IBR -- Forms, TCU Short (ADC) Forms for Automated Data Capture

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ADCforms.html

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Updated:
15-Sep-2009

Overview of Short (ADC) Forms
List of Available Forms
     Client Health and Social Risk
     Client Drug Use and Crime Risk
     Client Functioning and Treatment (CEST)
Organizational (Staff) Assessments
Staff Training and Workshop Evaluations
ADC Scanner System Purchase
ADC Forms Purchase
Scoring and User Manuals

Please note: The Short (ADC) Forms offered for downloading on this page include several specialized Automated Data Capture forms as well as alternate versions designed to 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 TCU Short (ADC) Forms

We have seen growing needs in recent years for more targeted assessments that allow automated data capture or online techniques for efficient clinical applications of tools used to assess client needs and functioning and 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 online 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 these technical 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 Short (ADC) Forms” are described below, along with scoring and software user manuals. 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).

To expedite the use of these 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 Short (ADC) Forms

ADC form icon Several of our most popular TCU Forms for client assessment 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). Several new client-level forms also have been developed in response to the needs of our field collaborators and on-going research. In some cases, these represent abbreviations or subsections being adapted from previously studied TCU assessments.

The result is a more streamlined, focused, and flexible series of “short forms,” some enhanced with an automated scoring and feedback protocol for making normative clinical interpretations of results. Preliminary evidence on the psychometrics of these “modified” 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 form also carries footnoted citations to its main publication source. (For technical questions or assistance concerning these forms, contact IBR Help.)

Optional Formats are available for these assessments in order to serve users with different levels of optical scanning and automated or manual scoring technology. The simplest alternative is to download PDF versions from the links below, print copies of the forms of interest, 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 Short (ADC) Forms on this page:
Client Health and Social Risk
Client Drug Use and Crime Risk
Client Functioning and Treatment Engagement (CEST)
Organizational (Staff) Assessments
Staff Training and Workshop Evaluations

Client Health and Social Risk

This subset of forms has 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—may in some cases be 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]
TCU A-RSKForm Short Form (PDF; 26KB / 2 pages)
TCU A-RSKForm Short ADC Form (PDF; 25KB / 1 page)
Scoring Guide for TCU A-RSKForm (Not yet available)

Youth version (TCU Y-RSKForm)
[Youth ID & Background Risks]
TCU Y-RSKForm Short Form (PDF; 28KB / 2 pages)
TCU Y-RSKForm Short ADC Form (PDF; 29KB / 1 page)
Scoring Guide for TCU Y-RSKForm (Not yet available)

Family and Friends Assessment (TCU FMFRForm) addresses conflict, warmth, and conflict in family relationships, and with respect to friends (or peers), focus on types of mutual activities and levels of involvement.

Adult version (TCU A-FMFRForm)
[Adult Family & Friends]
TCU A-FMFRForm Short Form (PDF; 26KB / 2 pages)
TCU A-FMFRForm Short ADC Form (PDF; 21KB / 1 page)
Scoring Guide for TCU A-FMFRForm
(PDF; 17KB / 2 pages)

Spanish version--A-FMFRForm Short ADC Form (PDF; 51KB / 1 page)

Youth version (TCU Y-FMFRForm)
[Youth Family & Friends]
a revision of the “TCU Family, Friends, and Self Form” for youth (see Simpson & McBride, 1992)
TCU Y-FMFRForm Short Form (PDF; 29KB / 3 pages)
TCU Y-FMFRForm Short ADC Form (PDF; 23KB / 1 page)
Scoring Guide for TCU Y-FMFRForm
(PDF; 17KB / 2 pages)

Spanish version--Y-FMFRForm Short ADC Form (PDF; 51KB / 1 page)

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).
TCU HLTHForm Short Form (PDF; 24KB / 1 page)
TCU HLTHForm Short ADC Form (PDF; 21KB / 1 page)
Scoring Guide for TCU HLTHForm
(PDF; 17KB / 1 page)

Spanish version--HLTHForm Short ADC Form (PDF; 15KB / 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).
TCU TRMAForm Short Form (PDF; 24KB / 2 pages)
TCU TRMAForm Short ADC Form (PDF; 20KB / 1 page)
Scoring Guide for TCU TRMAForm
(PDF; 35KB / 2 pages)

Spanish version--TRMAForm Short ADC Form (PDF; 69KB / 1 page)

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).
TCU HVHPForm Short Form (PDF; 26KB / 2 pages)
TCU HVHPForm Short ADC Form (PDF; 22KB / 1 page)
Scoring Guide for TCU HVHPForm (Not yet available)

Spanish version--HVHPForm Short ADC Form (PDF; 66KB / 1 page)

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Client Drug Use and Crime Risk

This subgroup of forms addresses preadmission drug use and criminal history as risk factors for treatment progress and outcomes. Each form 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. It should be emphasized that by changing the time frames for administering 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).
TCU Drug Screen II Short Form (PDF; 29KB / 2 pages)
TCU Drug Screen II Short ADC Form (PDF; 22KB / 1 page)
Scoring Guide for TCU DSII
(PDF; 16KB / 1 page)

Spanish version--TCU DSII Short ADC Form (PDF; 31KB / 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.
TCU CRHSForm Short Form (PDF; 27KB / 2 pages)
TCU CRHSForm Short ADC Form (PDF; 20KB / 1 page)
Scoring Guide for TCU CRHSForm (Not yet available)

Spanish version--CRHSForm Short ADC Form (PDF; 28KB / 1 page)

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).
TCU CTSForm Short Form (PDF; 28KB / 3 pages)
TCU CTSForm Short ADC Form (PDF; 23KB / 1 page)
Scoring Guide for TCU CTSForm
(PDF; 18KB / 2 pages)

Spanish version--CTSForm Short ADC Form (PDF; 19KB / 1 page)

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Client Evaluation of Self and Treatment (CEST)

The forms below comprise the “family” of 4 self-report assessments for monitoring client needs and progress. Collectively, these are known in previous research and related applications as the “CEST Form.” They include 1) treatment motivation, 2) psychological functioning, 3) social functioning, and 4) clinical engagement scales designed to be administered throughout treatment to help inform planning of services and gauge client changes over time. (See TCU Manuals, especially on using CEST assessments, for planning care and monitoring progress in relation to therapeutic interventions; also see Garner, Knight, Flynn, et al., 2007 and Joe, Broome, Knight, & Simpson, 2002)

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.
TCU MOTForm Short Form (PDF; 28KB / 3 pages)
TCU MOTForm Short ADC Form (PDF; 23KB / 1 page)
Scoring Guide for TCU MOTForm
(PDF; 20KB / 2 pages)

Spanish version--MOTForm Short ADC Form (PDF; 19KB / 1 page)

Psychological Functioning (TCU PSYForm) includes 33 items from 5 scales representing Depression, Anxiety, Self-Esteem, Decision Making, and Expectancy.
TCU PSYForm Short Form (PDF; 25KB / 2 pages)
TCU PSYForm Short ADC Form (PDF; 22KB / 1 page)
Scoring Guide for TCU PSYForm
(PDF; 20KB / 2 pages)

Spanish version--PSYForm Short ADC Form (PDF; 19KB / 1 page)

Social Functioning (TCU SOCForm) includes 36 items from 4 scales representing Hostility, Risk-Taking, Social Support, and Social Desirability.
TCU SOCForm Short Form (PDF; 28KB / 3 pages)
TCU SOCForm Short ADC Form (PDF; 23KB / 1 page)
Scoring Guide for TCU SOCForm
(PDF; 20KB / 2 pages)

Spanish version--SOCForm Short ADC Form (PDF; 19KB / 1 page)

Treatment Engagement (TCU ENGForm) includes 36 items from 4 scales representing Treatment Participation, Treatment Satisfaction, Counseling Rapport, and Peer Support.
TCU ENGForm Short Form (PDF; 28KB / 3 pages)
TCU ENGForm Short ADC Form (PDF; 23KB / 1 page)
Scoring Guide for TCU ENGForm
(PDF; 17KB / 2 pages)

Spanish version--ENGForm Short ADC Form (PDF; 19KB / 1 page)

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Organizational (Staff) Assessments

Organizational Readiness for Change (TCU ORC-D4) is self-administered by program staff. This version contains four separate modules which can be administered collectively or individually, depending on assessment strategy. Compared to earlier versions (e.g., ORC-S), the ORC-D4 not only has been reorganized into four separate and sequentially-ordered sections, but some items have been edited in an effort to make it applicable to a wider array of organizational settings. In addition, three new scales were added (i.e., for staff needs, satisfaction, and supervision).

Motivational factors include staff needs, program needs, training needs, and pressures for change; program resources are evaluated in regard to office facilities, staffing, training, equipment, and the Internet; staff attributes focus on growth, efficacy, influence, adaptability, and clinical orientation; and organizational climate measures clarity of mission, cohesion, autonomy, communication, stress, and openness to change. (25 minutes, or 7-8 minutes for each module: for technical questions, contact Dr. Jack Greener)

TCU ORC-D4 Short Form (contains all four modules as Parts A, B, C, and D)
(PDF; 67KB / 11 pages)
Scoring Guide for TCU ORC-D4 (items are listed separately according to the four modules)
(PDF; 27KB / 4 pages)

Means and Norms for TCU ORC Interpretations
(PDF; 39KB / 2 pages)

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Staff Training and Workshop Evaluations
The Workshop Evaluation Forms (TCU WEVAL-D4) are administered as part of each innovation training workshop to measure participants' reactions to the training and their intentions to try out the workshop materials. They address adoption and implementation issues (including barriers) known to be relevant to this process. Pre-training surveys that address program needs and organizational readiness for innovations also are included. Applications of these WEVAL forms are illustrated in a recent newsletter (Research Reports from IBR, Spring-Summer 2009: PDF; 350KB/4 pages). (for technical questions, contact Dr. Grace Rowan-Szal)

Pre-training survey of perceived needs and organizational climate of trainees' programs:
TCU WEVAL D4-PNOC Short Form (PDF; 41KB / 5 pages)
Scoring Guide for TCU WEVAL D4-PNOC
(PDF; 20KB / 2 pages)

Workshop evaluation of adoption and implementation potential (including barriers) of training materials:
TCU WEVAL D4-AIB Short Form (PDF; 36KB / 3 pages)
Scoring Guide for TCU WEVAL D4-AIB
(PDF; 21KB / 1 page)

The Workshop Assessment Follow-Up Survey (TCU WAFU-D4) is sent directly to each participant in the months following training. The WAFU asks questions specific to the workshops attended in terms of whether or not participants used any workshop materials, their experiences and intentions to use the materials in the future, and reasons for not using the material in cases of non-utilization. (for technical questions, contact Dr. Grace Rowan-Szal)

Follow-up assessment of adoption and implementation potential (including barriers) of training materials:
TCU WAFU D4-AIB Short Form (PDF; 33KB / 2 pages)
Scoring Guide for TCU WAFU D4-AIB
(PDF; 21KB / 1 page)

Follow-up assessment of adoption and implementation experience after TCU Mapping Training:
TCU WAFU D4-MAP Short Form (PDF; 33KB / 2 pages)
Scoring Guide for TCU WAFU D4-MAP
(PDF; 19KB / 1 page)

ADC Scanner System Purchase

ADC system purchase For an economical optical mark reader, the Scantron© Model ES2010ADF is currently 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: 108kb / 4 pages) or for profit pricing (PDF: 108kb / 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.

Purchase of TCU ADC Forms

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

ADC data collection and scoring icon 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 (i.e., PDF Sample of Clinical Feedback Report: PDF; 20KB / 1 page). 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
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.