4 Psychological Assessment Report Flashcards
: Why the assessment was requested.
Reason for Referral
: Who referred the client (e.g., physician, school, self-referred).
Referral Source
Client’s current issues or symptoms.
Presenting Concerns
: When the issue started, and its progression.
History of Presenting Problem
Relevant background information, including family history, educational history, employment history, and social
Psychosocial History:
: List of psychological tests and assessments used (e.g., IQ tests, personality inventories, projective tests).
Tests Administered
: Details of any structured or unstructured interviews.
Interviews Conducted
: Any relevant observations made during the assessment.
Observations
Observations about the client’s appearance and behavior during the assessment.
General Appearance:
Any notable behaviors, such as attentiveness, mood, or interpersonal skills.
Behavioral Characteristics:
Summary of results from IQ tests or other cognitive evaluations.
Cognitive Assessments:
Summary of results from personality inventories or projective tests.
Personality Assessments:
Results from any behavioral rating scales or observational data.
Behavioral Assessments:
Interpretation of how the test results fit together and what they indicate about the client’s psychological functioning.
Integration of Results:
: A summary of the main findings from the assessment.
Summary of Findings
: Any relevant DSM-5 or ICD-10 diagnoses, if applicable.
Diagnosis
: A discussion of the client’s strengths and areas of difficulty.
Strengths and Weaknesses
: Suggestions for therapy or other interventions based on assessment findings.
Treatment Recommendations
: Any recommendations for academic or job-related adjustments or support.
Educational or Occupational Recommendations
Suggestions for additional assessments if needed.
Further Evaluation:
: A brief recap of the major findings and recommendations.
Summary
Guidance on how to proceed following the assessment.
Next Steps:
Copies of the test instruments used.
Assessment Instruments
Raw scores or other relevant data.
Raw Data
Any consent forms signed by the client or guardians.
Consent Forms:
: References to any literature or sources cited in the report.
literature