CPP Child Assessment Guide (v. 9/2020) Please select one from each domain for the foundational phase Child Trauma History Child Developmental Functioning ❑ ✭​♪​Traumatic Events Screening Inventory ❑ ♪A​ ges and Stages Questionnaire (​ASQ​) Parent Report Revised (​TESI-PRR​); in CPP ❑ Clinical interview and observation Toolkit ❑ ❑ Other comprehensive tool: Other: (e.g. Bayley Scales of Infant and Specify: Toddler Development, Mullen Scales of Learning, WPPSI) Specify: Child Trauma Symptoms Child General Symptoms ❑ ✭♪​CPP Symptom Screener​ not yet ❑ ✭​♪C​ PP Symptom Screener​ not yet psychometrically validated; CPP website psychometrically validated; CPP website ❑ ✭​♪E​ arly Childhood Screening Assessment ❑ ♪T​ rauma Symptom Checklist for Young (​ECSA​); ages 16-60 months) Children (​TSCYC​; age 3-12) ❑ ✭​♪S​ trengths and Difficulties Questionnaire (​SDQ​; ages 2-4 and 4-10 yrs) ❑ ✭​Young Child PTSD Checklist (​YCPC​) ages ❑ ✭♪S​ urvey of Well-Being in Young Children 1-6 years: (​SWYC​; 2-60 months) ❑ ✭​Child and Adolescent Needs and Strength ❑ ✭​P​osttraumatic Stress Reactions in ​I​nfancy (​CANS​) and ​E​arly Childhood (​PIE​);​ ​ages 0-6; not yet ❑ ✭​♪I​ nfant Toddler Social Emotional psychometrically validated; in CPP Toolkit Assessment (​ITSEA​; 12-36 months) ❑ ♪D​ evereaux Early Childhood Assessments ❑ Clinical Interview (​DECA​; 1-36 months) ❑ ♪B​ ehavior Assessment Scale for Children 3 ❑ Other (​BASC-3​; age 2-5 & 6-11 yrs.) Specify: ❑ ♪C​ hild Behavior Checklist 1 ½-5 (​CBCL​) ❑ ♪E​ yberg Child Behavior Inventory (​ECBI​; 2-16 yrs.) ❑ Clinical interview ❑ Other symptom measure Specify: Note: For research also could use ​DIPA​ or ​PAPA Many of the instruments that are free can be found in the CPP toolkit: ​https://tinyurl.com/CPPResources ✭Indicates measure is available free of charge ♪ Indicates available in Spanish and links to measure if Spanish version not available from main link CPP Caregiver Assessment Guide (v. 9/2020) Please select one from each domain for the foundational phase Caregiver Trauma History Relationship Assessment ❑ ✭​♪L​ ife Stressors Checklist-Revised (​LSC-R​); ❑ ✭​Zero to Three:​ ​DC:0–5™ Resources in CPP Toolkit ❑ Dimensions of Caregiving (DC 0-5) Axis ❑ Other comprehensive tool II Relational Context, Table 1 Specify: ❑ Infant’s/Young Child’s Contributions to the Relationship (DC 0-5 Axis II Relational Context, Table 2 Caregiver Trauma Symptoms ❑ Dimensions of the Caregiving ❑ PTSD Diagnostic Scale for DSM-5 (PDS-5) Environment (DC 0-5 Axis II Relational Context, Table 3 ❑ PTSD Symptom Scale (PSS-I) in CPP toolkit (but linked to DSM-IV not DSM-V) ❑ ✭​What to Look for in Relationships​ (Osofsky, Hansel, Graham, & Kronenberg, 2018) ❑ Clinical Interview ❑ Parenting Stress Index-short form (PSI-SF) ❑ Other instrument Specify: ❑ Other tool or observational procedure Specify: Caregiver General Symptoms Additional Optional Tools ❏ ✭♪C​ enter for Epidemiologic Studies of ❏ ✭​♪ ​ Angels in the Nursery Interview ​ Depression Scale (​CESD-R​; ​scoring​) ❏ ✭♪G​ eneralized Anxiety Disorder 7-item (​GAD-7​) Scale ❏ ✭♪S​ trengths and Difficulties Scale (​SDQ​-Adult) ❏ Clinical Interview ❏ Other instrument Specify ✭Indicates measure is available free of charge ♪ Indicates available in Spanish and links to measure if Spanish version not available from main link .