The Pre/Post Condition Life Event Survey (PPCLES) is one of the most thorough surveys on the impact of trauma and treatment on your client. Among 57 life events/stressors, the client rates each one relative to its occurrence in relation to the onset of their condition up to one year; one to three years, and more than three years prior to the onset of their condition; as well as making a rating after condition onset. This survey helps you to identify pre and co-existing conditions and issues that may influence the recovery process.
The survey also facilitates the causal analysis of various symptoms, particularly relevant in worker’s compensation and motor vehicle accident cases, and helps to assess client credibility and/or reduce likelihood of the client or the professional inadvertently missing pertinent information.
At present, the PPCLES is strictly a qualitative instrument. The PPCLES was designed to be of assistance in determining the scope of situational stressors and life events in the period before and after the onset of a specific emotional, cognitive and/or physical ailment or condition. By framing the occurrence of varied life events relative to condition onset, the instrument may be of assistance in determining the varied impacts of such events on the client’s current status. Issues such as differential diagnosis of the presenting condition, and factors contributing to prolongation of disability may be more carefully scrutinized by using the PPCLES.
The right hand column is meant to encourage the review of the instrument in the presence of the client/patient after the individual has had an opportunity to fill it out. Details of further inquiry should be placed into that space.
The instrument may also be helpful in assessing the client’s credibility. The lack of any pre-morbid endorsements may be considered highly suspect for most adults. Known life events such as marriage, child birth, family deaths, school attendance, job changes, which will often be acknowledged in the course of psychosocial history taking, if not endorsed on the form, is considered cause for concern and closer scrutiny. While the instrument may be useful in detecting issues of malingering and symptom exaggeration, in and of itself, it is not diagnostic of these conditions; it is imperative that the results of the instrument be viewed in the context of other data sources in this respect.
The measure takes about 5 to 10 minutes to complete, but likely longer for those with weak English literacy skills or other reading impediments.
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