trauma assessment should address chronicity of symptoms after compensation settlement.