Els van Meijel

28 Chapter 2 | Evaluation of the STEPP & Lindauer, 2009). The ADIS-C/P is a commonly used diagnostic, semi-structured interview for the assessment of anxiety disorders – including PTSD – and mood and behavioral disorders in children aged 7-17 years. The ADIS-C/P has previously been reported to have good to excellent results regarding test-retest reliability for specific diagnoses (κ = 0.61-1.00) and inter-rater reliability (κ = 0.65-1.0) (Lyneham, Abbott, Figure 2.1 Screening Tool for Early Predictors of PTSD (STEPP) Ask Parent: Yes No 1. Did you see the incident (accident) in which your child got hurt? 1 0 2. Were you with your child in an ambulance or helicopter on the way to the hospital? 1 0 3. When your child was hurt (or when you first heard it had happened), did you feel really helpless, like you wanted to make it stop happening, but you couldn’t? 1 0 4. Does your child have any behavior problems or problems paying attention? 1 0 Ask Child: Yes No 5. Was anyone else hurt or killed (when you got hurt)? 1 0 6. Was there a time when you didn’t know where your parents were? 1 0 7. When you got hurt, or right afterwards, did you feel really afraid? 1 0 8. When you got hurt, or right afterwards, did you think you might die? 1 0 Record From Medical Record (Do Not Ask Child or Parent): Yes No 9. Suspected extremity fracture? 1 0 10. Was pulse rate at emergency department triage >104/min if child is under 12 years or >97/min if child is 12 years or older? 1 0 11. Is child 12 years or older? 1 0 12. Is this a girl? 1 0 Add Total for Each Column: Positive Child Screen ³ 4 Positive Parent Screen ³ 3 PTSD indicates posttraumatic stress disorder. Instructions for completion: Ask questions 1 through 4 of the parent and questions 5 through 8 of the child, and record answers to questions 9 through 12 from the acute care medical record. Circle 1 for yes and 0 for no. Instructions for scoring: The child STEPP score is the sum of responses to questions 4 through 10 and 12. A child score of 4 or higher indicates a positive screen. The parent STEPP score is the sum of responses to questions 1 through 4, 9, and 11. A parent score of 3 or higher indi- cates a positive screen. ©2003, The Children’s Hospital of Philadelphia.