Exam 2 Flashcards
(201 cards)
Psychological assessment
= collecting and synthesizing in formation to understand client thoughts and behavior
-Classify their problems
-Develop their intervention plans
-Measure intervention effects
-Conduct research to better understand psychological phenomena
What are the steps discussed for Conducting Psychological Assessment?
D- Determine the reason for referral and presenting problem
C- Choose what to assess
S- Select the method of assessment
G- Gather the assessment data
C- Consider the data and draw conclusions
C- Convey the conclusions to appropriate parties
Antecedence
Ex: behavior + consequences to behavior
-teacher busts shane + praise by
-Is he seeking peer approval or is he reacting to the teacher’s behavior
Reason for referral
= a description in the psychological assessment of why the psychologist’s services are being sought
-(e.g., Why is a particular child earning poor grades?).
-presenting problem initiates assessment
Presenting problem
=The concerns and problems that lead a client to treatment.
D- Determine the reason for referral and presenting problem
○ Client provides reason for referral to clinician
+
* Presenting problem initiates assessment
-What needs evaluation
-Assessment instruments to use
-Goals of assessment
C- Choose what to assess
- Guided by:
§ Goals in the referral
□ What the intention is
§ Understanding of the presenting problem
□ What is going on
§ Professional psychologists must make accurate judgments of these
□ A lot of things one could assess, which are necessary
S- Select the method of assessment
- After deciding client characteristics to assess, psychologists decide methods, instruments to use:
§ Instrument to address presenting problem in referral
§ Logistical concerns addressed (time taken, etc.)
§ Accuracy of results instruments provide through
§ Psychometric evaluation
§ Evidence-based assessment:
§ Reliability, validity, and standardization of methods considered
G- Gather the assessment data
- Client’s (parent or guardian’s) informed consent obtained upon instrument selection
- Assessment data collected by 3 primary methods, and sometimes historical records
§ Administer a test
§ Conduct an interview
§ Observe - Often use a multimethod assessment
C- Consider the data and draw conclusions
- Scoring and interpretation of assessments after their administration; simple to complicated
- Integration of data from different sources takes place
- Few evidence-based rules exist
- Psychologists rely on their judgement when drawing conclusions
- As a general rule, the larger the leap from test responses to conclusions, the more vulnerable to error the clinical becomes
C- Convey the conclusions to appropriate parties
§ Assessment report generated upon drawing conclusions; report contains
§ Identifying information
§ Reason for referral
§ Background
§ Assessments used (with rationale)
§ Summary of findings
§ Diagnostic impressions
§ Recommendations for addressing questions in referral
§ And it is given to the client, parent, school personnel… via confidential channels… as appropriate
What are some common referral sources?
-Client
-Relative
-Another psychologist
-School
-Physician
-Lawyer/court order
-Employer
Is every psychologist trained to treat every presenting problem?
Ch.4
Psychometric evaluation:
A process in which the developer subjects assessment instruments to rigorous statistical analyses to determine whether they meet certain standards.
Evidence-based assessment:
When psychologists choose assessment instruments on the basis of demonstrated reliability, validity, and standardization
Assessment report:
It contains test results, interpretations, and conclusions
It includes the reason for referral along with background information and history to set the context for the assessment, a discussion of test scores and conclusions, and recommendations for how to address the questions and concerns raised in the referral.
What is the choice of assessment guided by?
§ Goals in the referral
□ What the intention is
§ Understanding of the presenting problem
□ What is going on
§ Professional psychologists must make accurate judgments of these
□ A lot of things one could assess, which are necessary
What are characteristics in clients a Psychologist might choose to assess?
-Demographics
-Mental status
-History of the problem
-Social history and functioning
-Medical history
-Developmental history
-Family history
-Intellectual functioning
-Occupational functioning
-Hobbies and interests
-Substance use
-Sexual functioning
-Personality
-Behavioral/Psychological symptoms
-History of trauma or other environmental stressors
-Self-assessment
-Legal history and history of violence
Why is it important to have a psychometric evaluation of an assessment? And why is it important that assessments are evidence-based?
Ch.4
Reliability=
the consistency with which test measures variables (anxiety, intelligence, extraversion, etx.)
-Test-retest reliability
-Interrater reliability
-Internal consistency
Define Test-retest reliability
= the consistency of assessment test scores over time.
§ Generally, we expect individuals to receive similar diagnoses from one administration to the next if the interval between administrations is short.
Shows stability of test
Define Interrater reliability
= the level of agreement between at least two interviewers who have evaluated the same client independently
§ Agreement can refer to consensus on symptoms assigned, diagnoses assigned, and so on.
§ Shows degree of diagnostic
Define Internal consistency
= The degree to which the items in a test all measure the same characteristic
§ Shows whether test questions measure the same characteristic
Define Validity
= the extent to which a test measures what it intends to measure
-Construct validity
-Predictive validity
-Incremental validity