1. The measure is somewhat long. Studies of consumer satisfaction seem to suggest that approximately 39% felt the measure was somewhat too long or too long. However, these parents were part of a community sample. A clinic sample might be able to balance the length of the measure with the value of the information it yields.
2. The age range of the measure 1-3 is awkward for treatment-outcome research and longitudinal studies because children need to fall in that age range at pre-, post-, and follow-up assessment periods.
3. With regard to using the measure for trauma-exposed children, there is no scale that directly measures trauma symptoms, so another measure would need to be used to capture trauma symptomatology.
4. Psychometrics have been examined primarily by the authors. More research would be helpful. In addition, although the measure has been shown to be sensitive to treatment effects, it has not yet been used in randomized controlled designs, which would allow a test of sensitivity to different intervention conditions.
5. As with most parent report measures, items are face valid and parent may respond defensively or in biased ways. There are no validity scales associated with this measure.