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Overview of ADC Forms
List of Available TCU ADC Forms
     Sets of TCU ADC Forms on this page:
     Client Health and Social Risk Forms
     Client Drug Use and Crime Risk Forms
     Client Functioning and Treatment (CEST) Forms
ADC System Purchase
ADC Forms Purchase
 Scoring and User Manuals

Please note:  The forms offered for downloading on this page are samples of the TCU Automated Data Capture (ADC) Forms that can be copied and used for direct administration with hand scoring (see Forms Permissions).   Pre-printed forms for scanning applications are available in low-cost bulk purchase options.  Please see “Purchase of Forms” below for more details.

Overview of ADC Forms

Automated data capture techniques have growing importance for clinical applications of tools used to assess client needs and functioning to determine appropriate services.  Without this type of information being available in a timely and user-friendly form, frontline clinicians are not optimally positioned to plan and deliver services that meet “evidence-based” criteria.  Several optical reader or on-line internet applications for TCU assessment forms have been considered in recent years, but many require technical and financial resources beyond the practical reach of our treatment-provider collaborators. Security-related restrictions (such as using offender internet-based assessments in correctional settings) also present unique challenges. 

Practical requirements for ADC applications call for (1) flexible options in choosing a set of efficient and effective forms that meet practical clinical needs, (2) affordable equipment for reading and scoring data, (3) low cost and easy access to obtaining forms, and (4) on-site provision of rapid and user-friendly feedback for making time-sensitive clinical applications. Scantron© has a history of educational and related applications using a wide range of equipment and software supports which offer potential solutions.  By adding customized Microsoft Excel©-based scoring and feedback templates, we have developed a feasible and low-cost “turn-key” system that meets these requirements.

Single-page client assessments appear to be optimal for these applications, so selected TCU Forms are being reformatted and new ones developed.  These “TCU ADC Forms” are described below, along with scoring and software user manuals.  The forms offered as downloads on this page are samples.  However, like the larger inventory of other TCU Forms available from our Website, these can be downloaded and used without cost in non-profit applications for direct administration and hand scoring (see Permissions).

For automated data capture using the TCU ADC Forms, an ADC hardware/software system can be purchased from Scantron©, and low-cost bulk purchase options are available for administration copies of the forms.   (Note: No financial interests or rewards accrue to TCU in relation to purchases of ADC systems from Scantron© or from sales of TCU ADC Forms.)

List of Available TCU ADC Forms

Several of our most popular TCU Forms have been adapted for use in single-page optical scanning applications.  These have been “reconfigured” by reorganizing items into separate sub-domains.  A few scales found in previous research to have marginal applications have been eliminated, and replacement items have been added to some forms (e.g., a Social Desirability response scale).  New TCU ADC Forms also have been developed in response to the needs of our field collaborators and on-going research.  In most cases, these represent abbreviations or subsections being adapted from previously studied TCU assessments.

The result is a more streamlined, focused, and flexible series of one-page forms, enhanced with an automated scoring and feedback protocol for making normative clinical interpretations of results.  Preliminary evidence on the psychometrics of these “modified” single-page assessment formats indicates they are psychometrically sound and consistent with earlier “original” aggregated versions of the forms, but further research is still in progress.   Each ADC Form also carries an abbreviated citation to its main publication source. (For technical questions or assistance concerning these forms, contact IBR Help.)

Optional Formats are available for these assessments, designed to serve users with different levels of optical scanning and automated scoring technology.  The simplest alternative is to download PDF versions from the links below, print copies of single-page forms of interest on legal-size pages, and use them for direct administration and scoring by hand (as specified in the scoring guides).  This also is a reasonable “first step” for new users who want to become better acquainted with applications and potential benefits of these assessments.

Sets of TCU ADC Forms on this page:  
Client Health and Social Risk Forms
Client Drug Use and Crime Risk Forms
Client Functioning and Treatment Engagement (CEST) Forms

Client Health and Social Risk Forms

These forms have roots in treatment preadmission assessments such as the TCU Intake (see Joe, Simpson, Greener, & Rowan-Szal, 2004).  They include parallel versions of “adult” and “youth” forms for collecting socio-demographic information along with risk indicators based on key social functioning (family, friends, education) information.  Forms focused on physical/mental health functioning as well as a PTSD-based evaluation of trauma symptoms and infectious disease risks (HIV and hepatitis) round out this subgroup of background assessments.  (Note that limitations apply to the extent that pretreatment reference periods—or pre-incarceration periods for correctional system inmates—are poorly defined or temporally remote).

Global Risk Assessment (TCU RSKForm) documents age, gender, race/ethnicity, education, employment, family involvement, living arrangements, and a broad checklist of background problems.
   
Adult version (TCU A-RSKForm)
[Adult ID & Background Risks]
 (PDF; 13KB / 1 page)
Scoring Guide for TCU A-RSKForm
  (Available soon)

Youth version (TCU Y-RSKForm)
[Youth ID & Background Risks]
 (PDF; 29KB / 1 page)
Scoring Guide for TCU Y-RSKForm
  (Available soon) 

  
Family and Friends Assessment (TCU FMFRForm) address conflict, warmth, and conflict in family relationships, and with respect to friends (or peers), they focus on types of mutual activities and levels of involvement.
   
Adult version (TCU A-FMFRForm)
[Adult Family & Friends]
 (PDF; 21KB / 1 page)
Scoring Guide for TCU A-FMFRForm
  (Available soon)

Youth version (TCU Y-FMFRForm)
[Youth Family & Friends]
a revision of the TCU Family, Friends, and Self Form for youth (see Simpson & McBride, 1992)
 (PDF; 23KB / 1 page)
Scoring Guide for TCU Y-FMFRForm
  (Available soon) 

 
Physical and Mental Health Status Screen (TCU HLTHForm) contains 11 items about types of physical disease or health problems experienced in the past year, and 10 items on symptoms of psychological distress during the past 30 days (based on K10; see Kessler, Barker, Colpe, et al., 2003).
 (PDF; 21KB / 1 page)
Scoring Guide for TCU HLTHForm 
 (PDF; 17KB / 1 page)

    
Mental Trauma and PTSD Screen (TCU TRMAForm) contains 17 symptom-severity items representing post-traumatic stress disorder (based on PTSD civilian version, Weathers, Litz, Herman, et al., Oct 1993).
 (PDF; 20KB / 1 page)
Scoring Guide for TCU TRMAForm
 (PDF; 35KB / 2 pages)

 
HIV/Hepatitis Risk Assessment (TCU HVHPForm) contains 17 items focused on risks associated with injection drug use (including needles and cooking works) and sexual activities, as well as health concerns and related attitudes (see Simpson, Camacho, Vogtsberger, et al., 1994).
  (PDF; 21KB / 1 page)
Scoring Guide for TCU HVHPForm
 (Available soon)

Client Drug Use and Crime Risk Forms

These address preadmission drug use and criminal history as risk factors for treatment progress and outcomes. Each has roots in TCU Intake and related assessments (e.g., Joe, Simpson, Greener, & Rowan-Szal, 2004).   Limitations apply, of course, to the extent that pretreatment reference periods (or pre-incarceration periods for correctional system inmates) are poorly defined or temporally remote.  By changing the time frames for these forms, they also can serve as the basis of follow-up assessments. 

TCU Drug Screen II (TCU DSII) is self-administered and serves to quickly identify individuals with a history of heavy drug use or dependency (based on the DSM and the NIMH Diagnostic Interview Schedule).  It is particularly useful and widely used as a tool in criminal justice settings for identifying offenders eligible for treatment services (see Knight, Simpson, & Hiller, 2002).
  (PDF; 23KB / 1 page)
Scoring Guide for TCU DSII
(PDF; 16KB / 1 page)

   
Criminal History Risk Assessment (TCU CRHSForm) contains 22 items focused on previous arrests, convictions, and incarcerations (see Hoffman & Beck, 1974; Joe, Simpson, Greener, & Rowan-Szal, 2004.
 (PDF; 20KB / 1 page)
Scoring Guide for TCU CRHSForm
 (Available soon)

 
Criminal Thinking Scales (TCU CTSForm) include 36 items from 6 scales representing Entitlement, Justification, Power Orientation, Cold Heartedness, Criminal Rationalization, and Personal Irresponsibility (see Knight, Garner, Simpson, et al., 2006).
 (PDF; 23KB / 1 page)
Scoring Guide for TCU CTSForm
 (PDF; 18KB / 2 pages)

Treatment Needs and Motivation (TCU MOTForm) includes 36 items from 5 scales representing Problem Recognition, Desire for Help, Treatment Readiness, Treatment Needs Index, and Pressures for Treatment Index.  It is used mainly for intake and early treatment phases. 
  (PDF; 23KB / 1 page)
Scoring Guide for TCU MOTForm 
(PDF; 20KB / 2 pages)

Psychological Functioning (TCU PSYForm) includes 33 items from 5 scales representing Depression, Anxiety, Self-Esteem, Decision Making, and Expectancy.  
  (PDF; 22KB / 1 page)
Scoring Guide for TCU PSYForm 
(PDF; 20KB / 2 pages)

  
Social Functioning (TCU SOCForm) includes 36 items from 4 scales representing Hostility, Risk-Taking, Social Support, and Social Desirability.
  (PDF; 23KB / 1 page)
Scoring Guide for TCU SOCForm
(PDF; 20KB / 2 pages)

   
Treatment Engagement (TCU ENGForm) includes 36 items from 4 scales representing Treatment Participation, Treatment Satisfaction, Counseling Rapport, and Peer Support.
  (PDF; 24KB / 1 page)
Scoring Guide for TCU ENGForm  
(PDF; 17KB / 2 pages)

ADC System Purchase

For an economical optical mark reader, the Scantron© Model ES2010ADF is recommended.  It provides single-sided reading of pencil markings and includes a 150 sheet automatic document feeder, single output hopper (with transport speed of up to 2,000 forms per hour).  Scanbook is the bundled utility software for creating Windows-based ASCII files in which the scanning results are recorded.  The purchase for non-profit, Education, or Government pricing (PDF: 236kb / 4 pages) or for profit pricing (PDF: 236kb / 4 pages) has been negotiated by the TCU team for this hardware-software package.  (Note that TCU has no financial interests or benefits that result from the purchase of these machines.)

TCU ADC Forms scoring templates are available on request from TCU (at no charge to service providers) for converting the ASCII records into data files, calculating scale scores, and generating client-level assessment feedback reports (contact Julie Gray at j.gray2@tcu.edu for more information).  Training workshops are expected to be available periodically, and establishment of mutual-help “user groups” is encouraged.

Information for ordering pre-printed TCU ADC Forms in bulk is available.  Costs average 10-15 cents per form, depending on quantity ordered.  (Note: TCU has no financial interests or benefits that result from purchases of these forms.)  Special formatting for automated data capture is incorporated into these pre-printed forms for scanning purposes.  Each form has a template available from TCU (based on Microsoft Excel©, at no cost) for scoring items and providing interpretative feedback in graphic and narrative formats.  Scoring and clinical feedback protocols have been prepared by TCU researchers, in conjunction with several field collaborators, and are subject to on-going development and refinement.

PDF Sample of Clinical Feedback Report for TCU ADC Form “Treatment Engagement” (TCU ENGForm)
(PDF; 20KB / 1 page)

Scoring and User Manuals for TCU ADC Forms

Data Collection and Scoring
Procedurally, each completed TCU ADC Form is fed through the optical reading process, and item scores are then stored in a data file according to form type and scale.  This file in turn is accessed on command by the TCU (Excel-based) templates to score and simultaneously prepare a feedback report for clinical interpretations, as illustrated above (PDF Sample of Clinical Feedback Report).  Depending on specifications of the local “management information system” regarding infrastructure and related applications, these records might be further enhanced by users and also be incorporated into “real-time” clinical management data systems.

Getting Started Guide
(in preparation).  A manual is being prepared to help guide users through the sequential steps of scanning, scoring, and generating feedback reports on the TCU ADC Forms.  Although the procedures are straightforward, they require a strict set of sequential computerized operations.  Therefore, it is recommended that agencies that use automated data capture procedures appoint a “technical data collection and scoring specialist” trained to supervise ADC operations (e.g., scheduling of assessments for clients and the inventory of forms being used) as well as to maintain system security.  It is important that scoring results be properly and safely stored into data files in strict accordance with system specifications by the agency.

Forms Section
Contents

Background and Overview

Selecting Forms

List of Forms

Permissions and Obtaining Forms

TCU ADC Forms

Community Treatment Forms

CJ Treatment Forms

Methadone Outpatient Forms

Correctional Outpatient Forms

Correctional Residential Forms

Women & Children

Adolescents

Specialized Forms

Psychometric Information and Assessment Workshops

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