Getting the Picture: A Cartoon-Based Assessment Tool for Complex Trauma in Children

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Doctor of Social Work (DSW)
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complex trauma
child trauma
trauma assessment
pictorial instrument
Social Work
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Abstract

Objective: To develop a pictorial-based assessment tool, the Cameron Complex Trauma Interview (CCTI), evaluating trauma history and symptomatology in children ages 5 to 11. Method: 21 participating clinicians (Master’s level or higher) were asked to utilize the CCTI and the UCLA PTSD-RI with one client, ages 5-11, with known exposure to trauma, provide demographic information, scores, and complete the Clinical Utility and Feasibility Survey (CUFS) evaluating the CCTI. Descriptive statistics were performed on the CUFS survey results. In order to gather preliminary psychometric data: performed Cronbach’s alpha to determine internal consistency, and Pearson correlations to assess construct and convergent validity. Results: Part 1, Trauma History, was found to be minimally reliable (a=.632) while Part 2, Symptomatology, was found to be highly reliable (a=.931) . Part 1 of the CCTI and Part 1 of the UCLA PTSD-RI were positively and significantly correlated, r=.677, p.Survey data illustrated that while clinicians reported positive experiences using the CCTI, some struggled with Part 2 and did not elicit information from the child on several domains of impairment. Conclusions: Overall, clinicians experienced the CCTI as useful, comprehensive, developmentally and culturally appropriate, easy to use, and engaging. The results of psychometric analyses indicate that despite the small sample size, the CCTI shows preliminary signs of convergent validity and internal consistency. Issues related to Part 2 (items and response format) warrant revision. Directions for future research include employing a larger sample size and additional testing for reliability and validity.

Advisor
Phyllis Solomon
Julian Ford
Eliana Gil
Date of degree
2015-05-18
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For information on updated versions of the CCTI, or how to obtain a copy for personal/professional use, please e-mail Dr. Jennifer King at jak292@case.edu.
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