Protocol - Victimization Screener
The General Victimization Scale (GVS) is a 15-item screener answered on a yes/no scale. The first section contains four items that ask about the occurrence of lifetime abusive events: being attacked with a weapon, physical abuse, sexual abuse, and emotional abuse. Respondents who endorse at least one of the abusive events also complete items in the second section of the scale, composed of seven items covering traumagenic factors. The third section contains four items about current fears of future abuse. All respondents-regardless of whether or not they report any lifetime traumatic events-answer these last four items.
While victimization is common and clinically very important, it can be stigmatizing, raise challenges for both the interviewer and respondent, and invoke mandated reporting requirements. Thus, the purpose of collecting this information, protections/safeguards, and any mandated reporting requirements related to collecting this information should be disclosed in the informed consent process prior to collecting this measure.
Summary of Global Appraisal of Individual Needs (GAIN)
The Global Appraisal of Individual Needs (GAIN) originated in 1993 as a collaborative effort between clinicians, researchers, and policymakers to create a comprehensive and standardized biopsychosocial assessment tool.
The GAIN has developed into a progressive and integrated family of instruments with a series of measures and computer applications designed to support a number of treatment practices, including:
· Initial screenings (GAIN-SS)
· Brief interventions and referrals (GAIN-Q3)
· Standardized clinical assessments for diagnosis, placement, and treatment planning (GAIN-I)
· Monitoring change in clinical status, service utilization, and costs to society (GAIN-M90)
· Subgroup and program-level needs assessment, evaluation, and secondary analysis
The GAIN family of instruments is appropriate for use with both adolescents and adults from a variety of populations in various levels of care, including: outpatient, intensive outpatient, short-term residential, long-term residential, therapeutic community, justice programs, school-based programs, welfare programs, co-occurring disorder programs, and primary health care programs
The Global Appraisal of Individual Needs (GAIN) instruments can be obtained at https://gaincc.org/instruments/
Personnel and Training Required
Interviewer must be trained and found competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
Self-administered or interviewer-administered questionnaire
Adolescent, Adult, Senior, Pregnancy
Adolescents and adults aged 12 years or older
The General Victimization Scale (GVS) covers important lifetime abusive events. Worries about future victimization are also a key traumatic factor and are a part of the scale (Titus et al., 2003). GVS has had good internal consistency in large samples of adolescents (n = 19,226, alpha = 0.84) and adults (n = 6,913, alpha = 0.86) (GAIN Coordinating Center, 2011). In a comparison of respondents with low victimization rates on GVS to those in the high group, the high group is significantly more likely to present to substance abuse treatment with 5 or more of 12 common diagnoses/problems (15% vs. 71%, OR = 13.9) (Modisette et al., 2010).
|caDSR Common Data Elements (CDE)||Person Victimization Questionnaire Assessment Score||3376115||CDE Browser|
Process and Review
The Expert Review Panel #3 (ERP 3) reviewed the measures in Alcohol, Tobacco and Other Substances, and Substance Abuse and Addiction domains.
Guidance from ERP 3 includes:
• Changed name of Measure
• Updated protocol
• New Data Dictionary
Back-compatible: Not back-compatible (vastly different than previous protocol which would require a new data dictionary) and not recommended for use (discredited or no longer considered broadly validated)
Protocol Name from Source
Global Appraisal of Individual Needs (GAIN) General Victimization Scale (GVS)
Dennis, M. L., Titus, J. C., White, M., Unsicker, J., & Hodgkins, D. (2003). Global Appraisal of Individual Needs (GAIN): Administration guide for the GAIN and related measures. Version 5. Bloomington, IL: Chestnut Health Systems.
Titus, J. C., Dennis, M. L., White, W. L., Scott, C. K., & Funk, R. R. (2003). Gender differences in victimization severity and outcomes among adolescents treated for substance abuse. Journal of Child Maltreatment, 8(1), 19-35.
Conrad, K. J., Conrad, K. M., Dennis, M. L., Riley, B. B., & Funk, R. R. (2009). Validation of the HIV Scale to the Rasch Measurement Model, GAIN Methods Report 1.1. Chicago, IL: Chestnut Health Systems.
Dennis, M. L. (2004). Traumatic victimization of adolescents presenting for substance abuse treatment: Time to stop ignoring the elephant in our counseling rooms. Counselor, 5(2), 36-40.
Funk, R. R., McDermeit, M., Godley, S. H., & Adams, L. (2003). Maltreatment issues by level of adolescent substance abuse treatment: The extent of the problem at intake and relationship to early outcomes. Journal of Child Maltreatment, 8(1), 36-45.
GAIN Coordinating Center. (2011). NORMS including alpha, mean, N, sd, ICC for Adolescents (1217), Young Adults (1825), and Adults (18+) by gender race and age using the CSAT 2010 SA Dataset (excluding ATM & CYT) [Electronic version]. Normal, IL: Chestnut Health Systems.
Modisette, K., Ihnes, P., Ives, M., & Dennis, M. (2010). Slides on all Grantees in the 2009 SAMHSA/CSAT Summary Analytic File. Normal, IL: Chestnut Health Systems.
Titus, J. C. (2009). Gender differences in victimization among youths with and without hearing loss admitted to substance abuse treatment. Journal of the American Deafness and Rehabilitation Association, 43(1), 7-33.
Titus, J. C. (2010). The nature of victimization among youths with hearing loss in substance abuse treatment. American Annals of the Deaf, 5(1), 19-30.
|Variable Name||Variable ID||Variable Description||dbGaP Mapping|
|PX560802000000||Protocol 560802 - proprietary. Check DCW for more||N/A|
November 21, 2016
A screener to gather information on the types of victimization a respondent has experienced in his or her lifetime.
The purpose of this measure is to collect data on the number of types of victimization experienced by a respondent in his or her lifetime (including physical, emotional, and sexual abuse); the number of traumagenic factors involved in the victimization; and the number of types of future victimization feared by the respondent.
Global Appraisal of Individual Needs, GAIN, Victimization, Physical abuse, Sexual abuse, Emotional abuse, SAA, Substance Use-related Co-morbidities and Health-related Outcomes, proprietary