providing psychological report to patient

How to Write a Psychological Assessment Report

• Step 1: Make the patient relax.. Before having a psychological assessment, you must first examine the person. As you...
• Step 2: Do the test with care.. As you do the interview with the patient, you must do it with proper care. Speak in a...
• Step 3: Analyze the data.. As you finally have done your best in interviewing the...

Full Answer

How to write a psychological report?

Verify the solid data that you have. Be sure that you are going to include accurate information only. To have some great skills, use any psychological assessment example as a reference. You can have better ideas on how to write a psychological report.

What is a psychological assessment report?

A psychological assessment report is a document that contains the psychological assessment of a person. Psychological assessment is the way of testing the behaviour, personality and abilities of a person using techniques where the psychologist can arrive with hypotheses. It can also be called psychological testing.

What does a psychologist record in a case report?

Here, the psychologist will record the investigations of other professionals that they deem worthy of reference and that may be relevant to the patient’s current situation. 5. Treatment Here, the professional must specify what areas of the patient’s life and behavior they intend to treat, as well as the specific treatments they’ll use.

What are the characteristics of a report in clinical psychology?

Characteristics of a report in clinical psychology It must be a scientific document. Because of this, the information must be well-defined and nothing, or almost nothing, should be left to speculation. It’s a means of communication.

How do you write a psychological report?

The psychological report generally contains the following elements:The date of the assessment, and the client's name, sex and date of birth.The origin and description of the question (the assignment).Progress of the research.Psychodiagnostic instruments used (sources of information – see below).More items...

How do you do a psychological assessment?

The six processes that make up psychological assessment are:Conducting a clinical interview.Choosing a battery of tests.Administering, scoring, and interpreting tests.Integrating and conceptualizing information gathered from test results, the clinical interview, behavioural observations, and other sources.More items...

What is an example of a psychological assessment?

The most commonly used personality tests are the Rorschach, TAT, and MMPI. The assumptions underlying projective tests such as the Rorschach and TAT are that the standard set of stimuli are used as a screen to project material that cannot be obtained through a more structured approach.

What is the purpose of psychological reports?

Psychological reports provide important information not only about why an individual may be struggling with a certain problem in their life but also the methods clients can adopt to better approach these issues.

What is a full psychological assessment?

Psychological assessment is a process whereby specific tests combined with a psychologists experience is used to diagnose and formulate effective treatment for clients. Psychological Assessment Service.

What are 4 purposes psychological assessments?

The goals of psychological assessment are to better understand a person's strengths and weaknesses, identify potential problems with cognitions, emotional reactivity, and make recommendations for treatment/remediation.

What is a clinical psychological assessment?

Clinical assessment refers to collecting information and drawing conclusions through the use of observation, psychological tests, neurological tests, and interviews to determine what the person's problem is and what symptoms he/she is presenting with.

What are the 3 main methods used in clinical assessment?

Clinical assessment is used to promote and enhance children's well being by accomplishing effective solutions to the problems they are faced with on a day-to-day basis. Three main purposes of assessment include diagnosis, prognosis, and treatment planning.

What questions do they ask in a psychological assessment?

Your doctor will ask questions about how long you've had your symptoms, your personal or family history of mental health issues, and any psychiatric treatment you've had. Personal history. Your doctor may also ask questions about your lifestyle or personal history: Are you married? What sort of work do you do?

What is a clinical psychological report?

The psychological report is the end product of assessment. It represents the. clinician's efforts to integrate the assessment data into a functional whole so that. the information can help the client solve problems and make decisions.

Why do we need to do psychological assessment report?

Using psychological evaluation reports for purposes other than their original intent fosters the stigmatization of people who try to gain access to mental health services and delivery of public health in general. Secondly, the PAP upholds the individual's right for privacy and confidential communications.

What should be included in a psychological assessment report?

Psychologist/Examiner:Psychological Assessment Report Guidelines.Informed Consent.Reason for Referral.Relevant Background Information.Current Mental Status/Behavioural Observations.Assessment Methods.Assessment Validity. Presenting Problem.Psychological Symptoms.More items...

Why Should We Have To Undergo a Psychological Assessment?

There are various reasons why we have to undergo a psychological assessment. Sometimes we have difficulties and we have to take the psychological t...

How Can I Find a Psychologist That Can Give Me a Psychological Assessment?

In searching a psychologist, know the expertise of the particular test that you need. Then there are many ways on how you can find the psychologist...

How Much Does a Psychological Assessment Cost?

There are government services that can provide psychological assessment to you free of charge. Examples of these are schools and health centers. Bu...

How Can I Make My Psychological Report Writing Better?

Verify the solid data that you have. Be sure that you are going to include accurate information only. To have some great skills, use any psychologi...

What is psychological report?

In a psychological report, the basic demographic data of the patient or client will be taken into account first, who requests the report and / or its objective, a brief description of what happens to him and that it has come to us, the data of the center and professional who is attending or making the report. 5.

When should a psychological report be reflected?

After the evaluation of the case, it must be reflected if any type of action or intervention has been carried out. If we are facing a psychological report, it is necessary to reflect the objectives that are proposed to reach with a possible intervention, negotiated with the patient or client.

What is contrasted data in psychology?

In a psychological report must appear contrasted data , that another person could replicate through the same procedures carried out. Thus, it should be based on what was reflected by the client and the tests carried out and not transcribe personal opinions or inferences.

How to make a report correctly?

1. Be clear about the type of report you do, for what and about what / who you are doing. Although it may seem obvious, the first step to make a report correctly is to know what we are carrying out, the type of report and the data that we will reflect on it. This will allow to structure the information in a certain way or another and ...

Why is it important to record changes?

You should also record possible changes that have had to be carried out. It is very important to reflect the evolution of the subject or situation, as well as the tests and psychological assessment methods that may have been carried out to assess it in the case of applying.

Is psychology an exception?

The field of psychology is not an exception, especially in the clinic : we must write a report of each patient or client that we have in which we detail their data, problems, results of evaluations, treatments or interventions applied and results. But writing a report correctly may not be as easy as it seems.

Does a report start from scratch?

A report does not start from scratch: it is necessary in the first place collect the data of the subject or situation to analyze or describe , paying attention to as many details as possible.

What is psychological evaluation?

Make a list of the techniques, tests, questionnaires, etc. used to obtain the information. In addition, it’s necessary to indicate the raw data obtained in the tests (especially if the report is going to be remitted to another psychologist). Psychological evaluation is a scientific procedure.

What information must be recorded about the examinee?

The following information must be recorded about the examinee: name, gender, age, address, telephone number, profession, and academic level. In addition, the evaluator must specify their name, studies, college accreditation, and date of the evaluation.

3.Physical and Behavioral Observation

The interviews were conducted twice a week since the 12 of December until the 10th of January; there was one personal meeting with the patient and one with his mother being present weekly. James behaved acceptably, he was never late to the interview, even to those that he attended just by himself.

4.Family Background

James’ parents are divorced for four years; they stay in a friendly relationship. The boy lives with his mother but has weekly meetings with the father, he spends at least one week of the summer vacations with him. Mr. Robert Blake, James’ father, is going to get married for the second time; his fiancée, Ms. Mary Brown, is fourth months pregnant.

5.Summary

James is most likely to be concerned about his relationship with the father after his new marriage, especially considering the fact that Mr. Robert is going to have a second child. The boy is afraid of being unwanted in the new family and ‘replaced’ by the newborn baby.

7.Recommendations

The parents of the boy have to explain the situation and the future development of it to James, he needs to be ensured of being needed and loved by his father in order to feel safe and to overcome the diagnosed issues. In addition, it would be helpful for the boy to spend some time, a week or two, with Mr.

About Jane Copland

Jane Copland is a passionate PR manager at ThePensters.com – the community of freelance academic writers. She’s into writing, technology and psychology.

How does psychosocial distress affect patients?

The De Souza Institute notes that psychosocial distress affects patient recovery and can contribute to physical symptoms like pain. Healthy emotional and mental states can improve outcomes, and nurses are in a unique position to help patients with challenges in these areas.

What does adverse medical news feel like?

Anyone dealing with adverse medical news can experience fear, helplessness, sadness and frustration, as reported by health organization Marie Curie. Patients can feel alone despite having a strong support network of family and friends.

What is the purpose of the psychological record keeping document?

Specific state and federal laws and regulations govern psychological record keeping. To the extent possible, this document attempts to provide guidelines that are generally consistent with these laws and regulations. In the event of a conflict between these guidelines and any state or federal law ...

When were the record keeping guidelines published?

The 1993 "Record Keeping Guidelines" were posted on the APA Web site for member and public comment in the light of a possible revision. A call for comments was published in the APA Monitor and circulated to state, provincial, and territorial psychological associations and to APA divisions.

What is the HIPAA Privacy Rule?

In particular, HIPAA's Privacy Rule and Security Rule have implications for the development, maintenance, retention, and security of medical and mental health records. In light of these developments, BPA directed COPPS to revise the "Record Keeping Guidelines.".

Why is it important to keep records?

Records may be especially important when there are significant periods of time between contacts or when the client seeks services from another professional.

What is the ethics code for psychologists?

State and federal laws, as well as the American Psychological Association's (APA, 2002b) "Ethical Principles of Psychologists and Code of Conduct" (hereafter referred to as the Ethics Code), generally require maintenance of appropriate records of psychological services. The nature and extent of the record will vary depending upon the purpose, ...

What is record keeping procedure?

Record keeping procedures are directed, to some extent, by the Ethics Code and legal and regulatory requirements. Within these guidelines, more directive language has been used when a particular guideline is based specifically on mandatory provisions of the Ethics Code or law.

What is adequate records?

Adequate records are generally a requirement for third-party reimbursement for psychological services. The process of keeping records involves consideration of legal requirements, ethical standards, and other external constraints, as well as the demands of the particular professional context.

Informed Consent

Gather and Structure The Information

First The Basic Data

The Case Evaluation Process: Tests and Results

Reflects The Objectives and The Intervention Proposal

7Results and Monitoring of The Intervention

It Must Be Understandable and Useful For The Reader

Be Objective

• In a psychological report must appear contrasted data, that another person could replicate through the same procedures carried out. Thus, it should be based on what was reflected by the client and the tests carried out and not transcribe personal opinions or inferences. The results of the report should be replicable by other professionals to use th...

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Reflects The Essential

Prepares The Return of The Report

Initial Data

• Information about the evaluator and the person evaluated
  The following information must be recorded about the examinee: name, gender, age, address, telephone number, profession, and academic level. In addition, the evaluator must specify their name, studies, college accreditation, and date of the evaluation.
• Objectives and personal references
  The reason for the consultation and/or the reasons for the current evaluationmust be made explicit. Don’t forget the objectives that are going to be set for the case.

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Procedure and Techniques Used

Behavior During The Exploration

Results

Treatment

Evaluation of The Treatment

Identifying Information

• Name: James Blake Age: 11 years 5 months Date of birth: 11.08.05 Sex: Male Educational level:Fifth grade (complete) Source of referral:Ms. Adriana Blake, the mother Examiner:Judy Hallway, school psychologist Reason for referral/referral question:James’ mother is concerned about James’ problem behavior at home and at school as reported to her by his...

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Tests Administered

Physical and Behavioral Observation

Family Background

Summary

Recommendations