[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-347331-105":59,"doc-detail-347331-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","caps-5-documentation-cheat-sheet-clinical-ptsd-scale-for-dsm-5","CAPS-5 Documentation Cheat Sheet - Clinical PTSD Scale for DSM-5","","CAPS-5 documentation focuses on producing a complete, clinician-administered PTSD scale record aligned to DSM-5 requirements. It outlines what the clinician must report: the correct instrument form and time frame with version date, administration conditions, the index event structured by category and period with Criterion A pathway, cluster symptom counts rated 2+ per cluster, and diagnostic determination elements A through H. It also specifies dimensional 0-80 total reporting without invented cutoffs, dissociative subtype and response validity from dedicated items, and separate PCL-5 documentation on its own metric, with guidance for drafting results summaries and sample note structure.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/caps-5-documentation-cheat-sheet-clinical-ptsd-scale-for-dsm-5/347331/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/caps-5-documentation-cheat-sheet-clinical-ptsd-scale-for-dsm-5/347331.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-23","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What must be documented for the CAPS-5 instrument form and administration?","Question",{"text":112,"@type":113},"Document the exact form and time frame (Past Month, Worst Month, or Past Week) plus the version date, modality, interpreter, duration, and any breaks or split sessions. Include trained interviewer details as required.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How should the index event be recorded in CAPS-5 documentation?",{"text":117,"@type":113},"Record the index trauma category and approximate period using the Criterion A pathway. Specify whether it is a single incident or coherent series, and avoid narrative descriptions of graphic details.",{"name":119,"@type":110,"acceptedAnswer":120},"How should clinicians report CAPS-5 severity totals and changes compared with PCL-5?",{"text":121,"@type":113},"Report the 0–80 total as a dimensional index with no invented cutoffs or bands, and avoid mixing CAPS and PCL scoring. When reporting change, compare only same-form, same-index priors, and document the PCL-5 separately on its own metric.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},347331,1790115277,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","CAPS-5 Documentation Cheat Sheet  \nReviewed by the BastionGPT Clinical Advisory Board · August 2026 · Reproduces no items, prompts, anchors, or scoring  \n\n| \u003Cbr>The CAPS-5 (Clinician-Administered PTSD Scale for DSM-5; National Center for PTSD) is the structured-interview reference standard for PTSD: 20 symptoms rated 0 to 4 against an index trauma (0-80 total), plus onset, impairment, validity, and dissociative-subtype items. The documentation's hard parts are the form (Past Month diagnoses; Past Week only monitors), the algorithm (the diagnosis; the total is dimensional), the index event (structural, never graphic), and the PCL-5 boundary (same 0-80 range, different instrument and metric) . |  |  |\n| --- | --- | --- |\n| Instrument, form + administration which form, what conditions\u003Cbr>Do: name the form and time frame with its version date, modality, interpreter, duration, breaks or split sessions.\u003Cbr>Pitfall: \"CAPS administered\": a Past Week total cannot carry a current diagnosis. |  |  |\n|  |  |  |\n|  | Index event, structural category + period, no narrative\u003Cbr>Do: record event category, approximate period, Criterion A pathway, single incident or coherent series; LEC-5 noted.\u003Cbr>Pitfall: \"trauma history positive,\" or a graphic reconstruction the referral never needed. |  |\n|  |  |  |\n|  | Cluster results counts, not item content\u003Cbr>Do: report symptoms rated 2+ per cluster (B of 5, C of 2, D of 7, E of 6), cluster sums when useful. Pitfall: item-by-item narratives, or gated prompts and anchors paraphrased into the chart. |  |\n|  |  |  |\n| Diagnostic determination every element visible\u003Cbr>Do: show A, the B/C/D/E minimums, F duration over one month, G distress or impairment, H exclusion addressed; then met or not met.\u003Cbr>Pitfall: \"CAPS-5 positive\" or \"met cutoff\": the standard algorithm has no total cutoff. |  |  |\n|  |  |  |\n| Total severity dimensional, no bands\u003Cbr>Do: report the 0-80 total beside the determination; characterize severity clinically and say so. Pitfall: 12 or 26 treated as cutoffs, or trial-registration bands passed off as official. |  |  |\n|  |  |  |\n| Subtype + validity from the dedicated items\u003Cbr>Do: state the dissociative subtype (present / absent / not determinable) from the additional items; record response validity and limits.\u003Cbr>Pitfall: a \"dissociation score\" summed from two symptom items; those are arousal-cluster ratings. |  |  |\n\nChange + the PCL-5 lane same form, same index  \nDo: compare only same-form, same-index priors; name each benchmark 's source; chart the PCL-5 separately on its own metric.  \nPitfall: \"CAPS/PCL score 38,\" or CAPS-IV and CAPS-5-R totals mixed onto one scale.  \nBefore the note is signed  \n Form and time frame named, with version date  \n Index event structural; Criterion A pathway stated  Cluster counts at severity 2+ recorded (B/C/D/E)  All algorithm elements visible, including exclusion  Total reported as dimensional; no invented cutoffs  Dissociative subtype and validity judgments stated  PCL-5 documented separately; metrics never merged  \nDrafting with AI  \nGive it the facts: form and time frame, administration conditions, the structural index event, cluster counts, duration, impairment, exclusions, subtype and validity, totals with any true prior.  \n\"Draft a CAPS-5 results summary: Past Month form, in person, 55 minutes, index event a 2023 workplace vehicle collision stated structurally, B =3 C = 1 D =4 E =3 at threshold, duration eight months, occupational impairment, exclusions addressed, subtype absent, total 32, PCL-5 44 documented separately.\"  \nNever paste patient-identifying information into consumer AI tools. BastionGPT is HIPAA-compliant with a signed BAA on every plan.  \n\n| Diagnosis = algorithm\u003Cbr>never the 0-80 total | Name form + time frame\u003Cbr>Past Week cannot diagnose | Index event, structural\u003Cbr>category + period, not narrative | PCL-5 is not a CAPS\u003Cbr>31-33 belongs to the PCL-5 |\n| --- | --- | --- | --- |\n|  |  |  |  |\n\nFull guide and sample note: [bastiong","cbCaihB8h5YkfjSz","https://ap.wps.com/l/cbCaihB8h5YkfjSz","pdf",113886,"English","# CAPS-5 reference standard\n## Core documentation responsibilities\n# Instrument, form, and administration\n# Index event and Criterion A\n# Cluster results and symptom reporting\n# Diagnostic determination elements A–H\n# Total severity as a dimensional index\n# Dissociative subtype and validity\n# Change and the PCL-5 lane\n# Drafting with AI and sample results summary\n## Drafting checklist before signature","[{\"question\":\"What must be documented for the CAPS-5 instrument form and administration?\",\"answer\":\"Document the exact form and time frame (Past Month, Worst Month, or Past Week) plus the version date, modality, interpreter, duration, and any breaks or split sessions. Include trained interviewer details as required.\"},{\"question\":\"How should the index event be recorded in CAPS-5 documentation?\",\"answer\":\"Record the index trauma category and approximate period using the Criterion A pathway. Specify whether it is a single incident or coherent series, and avoid narrative descriptions of graphic details.\"},{\"question\":\"How should clinicians report CAPS-5 severity totals and changes compared with PCL-5?\",\"answer\":\"Report the 0–80 total as a dimensional index with no invented cutoffs or bands, and avoid mixing CAPS and PCL scoring. When reporting change, compare only same-form, same-index priors, and document the PCL-5 separately on its own metric.\"}]","CAPS-5 Documentation Cheat Sheet - Clinical PTSD Scale for DSM-5 | PDF",1790066416]