Psychological Tests Commonly Used in the Assessment of Chronic Pain *
Total Page：16
File Type：pdf, Size：1020Kb
Load more
Recommended publications
-
Assessment of Emotional Functioning in Pain Treatment Outcome Research
Assessment of emotional functioning in pain treatment outcome research Robert D. Kerns, Ph.D. VA Connecticut Healthcare System Yale University Running head: Emotional functioning Correspondence: Robert D. Kerns, Ph.D., Psychology Service (116B), VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT 06516; Phone: 203-937- 3841; Fax: 203-937-4951; Electronic mail: [email protected] Emotional Functioning 2 Assessment of Emotional Functioning in Pain Treatment Outcome Research The measurement of emotional functioning as an important outcome in empirical examinations of pain treatment efficacy and effectiveness has not yet been generally adopted in the field. This observation is puzzling given the large and ever expanding empirical literature on the relationship between the experience of pain and negative mood, symptoms of affective distress, and frank psychiatric disorder. For example, Turk (1996), despite noting the high prevalence of psychiatric disorder, particularly depression, among patients referred to multidisciplinary pain clinics, failed to list the assessment of mood or symptoms of affective distress as one of the commonly cited criteria for evaluating pain outcomes from these programs. In a more recent review, Turk (2002) also failed to identify emotional distress as a key index of clinical effectiveness of chronic pain treatment. A casual review of the published outcome research in the past several years fails to identify the inclusion of measures of emotional distress in most studies of pain treatment outcome, other than those designed to evaluate the efficacy of psychological interventions. In a recent edited volume, The Handbook of Pain Assessment (Turk & Melzack, 2001), several contributors specifically encouraged inclusion of measures of psychological distress in the assessment of pain treatment effects (Bradley & McKendree-Smith, 2001; Dworkin, Nagasako, Hetzel, & Farrar, 2001; Okifuji & Turk, 2001). -
Graphologist
Confessions of a (Former) Graphologist A first-hand report of one man's entry into the field of graphology, his later deep involvement with the practice, and his subsequent disillusionment. Along the way he encountered a continuing lack of scientific validation and a refusal of graphologists to face graphology's validity problems. ROBERT J. TRIPICIAN round 1972 I happened upon a magazine article describing handwriting analysis. The article got my A immediate attention as it showed a sample of hand- writing that closely resembled that of a co-worker. The per- sonality factors described in the analysis of this sample appeared to match the co-worker's personality very closely. This piqued my interest. After retirement I pursued the study and practice of graphology rather heavily, even becoming a Certified Professional Graphologist. I soon found that while texts on the subject are in general agreement regarding the meaning and interpretation of individual handwriting features, none of them describe an orderly approach to developing a com- 4 4 January/February 2000 SKEPTICAL INQUIRER plete profile. Indeed, developing profiles is described as an eso- with a sharp point denotes a sharp temper. teric and intuitive process. Furthermore, none of the texts d. A lower case p with a spike at the top (see figure 4) is describe an orderly method of recording notes. interpreted to mean that the writer is argumentative. However, I subsequently developed a computer database to automate as in the case of the capital letter /, this formation was taught the note-taking process and eliminate die need for memoriz- in both the Mills and Palmer Method systems as the standard. -
Assessment and Measurement of Pain and Pain Treatment
2 Assessment and measurement of pain and pain treatment Section Editor: Prof David A Scott 2 2.1 | Assessment Contributors: Prof David A Scott, Dr Andrew Stewart 2.2 | Measurement Contributors: Prof David A Scott, Dr Andrew Stewart 2.3 | Outcome measures in acute pain management Contributors: Prof David A Scott, Dr Andrew Stewart 5th Edition | Acute Pain Management: Scientific Evidence 3 2.0 | Assessment and measurement of pain and pain treatment Reliable and accurate assessment of acute pain is necessary to ensure safe and effective pain management and to provide effective research outcome data. The assessment and measurement of pain is fundamental to the process of assisting in the diagnosis of the cause of a patient’s pain, selecting an appropriate analgesic therapy and evaluating then modifying that therapy according to the individual patient’s response. Pain should be assessed within a sociopsychobiomedical model that recognises that physiological, psychological and environmental factors influence the overall pain experience. Likewise, the decision regarding the appropriate intervention following assessment needs to be made with regard to a number of factors, including recent therapy, potential risks and side effects, any management plan for the particular patient and the patient’s own preferences. A given pain ‘rating’ should not automatically trigger a specific intervention without such considerations being undertaken (van Dijk 2012a Level IV, n=2,674; van Dijk 2012b Level IV, n=10,434). Care must be undertaken with pain assessment to avoid the process of assessment itself acting as a nocebo (see Section 1.3). 2.1 | Assessment The assessment of acute pain should include a thorough general medical history and physical examination, a specific “pain history” (see Table 2.1) and an evaluation of associated functional impairment (see Section 2.3). -
List of Psychological Tests Material Was Prepared for Use As an Aid in Handling Requests for Psychological Testing
List of Psychological Tests Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a cost-effective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions. INSTRUMENT TYPE AGE MINUT COMMENTS ES 16 Personality Factor Questionnaire (16-PF) Personality 16+ 30 35-60 min per Tests in Print for admin time only ABEL Screen Sexual Interest Adol + 120 Primarily forensic in nature: may not be covered Achenbach System of Empirically Based Assessment 60 Preschool Module Behav Rating Scale 1.5-5 10 Caregiver-Teacher Report Form Behav Rating Scale 1.5-5 10 Child Behavior Checklist (CBCL) Behav Rating Scale 1.5-5 15 Teacher Report Form Behav Rating Scale 6-18 20 Youth Self-Report (YSR) Behav Rating Scale 11-18 20 ACTeERS-ADD-H Comprehensive, Teachers Rating Scale Behav Rating Scale 5 – 13 15 Adaptive Behavior Assessment System (ABAS II) Behav Rating Scale 0-89 30 Adaptive Behavior Scale (ABS) Developmental 3-18 30 ADHD Rating Scale Behav Rating Scale 4 – 18 15 Adolescent Anger Rating Scale Behav Rating Scale 11-19 15 Adolescent Apperception Cards Projective Personality 12 – 19 60 Adult Behavior Checklist (ABCL) Behav Rating Scale 18-89 30 Admin. Time 20 min. + 10 min. for scoring, interpretation, write up. Adolescent Psychopathology Scale Personality Child-adult 60 Alzheimer’s Quick Test (AQT) Neuro Adult 10 Amen System Checklist Behav Rating Scale Adult 15 Animal Naming Neuro Child-adult 10 Aphasia Screening Test (Reitan Indiana) Neuro 5+ 30 Asperger’s Syndrome Diagnostic Scales (ASDS) Rating scale 5-18 20 Attention Deficit Disorder Eval. -
Online Psychological Testing
Online psychological testing APS Tests and Testing Expert Group August 2018 This resource was developed by Peter Macqueen, Wally Howe and Marian Power as members of the Tests and Testing Expert Group. Copyright © 2014 Online psychological testing Table of Contents 1. Background ..................................................................................................................................................... 4 2. Factors driving the increasing use of online testing ..................................................................... 5 3. Usage of online testing ............................................................................................................................. 6 3.1 Organisational settings ................................................................................................................... 6 3.2 Educational and other settings .................................................................................................... 6 4. Standards, guidelines and good practice .......................................................................................... 7 5. Advantages of online testing (over traditional or paper and pencil testing) ..................... 9 6. Issues and potential disadvantages of online testing ...............................................................10 7. Technical issues .........................................................................................................................................11 8. Ethics ...............................................................................................................................................................12 -
Psychological and Neuropsychological Testing
2018 Level of Care Guidelines Psych & Neuropsychological Testing Psychological and Neuropsychological Testing Introduction: The Psychological and Neuropsychological Testing Guidelines is a set of objective and evidence-based behavioral health 2 criteria used to standardize coverage determinations, promote evidence-based practices, and support members’ recovery, resiliency, and well-being. The Psychological and Neuropsychological Testing Guidelines is derived from generally accepted standards of practice for psychological and neuropsychological testing. These standards include guidelines and consensus statements produced by professional specialty societies, as well as guidance from governmental sources such as CMS’ National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). The Psychological and Neuropsychological Testing Guidelines is also derived from input provided by clinical personnel, providers, professional specialty societies, consumers, and regulators. Optum is a brand used by Behavioral Health and its affiliates. The term “member” is used throughout the Psychological and Neuropsychological Testing Guidelines. The term is synonymous with “consumer” and “enrollee”. It is assumed that in circumstances such as when the member is not an emancipated minor or is incapacitated, that the member’s representative should participate in decision making and treatment to the extent that is clinically and legally indicated. The terms “recovery” and “resiliency” are used throughout the Psychological and Neuropsychological -
The Legal Implications of Graphology
Washington University Law Review Volume 75 Issue 3 January 1997 The Legal Implications of Graphology Julie A. Spohn Washington University School of Law Follow this and additional works at: https://openscholarship.wustl.edu/law_lawreview Recommended Citation Julie A. Spohn, The Legal Implications of Graphology, 75 WASH. U. L. Q. 1307 (1997). Available at: https://openscholarship.wustl.edu/law_lawreview/vol75/iss3/6 This Note is brought to you for free and open access by the Law School at Washington University Open Scholarship. It has been accepted for inclusion in Washington University Law Review by an authorized administrator of Washington University Open Scholarship. For more information, please contact [email protected]. THE LEGAL IMPLICATIONS OF GRAPHOLOGY I. INTRODUCTON Graphology, "the alleged science of divining personality from handwriting,"1 is for many American employers a tool for making various employment decisions. In recent years, American employers' use of graphology in employment decisions has increased.2 Today, about six thousand American companies report using graphology;3 however, this 1. Joe Nickell, A Brief History of Graphology, in THE WRITE STUFF: EVALUATIONS OF GRAPHOLOGY, THE STUDY OF HANDWRITING ANALYSIS 23, 23 (Barry L. Beyerstein & Dale F. Beyerstein eds., 1992). Writers sometimes use the term "graphology" interchangeably with "graphoanalysis" or "handwriting analysis." However, "graphoanalysis" refers only to the type of graphology practiced by Graphoanalysts, a trademarked name for graduates of Chicago's International Graphoanalysis Society. See id. at 21-22. This Note uses the term "graphology" to refer to graphology in general and to distinguish graphology from the handwriting analysis that questioned document examiners use to identify handwriting in forgeries and other cases. -
Medical Policy Neuropsychological and Psychological Testing
Medical Policy Neuropsychological and Psychological Testing Table of Contents • Policy: Commercial • Coding Information • Information Pertaining to All Policies • Policy: Medicare • Description • References • Authorization Information • Policy History Policy Number: 151 BCBSA Reference Number: N/A Related Policies N/A Policyi Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity Neuropsychological Testing Neuropsychological testing is MEDICALLY NECESSARY when conditions are met using McKesson InterQual® criteria for medical necessity reviews. Neuropsychological testing for Attention Deficit Hyperactivity Disorder (ADHD) may be MEDICALLY NECESSARY for the following: • when routine treatment for ADHD has not improved patient outcomes and there is well documented evidence of treatment failure, and • when psychological testing has been completed and further clinical information is needed to rule out a medical or psychiatric diagnosis. Neuropsychological testing for the routine diagnosis of ADHD is NOT MEDICALLY NECESSARY. Neuropsychological testing is considered NOT MEDICALLY NECESSARY when used primarily for: • educational or vocational assessment or training (to diagnose specific reading disorders, developmental disorders of scholastic skills, dyslexia and alexia), or • determining eligibility for special needs programs, • assessment or diagnosing of pervasive developmental disorders or other disorders or psychological development, • improving academic performance, • baseline assessment of function, • monitoring of chronic -
Assessment of Pain
ASSESSMENT OF PAIN Pediatric Pain Resource Nurse Curriculum © 2017 Renee CB Manworren, PhD, APRN, FAAN and Ann & Robert H. Lurie Children’s Hospital of Chicago. All rights reserved. Objectives • Critically evaluate pain assessment tools for reliability, validity, feasibility and utility Table of Contents for communicating pediatric patients’ pain experiences • Formulate processes and policies to ensure the organization’s pain assessment and care planning for pediatric patients is sensitive to children’s pain by acknowledging the sensory, cognitive and affective experience of pain and behavioral responses as influenced by social, cultural, spiritual and regulatory context. • Engage in pain assessment demonstrating evidence-based processes, modeling assessment principles, and using valid and reliable tools that are appropriate for the developmental level, cognitive ability, language, and care needs of pediatric patients cared for in your clinical area. page page page page page 3 8 15 17 30 Why Assess Pain in Principles of Pain Pain Assessment Process Initial Assessment Choosing Pain Children? Assessment Assessment Tools page page page page page 35 48 56 63 66 Pain Assessment Tools Assessment of Those Special Populations In Summary References for Self-report Unable to Self-report | 2 Why Assess Pain in Children? Why do you think it is Type your answer here. important to screen for and assess pain in children? | 4 Because… Assessment and treatment of pain is a fundamental human right. Declaration of Montreal , The International Association for the Study of Pain., 2011 Pain in children occurs across a spectrum of conditions including everyday pains, acute injuries and medical events, recurrent or chronic pain, and pain related to chronic or life-limiting conditions. -
Pain Module 2: Pain Assessment and Documentation Module 3: Management of Pain and Special Populations
Foundations of Safe and Effective Pain Management Evidence-based Education for Nurses, 2018 Module 1: The Multi-dimensional Nature of Pain Module 2: Pain Assessment and Documentation Module 3: Management of Pain and Special Populations Adapted from: Core Competencies for Pain Management: Results of an Inter--professional Consensus Summit: Pain Med 2013; 14(7) 971-981 Module 2: Pain Assessment and Documentation Objectives a. Understand the multidimensional features of pain assessment. b. Use valid and reliable tools for assessing pain and associated symptoms. • Initial Screening • Ongoing Assessments (Including Discharge Assessment) c. Assist patients in setting realistic acceptable pain intensity levels. d. Identify tools for assessing acute and persistent pain and for patients unable to self-report pain. e. Discuss the importance of empathic and compassionate communication during pain assessment. f. Discuss the inclusion of patient and others, in the education and shared decision-making process for pain care. ASPMN (2017-08-02). Core Curriculum for Pain Management Nursing. Elsevier Health Sciences. Patient Screening, Assessment and Management of Pain (Policy and Procedure #30327.99) A. Perform a Pain Screening during the initial assessment • Determine the presence of pain or history of persistent pain. • Identify whether the patient is opioid tolerant. B. Perform an Initial Comprehensive Pain Assessment if the Initial Pain Screening indicates pain. C. Perform Pain Screening at a frequency determined by individual patient need with consideration of patient’s condition, history, risks and treatment or procedures likely to cause pain. (Note: Assessing pain as the 5th Vital Sign is no longer a regulatory requirement) A. Perform Ongoing Pain Assessment with any report of pain and as determined by individual patient clinical condition/need. -
Practical Pain Management
PRACTICAL PAIN MANAGEMENT To start with… This is based upon various sources of information in the publications below and the way they have helped me to approach this subject. So for more information consult the following: Oxford Handbook of Palliative Care 2nd Ed: M Watson et al: Oxford University Press publications Symptom Management in Advanced Cancer 4th Ed: R Tywcross et al: PalliativeDrugs.com publications Palliative Care Formulary 4th Ed: R Twycross et al: PalliativeDrugs.com publications Drugs in Palliative Care 2nd: Andrew Dickman: Oxford University Press publications INTRODUCTION “Think Holistically” (see Figs 1-4) Remember - two important principles of palliative care are that all care should be: o PATIENT-CENTRED – putting patients & their significant others at the centre of healthcare o HOLISTIC – a healthcare approach where considering all aspects relevant to a person’s care [ie making up ‘the whole’ person] is more beneficial to the person than just focusing one of the aspects [eg. those most familiar to a healthcare worker of a particular discipline – ie doctors can focus on physical aspects alone] NB: This approach is not unique to palliative care and is seen in other disciplines eg. general practice Palliative care is holistic in the broadest extent: o The Patient: holistic by considering the physical, psychological, spiritual & social aspects relevant to the person (fig.1) which also means considering ‘The Triangle of Significant Others’ – family, carers & significant others (fig.2) o The Team: holistic in palliative care because of the fully multidisciplinary team approach It may be helpful to understand the extent of this holistic assessment by considering the following diagrams: o Fig. -
Psychological/Neuropsychological Testing Request (All Information Requested on This Form Must Be Complete
Psychological/Neuropsychological Testing Request (All information requested on this form must be complete. Missing data may result in authorization delay.) • Submission of this information by fax or phone does not constitute authorization of services. Blue Cross of Idaho’s Healthcare Operations department will notify you of their decision by fax, mail, phone or portal. • Authorization period may not exceed one month without review of medical records. If medical necessity justifies special handling, please include an explanation. • All psychological testing requests must include a diagnostic assessment completed within the last 30 days by a behavioral health professional as well as at least one validated symptom inventory or rating scale. Your request will not be processed without this documentation. • For questions regarding this form, please call 208-331-7535 or 800-743-1871. • Submit all elective prior authorization requests at least 10 days prior to the scheduled date of service. • If the request is URGENT please check here: q Reason for Urgent: ______________________________________________________ q Behavioral Health: Fax 208-387-6840 PLEASE PRINT OR TYPE ONLY Requesting Provider: Provider ID: Date: Office Address: Tax ID Number: Contact Person: Phone: Fax: Patient Name: Enrollee ID: Date of Birth: Testing Provider Information: Name/Credentials: Provider ID: Address: Email address: Phone: Fax: Service Request Request Type: q Psychological q Neuropsychological Number of units requested by CPT Code: PT: 96105:____ 96125:____96110:____