Neuropsychological assessment
Kevin Atkinson, Bella Baron, Shonda Green, Bonita Hill, Ruby Lee, Brian McCullough, & Jessica Williams
Psych/655
March 30, 2020
Professor Dina Francisco
Introduction
Bonita
The purpose of this presentation we will discuss the purpose and magnitude of this instrument for those that suffer with PTSD. Also, express strongly about the use and legal consideration for this instrument. Finally, we want to explain ethical use of this instrument. Should there be any concerns after this presentation our team will be glad to assist with any questions.
The purpose of this presentation to give the audience more detail information regarding clinician Administered on the PTSD Scale. The PTSD scale was established in 1989 for the U.S. Department of Veteran Affairs National Center for PTSD. The definition and analytic criteria of PTSD, that CAPS has been modified to the DSM-5 criteria,4 and has proved excellent psychometric properties when linked to its previous form. In other words, scholars have been improving a great deal of knowledge regarding individual who suffers from PTSD. Research found that post-traumatic stress disorder (PTSD) have been challenging in academic and clinical study. PTSD play a major part that relate to individual that suffer with this illness for example, death, traumatic event, witness a death, and sexual event. Ehlersand Clark’s cognitive model of PTSD 3,4 advanced the negative interpretations of the traumatic memory outcomes in heightened level of stress. In other words when a person rumination about certain tragedies their level of stress becoming more stressful.
2
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Purpose of the caps-5 (bella)
Trauma
PTSD
CAPS-5
U.S. Department of Veteran Affairs
https://www.google.com/imgres?imgurl=https%3A%2F%2Fwww.va.gov%2Fimg%2Fdesign%2Flogo%2Fva-og-twitter-image.png&imgrefurl=https%3A%2F%2Fwww.va.gov%2F&tbnid=LAWc9vWdLRtpdM&vet=12ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ..i&docid=qqLiDhLo7LS38M&w=1200&h=1200&q=us%20department%20of%20veterans%20affairs&client=safari&ved=2ahUKEwj-iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ
Trauma, in psychology, refers to a a wide range of intensifying stressful situations where an individual is exposed to increased levels of danger and fear where the intensity of the fear exceeds a normal capacity to cope (Fairbank, Ebert, & Caddel, 2004). These stressful situations are so intense that they cause increased symptoms of distress, because these experiences are outside of the range of normal human experience (Fairbank, Ebert & Caddel, 2004). Some examples of these uncommon, yet catastrophic events include, but is not limited to, war, sexual assault/rape, natural disasters, and torture. Evidence based practice requires careful assessment. While an initial assessment assist with treatment options, periodic assessments throughout care ca ...
1. Neuropsychological assessment
Kevin Atkinson, Bella Baron, Shonda Green, Bonita Hill, Ruby
Lee, Brian McCullough, & Jessica Williams
Psych/655
March 30, 2020
Professor Dina Francisco
Introduction
Bonita
The purpose of this presentation we will discuss the purpose
and magnitude of this instrument for those that suffer with
PTSD. Also, express strongly about the use and legal
consideration for this instrument. Finally, we want to explain
ethical use of this instrument. Should there be any concerns
after this presentation our team will be glad to assist with any
questions.
The purpose of this presentation to give the audience more
detail information regarding clinician Administered on the
PTSD Scale. The PTSD scale was established in 1989 for the
U.S. Department of Veteran Affairs National Center for PTSD.
The definition and analytic criteria of PTSD, that CAPS has
been modified to the DSM-5 criteria,4 and has proved excellent
psychometric properties when linked to its previous form. In
2. other words, scholars have been improving a great deal of
knowledge regarding individual who suffers from PTSD.
Research found that post-traumatic stress disorder (PTSD) have
been challenging in academic and clinical study. PTSD play a
major part that relate to individual that suffer with this illness
for example, death, traumatic event, witness a death, and sexual
event. Ehlersand Clark’s cognitive model of PTSD 3,4 advanced
the negative interpretations of the traumatic memory outcomes
in heightened level of stress. In other words when a person
rumination about certain tragedies their level of stress becoming
more stressful.
2
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Clinician-Administered PTSD scale
for dsm-5 (caps-5)
(kevin)
Purpose of the caps-5 (bella)
Trauma
PTSD
CAPS-5
U.S. Department of Veteran Affairs
https://www.google.com/imgres?imgurl=https%3A%2F%2Fww
3. w.va.gov%2Fimg%2Fdesign%2Flogo%2Fva-og-twitter-
image.png&imgrefurl=https%3A%2F%2Fwww.va.gov%2F&tbni
d=LAWc9vWdLRtpdM&vet=12ahUKEwj-
iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ..i&docid=
qqLiDhLo7LS38M&w=1200&h=1200&q=us%20department%20
of%20veterans%20affairs&client=safari&ved=2ahUKEwj-
iNrl8rvoAhWGVjABHSpuD3gQMygCegUIARD7AQ
Trauma, in psychology, refers to a a wide range of intensifying
stressful situations where an individual is exposed to increased
levels of danger and fear where the intensity of the fear exceeds
a normal capacity to cope (Fairbank, Ebert, & Caddel, 2004).
These stressful situations are so intense that they cause
increased symptoms of distress, because these experiences are
outside of the range of normal human experience (Fairbank,
Ebert & Caddel, 2004). Some examples of these uncommon, yet
catastrophic events include, but is not limited to, war, sexual
assault/rape, natural disasters, and torture. Evidence based
practice requires careful assessment. While an initial
assessment assist with treatment options, periodic assessments
throughout care can enhance treatment options and tract
progress (“American Psychological Association”, 2020). The
Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) was
developed by the U.S. Department of Veteran Affairs National
Center for PTSD (“American Psychological Association”,
2020). This tool is utilized to make diagnoses, determine
lifetime diagnoses, and/or assess PTSD (posttraumatic stress
disorder) symptoms (“American Psychological Association”,
2020). CAPS-5 is “extensively validated and [a] widely used
structured diagnostic interview” that is used on populations who
have been traumatized; such as war veterans and sexual assault
survivors (Weathers et al., 2018, p. 383; O’Donohue &
Levensky, 2003). This tool is primarily utilized on war
veterans, although further analysis allows for generalizability to
other populations (O’Donohue & Levensky, 2003).
4. 5
Purpose of the caps-5 (bella)
PTSD magnitude stressor
17 DSM
Comorbid disorder
Clinically significant symptoms
Reliability and validity
https://www.google.com/imgres?imgurl=https%3A%2F%2Fww
w.psychiatry.org%2FImage%2520Library%2FGlobal%2520Navi
gation%2FPsychiatrists%2FPractice%2FDSM%2FDSM-
Hero.jpg&imgrefurl=https%3A%2F%2Fwww.psychiatry.org%2F
psychiatrists%2Fpractice%2Fdsm&tbnid=0NZjnNRYowbFFM&
vet=12ahUKEwiogq6L87voAhVltTEKHXyYAIcQMygEegUIAR
D5Ag..i&docid=O8YY__X4ieheKM&w=703&h=384&q=dsm%2
05&client=safari&ved=2ahUKEwiogq6L87voAhVltTEKHXyYA
IcQMygEegUIARD5Ag
While the questions in the CAPS-5 do not elicit information
about the traumatic event, “it presumes the presence of a PTSD
magnitude stressor” (O’Donohue & Levensky, 2003, para. 4).
The purpose of the CAPS-5 is to assess the presence and
intensity of PTSD over the past two weeks (Weathers et al.,
2018; O’Donohue & Levensky, 2003). The items found in the
assessment corresponds to the 17 DSM symptom criteria for
PTSD (O’Donohue & Levensky, 2003). Assessments such as the
CAPS-5 allow clinicians to identify the signs and symptoms of
PTSD, as well as assist in identifying comorbid disorder; “to
determine factors that that have contributed to the development
of the disorder;” to identify those factors that contribute to the
symptoms; “to gain understanding of an individual’s functional
status; and to establish a baseline against which to gauge
treatment gains” (Fairbank, Ebert, & Caddell, 2004,
5. Assessment). The CAPS-5 allows practitioners to make an
educated determination of a diagnoses. Thus, the gathered data
indicates whether there is a presence of “clinically significant
symptoms of” PTSD (Fairbank, Ebert, & Caddell, 2004,
Assessment). Finally, the CAPS-5 improves diagnostic
reliability and validity (Fairbank, Ebert, & Caddell, 2004).
6
Use of the caps-5
(ruby)
Use of the caps-5
(ruby)
Legal considerations
(Shonda)
Legal considerations
(Shonda)
6. Retraumatizing Patient
Interpreting Data and Results
Design and Constructed for Veterans
Ethical consideration
(brian)
There are ethical concerns when treating patients who are
diagnosed with Post Traumatic Stress Disorder. One of these
considerations is how to create a treatment plan that will benefit
the patient without retraumatizing them. The Clinician-
Administered PTSD Scale is an in-person administered
assessment, where ethical concerns arise as the patient may
have to relive their traumatic experiences in order to complete
the assessment, which may contribute to memories of these
experiences returning to the patient and causing further trauma.
There is also the factor of some researchers interpreting data
and results from the tests scores and taking advantage of
subjects for their own professional career advancement. There
are instances where the interviewer may not think the research
is important or have a rapport with the patient and this can
cause ethical concerns as the patient does not receive adequate
care. It is important for researchers and psychologists to
maintain ethical interest with their patients and be certain they
are providing treatment and care that best benefits each
individual. Another area of ethical concern is The Clinician-
Administered PTSD Scale was designed and constructed by
utilizing data and information from military veterans and
although it is used with other populations, there is certainly
differences between symptoms and trauma between the two
populations, as the veterans have experienced traumatic events
from war and death. “The Clinician-Administered PTSD Scale
(CAPS) is one of the most frequently used measures of
posttraumatic stress disorder (PTSD). It has been shown to be a
reliable and valid measure, although its psychometric properties
7. in nonveteran populations are not well known” (Foa &Tilin,
2000, p.181).
11
Medications
Informed Consent
Confedientially
Ethical consideration
(brian)
Initial assessment plays an important role and is essential part
of determining possible treatment options for those who suffer
from Post-Traumatic Stress Disorder. The Clinician-
Administered PTSD Scale assists mental health professionals
diagnose patients and at times these patients can be referred to a
medical professional and prescribed medications as part of their
treatment plan. These medications usually have side effects and
can also be dangerous if they interact with other medications,
along with drug or alcohol abuse. Other ethical considerations
when administering the Clinician-Administered PTSD Scale
would be informed consent and being certain the patient
understands their rights and how informed consent could affect
them. The person administering the test must also be aware of
their own personal feelings and attitude towards a patient if
they are a veteran of war, such as the administrator of the test
having person problems or issues with exposure to a war that
the veteran might have been a part of, as this could certainly
8. distort the results and outcome of the test. Confidentiality is
another concern as the patient may not wish for other people,
including their family, of the results of the test. It is vital to the
patient’s well-being and success for the person administering
the test to follow ethical guidelines, such as those found in the
American Psychological Association, as a means to provide
treatment and care for those individuals who suffer from PTSD.
12
Conclusion
(Jessica)
references
American Psychological Association(2020). Retrieved from
https://www.apa.org/ptsd-guideline/assessment/index
Claycomb, M. A., Wang, L., Sharp, C., Ractliffe, K. C., &
Elhai, J. D. (2015). Assessing Relations between PTSD’s
Dysphoria and Reexperiencing Factors and Dimensions of
Rumination. PLoS ONE, 10(3), 1–13.
https://doi.org/10.1371/journal.pone.0118435
liveira-Watanabe, T. T., Ramos-Lima, L. F., Santos, R. C.,
Mello, M. F., & Mello, A. F. (2019). The Clinician-
Administered PTSD Scale (CAPS-5): adaptation to Brazilian
Portuguese. Revista Brasileira De Psiquiatria (Sao Paulo,
Brazil: 1999), 41(1), 92–93. https://doi.org/10.1590/1516-4446-
2018-0136
Fairbank, J. A., Ebert, L., & Caddell, J. M. (2004).
Posttraumatic stress disorder. In P. B. Sutker, & H. E. Adams
(Eds.), Comprehensive handbook of psychopathology (3rd ed.).
Springer Science+Business Media. Credo Reference:
https://go.openathens.net/redirector/phoenix.edu?url=https%3A
%2F%2Fsearch.credoreference.com%2Fcontent%2Fentry%2Fspr
9. hp%2Fposttraumatic_stress_disorder%2F0%3FinstitutionId%3D
198
Foa, E. B., & Tolin, D. F. (2000). Comparison of the PTSD
Symptom Scale–Interview Version and the Clinician-
Administered PTSD Scale. Journal of Traumatic Stress, 13(2),
181. https://doi.org/10.1023/A:1007781909213
Structured clinical interviews. (2003). In W. T. O'Donohue, &
E. Levensky (Eds.), Handbook of forensic psychology: resource
for mental health and legal professionals. Elsevier Science &
Technology. Credo Reference:
https://go.openathens.net/redirector/phoenix.edu?url=https%3A
%2F%2Fsearch.credoreference.com%2Fcontent%2Fentry%2Fest
forensic%2Fstructured_clinical_interviews%2F0%3FinstitutionI
d%3D198
Weathers, F. W., Bovin, M. J., Lee, D. J., Sloan, D. M.,
Schnurr, P. P., Kaloupek, D. G., Keane, T. M., & Marx, B.
P. (2018). The Clinician-Administered PTSD Scale for DSM–5
(CAPS-5): Development and initial psychometric evaluation in
military veterans. Psychological Assessment, 30(3), 383–
395. https://doi.org/10.1037/pas0000486
Images on slide 11 and 12 retrieved from
https://www.bing.com/images/search?q=Ethical+Dilemma+Clip
+Art&FORM=RESTAB
.MsftOfcThm_Accent1_Fill {
fill:#274FA4;
}
.MsftOfcThm_Accent1_Stroke {
stroke:#274FA4;
}