This is a brief (2 page, back to back) yet thorough symptom survey in which the client rates a broad range of physical, emotional and cognitive symptoms in terms of problem intensity and the degree to which satisfactory coping has been achieved. Together with the RCL, these instruments can help you determination both the need and the reasonableness of treatment initiation or continuation with respect to any of the presented symptoms. As with the RCL, this test can also identify the risk of the presence of psychopathology in your client.
The primary clinical objectives of the R-SOPAC are: (1) to facilitate differential diagnosis; (2) to facilitate the determination of reasonable and necessary treatment/rehabilitation needs relative to presenting symptoms; and, (3) to monitor treatment progress and outcome.
R-SOPAC Domains: Global Scales, Subscales, and Item Scales
The R-SOPAC is comprised of several levels of measurement. These move from the most general to the most detailed. The Global Scales are the most general; the Subscales offer one level of refinement and the Item Scales offer the highest degree of detail regarding specific items.
Global Scales. The global scores of this instrument are the Total Intensity and Total Coping scores reflecting the sum total of the intensity and coping scores respectively across symptoms. The Global scales are useful in determining broad based changes in client status, and also may facilitate determination of the client’s overall response type i.e. high versus low tendency of endorsements, with the latter potentially suggesting symptom exaggeration and/or a state of psychological overwhelm. The domain-specific global scores are broken down into the intensity and coping dimensions and are reviewed below.
Subscales. The subscales offer more specific information regarding symptom intensity/coping dimensions by symptom type groupings. These scales may be useful in the differential diagnostic process as well as for treatment/rehabilitation progress monitoring.
Physical Subscales: The physical subscales are comprised of the Physical Intensity, and Physical Coping scales, reflecting the sum of physical symptoms for the respective dimension.
Emotional Scores: The emotional subscales are comprised of the Emotional Intensity, Emotional Coping, reflecting the sum of emotional symptoms for the respective dimension
Cognitive Scores: The emotional subscales are comprised of the Cognitive Intensity, and Cognitive Coping, reflecting the sum of cognitive symptoms for the respective dimension.
Individual Item Scores: In and of itself, each client endorsement of each and every item for both the intensity and coping dimension is considered to be a clinically meaningful scale. For instance, the symptom “sleep” has a clinically meaningful “Sleep Intensity” score and a “Sleep Coping” score. These individual scores allow for consideration of: differential diagnosis; and, reasonable and necessary treatment needs with respect to, and change in the pattern of, the symptom over time.
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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