Forensic psychology: Part 4: Assessing offender populations: Appendix chapter 8

Assessment instruments used in the family enrichment program

• Criminal Personality Inventory (Peterson, Quay & Cameron, 1959)
• Criminal Sentiments Scale (Andrews & Wormith, 1984)
• Inventory of Problem-Solving Ability (Heppner & Peterson, 1982)
• Multidimensional Anger Inventory (Siegal, 1986)
• Balanced Inventory of Desirable Responding - Form 40A (Paulhus, 1991)
• Index of Controlling Behaviour (Meredith & Burns, 1990)
• Conflict Tactics Scale (Strauss, 1979)
• Psychological Maltreatment Toward Women Scale (Tolman, 1989)
• Locke Wallace Marital Adjustment Scale (Locke & Wallace, 1959)
• Inventory of Beliefs About Wife Beating (Saunders, Lynch, Grayson & Linz, 1987)
• Assertion Inventory (Gambrill & Richey, 1975)
• JHS Needs Assessment Instrument (Andrews, 1982)
• History of Abuse Interview - Men's/Women's Versions (Rettinger & Van Dieten, 1993)
• Partner Outreach Questionnaire (Rettinger, Van Dieten & Thornton, 1993)

Assessment instruments collected for CSC's national database

• Multidimensional Anger Inventory (Siegal, 1986)
• Balanced Inventory of Desirable Responding - Form 40A (Paulhus, 1991)
• Index of Controlling Behaviour (Meredith & Burns, 1990)
• Inventory of Beliefs About Wife Beating (Saunders, Lynch, Grayson & Linz, 1987
• Client Information Form - Men's version (CSC, 1994)

Other assessment instruments noted in the literature

• Spouse Specific Assertion Scale (O'Leary & Curley, 1986)
• Buss-Durkee Hostility Inventory (Buss & Durkee, 1957)
• Hostility and Direction of Hostility Questionnaire (Caine, Foulds, & Hope, 1967)
• Beck Depression Inventory (Beck, Ward, Mendelson, Mock, & Erbaugh,1961)
• Michigan Alcohol Screening Test (MAST; Selzer, 1971)
• Drug Addiction Screening Test (DAST-20; Skinner, 1982)
• Attitudes Toward Women Scale (Spence, Helmreich & Stapp, 1973)
• Hostility Toward Women Scale (Check, 1985)
• Millon Clinical Multiaxial Inventory Version 2 (MCMI-II; Millon, 1987)
• Measure of Interpersonal Power (Garrison & Pate, 1977)
• Fundamental Interpersonal Relations Orientation-Behaviour (FIRO-B; Schultz, 1978)
• Assessing Environments III Questionnaire (AEIII; Berger, Knutson, Mehra & Perkins, 1986)
• Thematic Apperception Test (Murray, 1943)
• Self-Report Instrument for Borderline Personality Organization (Oldham, Clarkin, Applebaum, Carr, Kernberg, Lotterman & Haas, 1985)
• Decision Power Index (Blood & Wolfe, 1960)

Please describe treatment (where it was, individual, group, marital, focus, etc.):
__ __ __

The next section of the interview has to do with what things were like when you were growing up, so I'm going to ask you some questions about your family and your childhood.

Past Problems

Most people run into problems at some time during their life. I'm going to list some different areas people have problems with and I'd like you to tell me if these areas have ever been trouble spots for you.

Current Problems

Now I'd like to go over those same problem areas, to see where your current problems are, so let me know if these things are a problem or concern for you, right now.

If Abusive Toward Previous Partner

Instructions: Questions concerning abuse refer to the abusive relationship the man has been/is involved in. This means that if his current relationship is not abusive, the questions will refer to his previous relationship. If more than one relationship has been abusive, focus on the most recent abusive relationship. Please indicate if this section refers to:
a current partner __
a previous partner __
I'm going to ask you some questions about the abuse in your relationship with (partner's name, if known; focus on the abusive relationship, even if it is not the current relationship).

1. What types of abuse were committed (define each type with examples): a. __physical (hit, slap, punch, kick, push, use of weapon)
b. __emotional (name calling, insults, guilt, degradation, intimidation)
c. __sexual (forced sexual activity of any type)
d. __property damage (hurt pets, destroy furniture, belongings)
e. __isolation (restrict use of car/phone/money/visits to/from family/friends)
f. __financial (takes/doles out money, must account for money spent)

2. How long were you involved with your partner before you became emotionally abusive? Please check appropriate space.
Days: __ Weeks: __ Months: __ Years: __
1. __first date
2. __in first six months
3. __in first year
4. __after years
5. __after marriage
6. __after moving in together
7. __during pregnancy
8. __other __

3. How long were you involved with your partner before you became physically abusive? Please check appropriate space.
Days: __ Weeks: __ Months: __ Years: __
1. __first date
2. __in first six months
3. __in first year
4. __after years
5. __after marriage
6. __after moving in together
7. __during pregnancy
8. __other __

4. Date of most recent physical violence:
D __ M __ Y __
Can you describe this incident for me? What triggered it? What were you thinldng? What did you (and your partner) do?

5. Date of most recent emotional abuse:
D __ M __ Y __
Can you describe this incident for me? What triggered it? What were you thinking? What did you (and your partner) do?

6. How many times (in total) have you assaulted your partner?
__times

7. Do you know what the average length of time between assaults is (was)?
Days: __ Weeks: __ Months: __ Years: __

8. Over how long a period of time were you assaultive toward your partner?
1. __less than 1 month
2. __1 to 5 months
3. __greater than 5 months to a year
4. __greater than 12 months to a year
5. __greater than 2 years to 5 years
6. __greater than 5 years to 10 years
7. __greater than 10 years

9. What types of physical injuries did she receive because of the abuse:
1. __none
2. __bruises
3. __cuts
4. __black eye
5. __split lip
6. __broken bones
7. __other
8. __don't know

10. Within the abusive relationship, did your partner receive these types of treatment, and how many times has your partner received the following kinds of medical treatment?
1. # __X-rays/examination only (no treatment)
2. # __Treatment for cuts, bruises, bumps
3. # __Stitches
4. # __Broken bones
5. # __Hospitalization (overnight/emergency)
6. # __Hospitalization (overnight/inpatient)
7. __No treatment ever required
8. __Don't know

11. Has there been a time when she needed medical treatment, but did not go for it?
Yes __ No __ Don't know __

12. Has your partner ever called the police because of violence between the two of you?
Yes __ No __ If yes, how many times:
1. __Once
2. __2-3 times
3. __4-6 times
4. __7-10 times
5. __more
6. __can't remember

13. Have you ever assaulted your partner while you were under the influence of drugs?
1. Yes __ 2. No __ 3. Usually __

14. Have you ever assaulted your partner while you were under the influence of alcohol?
1. Yes __ 2. No __ 3. Usually __

15. Have you ever assaulted your partner while you were sober?
1. Yes __ 2. __No 3. __Usually

16. Have you been abusive in other adult relationships?
Yes __ No __
If yes, how many other relationships were abusive?
# __

Intervention Plan
Need Areas:
1. __Improvement in Planning/Decision-Making Skills
2. __Improvement in Problem Solving Skills
3. __Improvement in Communication Skills
4. __Improvement in Self-Esteem
5. __Improvement in Anger/Hostility Management
6. __Improvement in Handling Emotions
7. __Improvement in Assertion Skills
8. __Improvement in Use of Community Resources
9. __Improvement in Attitudes Toward Women/Relationships
10. __Increased Awareness of Problem Situation
11. __Other (Specify)

Overall Level of Service Needed:
1. __No Additional Service
2. __Short-term
3. __Medium-term
4. __Long-term

Overall Level of Alcohol Interference:
Based on all available sources of information, rate the extent to which this client exhibited alcohol problems at intake:
1. No alcohol problems
2. Alcohol causes some interference in functioning
3. Alcohol causes serious interference in functioning

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