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A Psychometric Analysis of Project Liberty's Adult Enhanced Services Referral Tool

OBJECTIVES: Project Liberty was the first federally funded crisis counseling program to offer evidence-informed treatments to crisis counseling recipients in need of more intensive clinical intervention. The Adult Enhanced Services Referral Tool was developed as a screening instrument for making and monitoring referrals to enhanced services. This study aimed to examine how well the tool functioned for identifying persons who would perceive a need for professional treatment. METHODS: A one-page tool was created that assessed demographic characteristics, risk categories, and psychological reactions to the focal event, September 11, 2001. Psychosocial reactions were assessed by the 12-item SPRINT-E, which is an expanded version of the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT). The SPRINT-E was embedded in the Adult Enhanced Services Referral Tool. Data were collected from 788 clients who received crisis counseling between June and October 2003. RESULTS: The SPRINT-E is a unidimensional measure of distress and dysfunction. Internal consistency was excellent for the total sample (=.93) and subsamples. Among the 543 clients offered referral, 71 percent accepted. Among those offered referral, the number of intense reactions (score of 4, quite a bit, or 5, very much) was by far the strongest predictor of referral acceptance. CONCLUSIONS: The SPRINT-E was successfully integrated into the crisis counseling program and provided an apparently successful, empirical basis for referral from counseling to professional treatment. Results of the brief psychological assessment provided a stronger basis for referral to treatment than membership in a risk category (for example, family member of deceased) alone.

Related Article:

Project Liberty: New York's Crisis Counseling Program Created in the Aftermath of September 11, 2001

Sheila A. Donahue, Carol B. Lanzara, Chip J. Felton, Susan M. Essock, and Sharon Carpinello
Psychiatr Serv 2006 57: 1253-1258. [Full Text] [PDF]

This article has been cited by other articles:

				S. A. Donahue, C. B. Lanzara, C. J. Felton, S. M. Essock, and S. Carpinello Project Liberty: New York's Crisis Counseling Program Created in the Aftermath of September 11, 2001 Psychiatr Serv, September 1, 2006; 57(9): 1253 - 1258. [Full Text] [PDF]

				C. T. Jackson, N. H. Covell, K. M. Shear, C. Zhu, S. A. Donahue, S. M. Essock, and C. J. Felton The Road Back: Predictors of Regaining Preattack Functioning Among Project Liberty Clients Psychiatr Serv, September 1, 2006; 57(9): 1283 - 1290. [Abstract] [Full Text] [PDF]

				S. A. Donahue, C. T. Jackson, K. M. Shear, C. J. Felton, and S. M. Essock Outcomes of Enhanced Counseling Services Provided to Adults Through Project Liberty Psychiatr Serv, September 1, 2006; 57(9): 1298 - 1303. [Abstract] [Full Text] [PDF]

				S. M. Essock, N. H. Covell, K. M. Shear, S. A. Donahue, and C. J. Felton Use of Clients' Self-Reports to Monitor Project Liberty Clinicians' Fidelity to a Cognitive-Behavioral Intervention Psychiatr Serv, September 1, 2006; 57(9): 1320 - 1323. [Abstract] [Full Text] [PDF]

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