Evaluation Instrument Details (continued) Instrument How and citation many Domain items Sample item(s) Instructions, scoring Permissions Respondents are given several examples of possible traumatic events and asked if they have experienced this kind of event. Primary Care If yes, in the past month, have you: No special PTSD Screen Traumatic 5 permissions Had nightmares about the event(s) or (PC-PTSD-5) experience required. thought about the event(s) when you did (Prins et al.) not want to? Been constantly on guard, watchful, or easily startled? In the past month, how much were you bothered by: PTSD Repeated, disturbing, and unwanted Checklist for No special Traumatic memories of the stressful experience? DSM-5 20 permissions experience Repeated, disturbing dreams of the required. stressful experience? () Avoiding memories, thoughts, or feelings related to the stressful experience? (continued) Evaluation Instrument Details (continued) Instrument How and citation many Domain links items Sample item(s) Instructions, scoring Permissions Care Needs disturbances (waking you or other Administration and Use this citation.1 No Assessment family members up at night). scoring instructions 23 other permissions Tool Needs Resists bathing or showering. are included on the required. Insists on driving. instrument. ()
Evaluation Instrument Details (continued) Domain Instrument and citation How many items Sample item(s) Instructions, scoring Permissions Traumatic experience Primary Care PTSD Screen (PC-PTSD-5) (Prins et al.) 5 Respondents are given several examples of possible traumatic events and asked if they have experienced this kind of event. If yes, in the past month, have you: Had nightmares about the event(s) or thought about the event(s) when you did not want to? Been constantly on guard, watchful, or easily startled? No special permissions required. Traumatic experience PTSD Checklist for DSM-5 () 20 In the past month, how much were you bothered by: Repeated, disturbing, and unwanted memories of the stressful experience? Repeated, disturbing dreams of the stressful experience? Avoiding memories, thoughts, or feelings related to the stressful experience? No special permissions required. (continued) Evaluation Instrument Details (continued) Domain Instrument and citation links How many items Sample item(s) Instructions, scoring Permissions Needs Care Needs Assessment Tool () 23 disturbances (waking you or other family members up at night). Resists bathing or showering. Insists on driving. Administration and scoring instructions are included on the instrument. Use this citation.1 No other permissions required.
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