Screening and Assessment

//Screening and Assessment
Screening and Assessment2017-11-06T20:06:44+00:00

Screening and Assessment

The trauma response causes anxiety and depression, which brings about changes in behavior. These changes can be more obvious to those close to the person who has experienced a traumatic event — family members, neighbors, caseworkers and teachers. Sometimes, it may be hard to distinguish between a “normal” response to trauma and mental illness.

The Refugee Health Screen-15 was developed after years of research to help screen refugees for anxiety, depression and PTD.


Two tools exist for screening children who have undergone trauma. The Child Post-Traumatic Stress Reaction Index (CPTSD-RI) and the Hopkins Symptom Checklist-25 (HSCL-25), which screens for multiple psychiatric disorders. These assessments can be administered as a self-reporting tool or interviewer-administered tool.


When children experience trauma, it can lead to difficulties in the child/parent relationship and impairments in normal development. Interventions are important to help maintain family stability and set children up for success. The National Child Traumatic Stress Network (NCTSN)and Bridging Refugee Youth & Children’s Services (BRYCS) can provide more in-depth information.

Issues Facing Refugee Families

  • Parental role reversals

  • Loss of parents’ professional status

  • Loss of children’s academic status

  • Premature shift into adulthood when children become translators

  • Loss of extended family support

  • Working parents are more stressed and at home less

  • Older children sacrifice education to help support the family

  • Difficulty understanding the U.S. school system

  • Family members acculturate at different paces

  • Cultural and family values may be at odds