A psychological assessment report is a document that thoroughly surveys the psychology of an individual or a community and prepares a report for the corresponding findings. The report should be transparent enough for any individual to go through it and understand the factors and the respective particulars, with proper understanding of the jargons as well that need to be explained along with the report details. Thus, it is very much essential for the report to be accurate such that it does not lead to any incorrect decision.
She was referred to the trainee Clinical Psychologist for Psychological Assessment and Management. Assessment was done on formal and informal level to get detailed information regarding her problems. Informal assessment was done through Clinical Interview, Mental State Examination, Visual Analogue and Dysfunctional Thought Record (DTR). Psychology Documentation Samples In an effort to continue to enhance Provider knowledge of documentation requirements, MHD has prepared Sample Documentation for review. MHD has no prescribed format for documentation however, the content is required when providing services to ANY MHD participant regardless of Prior Authorization. Assessment be required, in addition to other clinical documentation explaining the diagnosis change? Answer: An addendum to the MHA would be acceptable. The provider's clinical professionals should determine what portions of the assessment need to be updated, evaluate the consumer's changing needs and then reflect changes in the ITP. E.g.: Millon Clinical Multiaxial Inventory-III (MCMI-III) Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Mental Status Examination Review of Prior Psychological Assessment Review of Prior Medical Records Clinical Interview This patient participated in 3 hours of testing and a 1 hour diagnostic interview.
DSM-5 level1 assessment.pdf.Rate each item: –How much or how often “you have you been bothered byin the past two weeks.” –5-point rating scale from 4 (severe, nearly everyday) to 0 (none or not at all).Scoring: Rating of 2 or higher (Mild, several days) should be followed up by further clinical assessment.
Psychology Clinical Assessment Report Example
Sample Psychology Assessment Report:
Clinical Psychological Assessment Report Sample Form
Clinical Assessment Writing Samples
Name of patient: Jimmy Robert Peterson
Age: 48 years Gender: Male
Profession: Management Officer
J.M Group of Companies, New York
Need for psychology assessment:
- The individual being assessed, Mr. Jimmy, has recently developed a very hot temper towards co-workers and others in the work area.
- He has also been found to be irresponsible and often late to work.
- After work, his family complains of the sudden development of similar traits.
- He is also being suspected of saving less and spending money frivolously.
Psychology Assessment Report:
| Sl. No. | Parameters of psychology assessment | Assessment findings and description | Remarks and suggestions |
| 1. | Case History of patient | Mr. Jimmy was a completely normal child. Mentally and psychologically, he was fit and has never had any such instances of sudden change in behaviour. | NO PROBLEM |
| 2. | Employee work conditions | The work conditions for employees at J.M Group of Companies has always been favourable, except for the fact that it has recently signed a number of contracts and the deadlines are quite back to back, thereby putting a pressure on employees and workers. | AREA OF CONCERN The work load needs to be lessened to ensure psychological development of the concerned employee, who happens to be the patient being assessed. |
| 3. | Medical conditions |
| SLIGHT CONCERN Mr. Jimmy should strictly follow medical advises |
| 4. | Family environment | Mr. Jimmy’s is a healthy family of his wife and two kids. Mrs. Jimmy is also an earning member and shares responsibilities equally. The kids are perfect. | NOT A MATTER OF MUCH CONCERN Mr. Jimmy requires the support of his family members, who need to be patient with him at this time. |
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