To learn about giving a CAPS-5 assessment, which supports administration of a CAPS-CA-5, see our Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) Training Curriculum.

3. Severe / markedly elevated:The respondent described a problem that is above threshold. The problem is difficult to manage and at times overwhelming, and would be a prominent target for intervention. This rating requires a minimum frequency of 2 x week or much of the time (50-60%) PLUS a minimum intensity of Pronounced.

How did these upsetting thoughts, pictures or sounds of what happened come into your mind?[If not clear]: Do these unwanted thoughts, pictures or sounds just pop into your head, or do you think about what happened on purpose?

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Detailed scoring information is included with the CAPS-CA-5 and should be reviewed carefully before administering. Briefly, the assessor combines information about frequency and intensity of an item into a single severity rating. CAPS-CA-5 total symptom severity score is calculated by summing severity scores for the 20 DSM-5 PTSD symptoms. Similarly, CAPS-CA-5 symptom cluster severity scores are calculated by summing the individual item severity scores for symptoms corresponding to a given DSM-5 cluster: Criterion B (items 1-5); Criterion C (items 6-7); Criterion D (items 8-14); and, Criterion E (items 15-20). A symptom cluster score may also be calculated for dissociation by summing items 29 and 30. PTSD diagnostic status is determined by first dichotomizing each symptom as "present" or "absent," then following the DSM-5 diagnostic rule. A symptom is considered present only if the corresponding item severity score is rated 2 ("moderate/threshold") or higher. The DSM-5 PTSD diagnostic rule requires:

Ohan, J. L., Myers, K., & Collett, B. R. (2002). Ten-year review of rating scales. IV: Scales assessing trauma and its effects. Journal of the American Academy of Child & Adolescent Psychiatry, 41: 1401-1422 https://doi.org/10.1097/00004583-200212000-00012

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Measure availability: We provide information on a variety of measures assessing trauma and PTSD. These measures are intended for use by qualified mental health professionals and researchers. Measures authored by National Center staff are available as direct downloads or by request. Measures developed outside of the National Center can be requested via contact information available on the information page for the specific measure.

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1. Mild / subthreshold: The respondent described a problem that is consistent with the symptom criterion but isn't severe enough to be considered clinically significant. The problem doesn't satisfy the DSM-5 symptom criterion and thus doesn't count toward a PTSD diagnosis.

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This measure was created in collaboration with staff at VA's National Center for PTSD. To obtain this scale complete the online request form. If you have questions, please email asteinberg@reactionindex.com

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VA Providers and Staff can find information on how to download this instrument on the National Center for PTSD Intranet website in the Assessment section.

In the past month, have you had upsetting thoughts, pictures or sounds of what happened come into your mind when you didn't want them to? Did this happen while you were awake, so not counting dreams?

Pynoos, R. S., Weathers, F. W., Steinberg, A. M., Marx, B. P., Layne, C. M., Kaloupek, D. G., Schnurr, P. P., Keane, T. M., Blake, D. D., Newman, E., Nader, K. O., & Kriegler, J. A. (2015). Clinician-Administered PTSD Scale for DSM-5 - Child/Adolescent Version. [Assessment] Available from the National Center for PTSD at www.ptsd.va.gov.

Nader, K. O. (2004). Assessing traumatic experiences in children and adolescents: Self-reports of DSM PTSD Criteria B-D symptoms. In J. Wilson & T. Keane (Eds.), Assessing psychological trauma and PTSD, 2nd ed. (pp. 513-537). Guilford Press.

The CAPS-CA-5 is a 30-item clinician-administered PTSD scale based upon DSM-5 criteria for children and adolescents ages 7 and above. It is a modified version of the CAPS-5 that includes age appropriate items and picture response options. Recommended trauma history measures are noted to assist with identifying an index traumatic event.

4. Extreme / incapacitating: The respondent described a dramatic symptom, far above threshold. The problem is pervasive, unmanageable, and overwhelming, and would be a high-priority target for intervention.

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The CAPS-CA-5 was designed to be administered by clinicians and clinical researchers who have a working knowledge of PTSD but can also be administered by appropriately trained paraprofessionals.

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2. Moderate / threshold:The respondent described a clinically significant problem. The problem satisfies the DSM-5 symptom criterion and thus counts toward a PTSD diagnosis. The problem would be a target for intervention. This rating requires a minimum frequency of 2 x month or some of the time (20-30%) PLUS a minimum intensity of Clearly Present.

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Nader, K., Kriegler, J.A., Blake, D.D., Pynoos, R.S., Newman, E., & Weathers, F.W. (1996). Clinician-Administered PTSD Scale, Child and Adolescent Version. [Assessment] Department of Veterans Affairs National Center for PTSD

Similar to the CAPS-5, the CAPS-CA-5 assesses the 20 DSM-5 PTSD symptoms. For each symptom, standardized questions and probes are provided. In addition, questions target the onset and duration of symptoms, subjective distress, impact of symptoms on social functioning, impairment in development, overall response validity, overall PTSD severity, improvement in symptoms since a previous CAPS administration, and specifications for the dissociative subtype (depersonalization and derealization).

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