Trauma & Post-Trauma Well-Being Tool (T/WB)
Description / Purpose:
The Trauma & Post-Trauma Well-Being Tool (T/WB) measures the functioning of the entire family as it relates to trauma. The domains on the T/WB assist workers to become aware of the symptoms and indicators of trauma and to assess for trauma and the degree of severity. Please note, the T/WB is intended to be used in conjunction with the North Carolina Family Assessment Scale (NCFAS). The tool cannot be used on its own as a stand-alone assessment.
The Trauma domain contains 6 items and comprises the following subscales:
- Traumatic Sexual Abuse of Children
- Traumatic Physical Abuse of Children
- Traumatic Neglect of Children
- Traumatic Emotional/Psychological Abuse of Children
- Parent/Caregiver Trauma
- Overall Trauma
The Post-Trauma Well-Being domain contains 6 items and comprises the following subscales:
- Post-Traumatic Cognitive and Physical Well-Being of Children
- Post-Traumatic Emotional/Psychological Well-Being of Children
- Post-Traumatic Social Functioning of Children
- Post-Trauma Parent/Caregiver Support of Children
- Post-Trauma Parent/Caregiver Well-Being
- Overall Post-Trauma Well-Being
Target Population: Families with children age 0-21
Time to Administer: Approximately 15 minutes to complete the process of entering the assessment ratings. However, obtaining sufficient information may require several contacts with the family and obtaining information from collateral sources.
Completed By: Family service workers
Modalities Available: Pen and Paper, Online
Scoring Information: It can be scored by hand or using a computer program.
Languages Available: English, Spanish — the rating for the measure is based solely on the English version of the measure.
Training Requirements for Intended Users: There is no minimum degree or experience required to administer the scale. However, a license to use the T/WB tool is granted to agencies via their acquisition of the T/WB package. Although the scales are designed to be self-explanatory, the scale developer and National Family Preservation Network strongly encourage purchasing agencies to complete the training prior to using the scale in actual case practice. The training materials in the package are self-administered, can be done individually or in groups, and require several hours to complete. National Family Preservation Network offers supplemental training for a fee.
Availability: The T/WB tool and accompanying training materials may only be purchased from the National Family Preservation Network. Prices are based on the number of users.
Summary of Relevant Psychometric Research
This tool has received the Measurement Tools Rating of "B – Psychometrics Demonstrated" based on the published, peer-reviewed research available. The tool must have 1 published, peer-reviewed study that has established the measure’s psychometrics (e.g., reliability and validity, sensitivity and specificity, etc.). Please see the Measurement Tools Rating Scale for more information.
Kirk, R. S. (2015). Psychometric properties of the trauma and post-trauma well-being assessment domains of the North Carolina Family Assessment Scale for General and Reunification Services (NCFAS G+R). Journal of Public Child Welfare, 9(5), 444–462. https://doi.org/10.1080/15548732.2015.1090364
Participants — 170 in-home service families in three family preservation programs
Race/Ethnicity — 66% White, 29% African-American, and 5% Other. Hispanic was asked separately: 2%
Two new domains of the NCFAS-G+R, Trauma and Post-trauma Well-being, were tested for reliability and validity in relation to previous NCFAS-G+R domains. Domains were tested for reliability using Cronbach’s alpha, factor structure was explored, and convergent validity was examined through correlations of new scale items with domain ratings on the NCFAS-G+R. Assessment ratings were cross tabulated with practice and outcome variables. Reliability of the new domains was established with Cronbach’s alphas of .811 and .905, respectively, factor structure was conﬁrmed, new scale items and domains correlated predictably and signiﬁcantly with other NCFAS domains. Outcome variables were inﬂuenced by trauma assessment ratings. Displaying good psychometric properties, the trauma-focused assessment domains hold promise for assisting child welfare practitioners assess trauma symptomology, and post-trauma well-being following services.
Date Reviewed: June 2023