Screens and Assessments

Screens and assessments are used for a variety of reasons (detection, monitoring, outcomes, etc.). However the requirement is always the same. How to measure a latent trait accurately, using questions and logic. The actual cost of a screening measure has little to do with whether it is public domain or licensed. The depth and accuracy of information and how well it supports treatment, or qualified hand offs and referrals, is the real value.

 

Developmental Screens

Triple Red Dash
Many studies have shown that the sooner you address developmental delays, autism spectrum and social emotional issues, the more effective the treatment, the better the outcome and lower the costs. While there are alternatives like the SWYC or PEDS, typically the ASQ-3 is used for developmental screening, the M-CHAT-2 for autism screening and the ASQ:SE-2 for social emotional screening.

 

Mental Health, Pain and Psychological Assessments

Triple Red Dash
In-depth assessments such as the QPD, BHI-2, BBHI-2, etc. can cover as many as 10 or 20 different latent traits. They offer a broader picture of the psychological condition of the patient, saving the provider a significant amount of time not having to gather the information themselves. These types of assessments work well in Specialty settings where in-depth information is necessary and patients have the time to complete the assessments.

 

Integrated Behavioral Health (IBH) Screens and Assessments

Triple Red Dash
In IBH settings the idea is to universally detect, and probe deeper when indicated. Detection can be simple depression or maybe a combination of depression (PHQ-9), anxiety (GAD-7), alcohol (AUDIT-10) and substance abuse (DAST-10), all indicators of psychological distress. Probing deeper may include more measures like PTSD (PTSD-PC) and Mania (CIDI), or doing a comprehensive assessment like the QPD. Using screening and assessment measures to probe deeper is a cost-effective way to make higher quality hand offs. It also gets both the medical and behavioral health staff up to speed faster.

 

Depression Screens

Triple Red Dash
Depression screening is the psychological equivalent to taking a patient’s temperature. It works well as an indicator of psychological distress, but you need to probe further to see what is the underlying problem(s). There are a host of depression measures (BDI-2, Zung Depression, CESD, etc.) but the de facto standard measure in medical settings is the PHQ-9.

 

Anxiety Screens

Triple Red Dash
Anxiety is generally around 70% co-morbid with depression. It is important in medical setting because it often manifests itself as medical symptoms. The Zung Anxiety is an alternative but the de facto standard measure in medical settings is the GAD-7.

 

Alcohol and Substance Abuse Screens

Triple Red Dash
You need to detect and potentially treat alcohol and substance abuse. However, alcohol and substance abuse are often co-morbid with psychological distress due to the patient self-medicating. There are a range of alcohol and substance abuse measures being used, AUDIT-10, DAST-10, ASSIST, CAGE to name a few.

 

PTSD Screens

Triple Red Dash
Having established psychological distress and some of it’s symptoms you can probe into underlying causes. PTSD can be a root cause locking in the psychological distress and making the patient resistant to treatment. The PTSD-PC and the PCL-PTSD are often used but an in-depth assessment like the QPD may be a better choice.

 

Mania Screens

Triple Red Dash
If you are considering prescribing anti-depressants, you want to be certain the patient is not bi-polar. You can screen for mania using an abridged CIDI, but similar to PTSD, an in-depth assessment like the QPD is probably a better choice.

 

 

  • PSC-Y
  • PTSD-PC
  • QPD
  • QVAS
  • SCARED
  • SNAP-IV
  • SWYC
  • Vanderbilt ADHD
  • ZUNG
*And More.