3.704.3 List of Psychological Tests - NAPPP

3.704.3 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.

16-PF ABEL Screen

INSTRUMENT

TYPE Personality Inventory Sexual Interest

AGE 16+ Adol +

MINUTES 30 180

COMMENTS Includes visual response time and questionnaire

Academic Performance Rating Scale

Behav Rating Scale

6-12

15

ACTERS-ADD-H Comprehens, Teachers Rating ADDES Attention Deficit Disorder Eval. Scales

Behav Rating Scale Behav Rating Scale

5 ? 13

15

5 ? 18

15

ADHD Rating Scale

Behav Rating Scale

4 ? 18

15

Adolescent Apperception Cards

Proj-Thematic

12 ? 19

60

Alcohol Use Inventory

Drinking Styles

16+

30

Aphasia Screening Test (Reitan Indiana) Attention-Deficit Scales for Adults (ADSA)

Neuro: Language ADHD

5+

30

17+

15

Allow 1 hr for set of checklists

Auditory Continuous Performance Test

Attention; ADHD

6 ? 11

30

Bayley Scales of Infant Development Beck Anxiety Inventory

Pers: Single Scale

1-42

60

17-80

15

Beck Depression Inventory

Pers: Single Scale

17-80

15

Beck Depression Inventory-II (BDI-II) Beck Hopelessness Scale (BHS)

Pers: Single Scale Pers Rating Scale

13 ? 80

15

17 ? 80

15

Beck Scale for Suicidal Ideation

Pers Rating Scale

17 ? 80

15

Beery VMI (Dev. Test of Visual-Motor Integration) Behavior Assessment System for Children (BASC) Bender Visual Motor Gestalt Test

Neuro/LD: Visual Behav Rating Scale Neuro

3+

30

4 - 18

30

4+

30

Benton Facial Recognition Test Benton Judgement of Line Orientation Test

Neuro: Visual Neuro: Visual

30

7+

20

Benton Multilingual Aphasia Exam (BMAE) Benton MAE Sentence Repetition Benton MAE Token Test

Neuro: Visual Neuro: Language Neuro: Language

6-69

90

6-69

15

6-69

15

Benton MAE: Visual Naming Test Benton Right-Left Orientation Test Benton Serial Digit Learning Test

Neuro: Language

6-69

15

Neuro: Language

20

Neuro: Memory/Learning

15

Revised December 2004

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3.704.3 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.

INSTRUMENT Benton Visual Form Discrimination Test

TYPE Neuro: Visual

AGE

MINUTES 30

COMMENTS

Benton Visual Retention Test Booklet Categories Test Boston Diagnostic Aphasia Examination

Neuro: Visual Neuro: Prob. Solving Neuro: Language

8+

30

15+

45

Adults

150

Boston Naming Test Brief Neuropsychological Cognitive Exam Brief Symptom Inventory

Neuro: Language Neuro Symptom Checklist

Adults 13+ 13+

30

30

5

Short form of SLR-90-R

Brown Attention-Deficit Disorder Scales Burk's Behavior Rating Scale

Behav Rating Scale Behav Rating Scale

12+ Preschool

15

Allow 1 hr for set of checklists

15

CAP (Child Attention Problems)

Behav Rating Scale

6-16

15

CAT (Children's Apperception Test)

Proj: Thematic

3-10

60

CAVLT ? Children's Auditory Verbal Learning Test

Neuro-Memory/Learning

6.5-18

45

Categories Test

Neuro-Prob. Solving

15+

45

CBCL ? Achenbach Child Behavior Checklist

Behav Rating Scale

4-16

15

Children's Attention & Adjustment Survey (CAAS)

Behav Rating Scale

5 ? 13

Children's Category Test (CCT) Children's Depression Inventory (CDI)

Neuro Pers: Screening

5 ? 16

15

7-17

15

Children's Depression Rating Scale, Revised

Pers Rating Scale

6 ? 12

15

Allow 1 hr for set of checklists

CELF ? Clinical Evaluation of Language Fundamentals

Neuro-Language

45

Children's Manifest Anxiety Scale-Revised

Pers Rating Scale

6 ? 19

15

Allow 1 hr for set of checklists

Children's Memory Scale Children's State-Trait Anxiety Inventory

Neuro-Memory Beh Rating scale

5 ? 16 8 ? 14

60

15

Allow 1 hr for set of checklists

Chronic Pain Battery

Pain adaptation

Adult

15

Children's Personality Questionnaire Clock Drawing

Pers Inventory Neuro

8-12

45

15

Cognistat

Neuro

18+

30

Color Form Test Comprehensive BEH RATING SCALE for Children (CBRSC)

Neuro: Child Behav Rating Scale

15

6 ? 14

15

Computer Category Test

Neuro: Prob Solving

45

Conner's Continuous Performance Test II

Neuro: Attention

4+

60

Conners' Rating Scale-Teacher or Parent

Behav Rating Scale

3- 17

15

Revised December 2004

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3.704.3 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.

INSTRUMENT Conner's Rating Scales-Revised

TYPE Behav Rating Scale

AGE 3 ? 17

MINUTES

COMMENTS

15

Allow 1 hr for set of Cklists ; Expected to be free part of 90801

COWAT ? Controlled Oral Word Association Test

Neuro: language

15

CPI (California Psychological Inventory)

Pers Inventory

13+

30

CPQ ? Children's Personality Questionnaire

Pers Inventory

8-12

30

CVLT ? California Verbal Learning Test for children

Neuro: Memory/Learning

5 ? 16.1

45

CVLT ? California Verbal Learning Test

Neuro: Memory/Learning

17+

45

Norms only on normal pop

Diagnostic Achievement Battery ?2 (DAB2)

6-14

60

Differential Ability Sale (DAS)

Cog/Neuro

6-18

60

Delis-Kaplan Executive Functional Scale

Neuro: Exec

120

Dementia Rating Scales (Mattis)

Neuro: Screen

65-81

60

Denman Memory Battery

Neuro: Memory Battery

80

Detroit Test of Learning Aptitude

IQ

6-17

80

Diagnostic Interview for Children and Adolescents Computer Program (DICA-IV)

Behav Rating Scale

6 ? 17

30

Structured interview

Diagnostic Achievement Battery ? 2

Academic Skills

6-14

90

Devereau Scales of Mental Disorders

Personality

5-18

30

Dyadic Adjustment Scale

Relationship Satisfaction

Adult

15

Allow 1 hr for set of checklists

Eating Inventory Eating Disorder Inventory 2(EDI-2) Endler Multidimensional Anxiety Scales

Personality Personality Pers Rating Scale

17+

15

12+

15

Allow 1 hr for set of checklists

13+

15

Allow 1 hr for set of checklists

Examining for Aphasia

Language

13 ? adult

75

Expressive One Work Vocabulary Test ? Revised

Neuro: Language

2-12

20

Family Apperception Test

Proj-Thematic

6 ? 15

30

Family Kinetic Drawing

Proj-Thematic

Child+

30

Finger Tapping Test (Electric or Manual) FIRO-B

Neuro: Motor Pers-Soc/Behav

Child+

5

15

Folstein Mini Mental Status Fuld Object Memory Evaluation Geuevel Ability Measure by Adults (GAMA)

Neuro Neuro: Memory IQ

Adult

15

15

45

Revised December 2004

3 of 10

3.704.3 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.

INSTRUMENT Goldman-Fristoe-Woodcock Auditory Discrim. Battery

TYPE LD/Neuro

AGE

MINUTES 45

COMMENTS

Gordon Diagnostic System Gray Oral Reading Test (GORT-R OR GORT-3) Grip Strength

Neuro/ADD; attn-CPT Academic Neuro: Motor

4+

60

Child+

45

5

Grooved Pegboard Halstead Reitan Neuro Battery Hamilton Depression Inventory (HDI)

Neuro: Motor Neuro Battery Symptom rating scale

Child+ 18+

10

180

Time for individual tests of battery comes out to this

15

Allow 1 hr for set of cklists; self-report version of Hamilton Depression

Rating Scale.

Hamilton Rating Scale for Depression-Revised (Clinician Form) Hamilton Rating Scale for Depression-Revised (Self-Report)

Pers Rating Scale Pers Rating Scale

18+

0

Part of MSE only

18+

15

Allow 1 hr for set of checklists

Hand Test

Projective

Adult

45

Hare Psychopathy check list-R (PCL-R) High School Personality Inventory

Personality Pers. Inventory

18+

150

13+

30

Holtzman Inkblot Test

Proj-Inkblot

Child+

120

House Tree Person (H-T-P) HSQ, HSQ-R (Home Situations Questionnaire)

Proj-Thematic Beh Rating Scale

Child+

30

4-18

15

Human Figure Drawings Incomplete Sentences Blank

Proj-Thematic Proj

Child+

30

Child+

60

Intermediate Visual and Auditory CPT (IVA)

Attn ? ADHD

5 ? 90

60

Kaufman Breit Culellique Test (K-BIT)

IQ

4-90

30

Kaufman Adolescent and Adult Intelligence Test

IQ

11-85

90

KABC (Kaufman Assessment Battery for Children)

IQ & Academic Skills

2.5-12.5

90

Kaufman Short Neuropsychological Assess Procedure(K-SNAP) K-TEA (Kaufman Test of Education Achievement)

Neuro screen Academic Skills

11 ? 85

30

6-18

60

Key-Math Diagnostic Arithmetic Test ? Revised

Academic Skills

5-14

80

Kinetic Family Drawings Lateral Dominance Exam

Proj-Thematic Neuro: Motor

Child+

30

25

Louisville Behavioral Checklist Luria-Nebraska Neuropsych Battery

Beh Rating Scale Neuro Battery

4-17

15

13+

150

Luria-Nebraska Neuropsych ? Screen Version

Neuro Screen

13+

30

Luria-Nebraska Neuropsych Battery for Children

Neuro Battery

8-12

150

Revised December 2004

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3.704.3 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.

INSTRUMENT Luria-Nebraska Neuropsych for Children ? Screen Version

TYPE Neuro Screen

AGE 8-12

MINUTES 30

COMMENTS

Make a Picture Story MAPI (Millon Adolescent Personality Inventory)

Projective Pers Inventory

Adolescent

60

13-18

60

Marital Satisfaction Inventory-Revised (MSI-R)

Marital/Relationship

18 ? 90

15

Allow 1 hr for set of checklists

Maryland Addictions Questionnaire (MAQ)

Chemical Dep

16+

15

Allow 1 hr for set of checklists

Matching V's and Figures Test

Neuro ? Attention

15

McCarthy Scales of Children's Abilities

IQ

Personality Inventory

2.6-8.6

90

18+

60

Memory Assessment Scales

Neuro: Memory

18-90

60

MicroCog Assessment of Cognitive Functioning

Neuro

18 ? 89

60

Millon Adolescent Clinical Inventory (MACI)

Pers Inventory

13-19

60

Millon Adolescent Personality Inventory (MAPI) Millon Behavioral Health Inventory (MBH) MMPI Minnesota Multiphasic Personality Inventory

Pers Inventory Medical Coping Style Pers Inventory

13-19 18+ 14+

60

45

60

Recommend most recent version; MMPI-II.

MMPI-2 Minnesota Multiphasic Pers. Inventory-2

Pers Inventory

18+

60

MMPI-A Minnesota Multiphasic Pers. Inventory-Adolesc.

Pers Inventory

14-18

60

Minnesota Test for Differential Diagnosis of Aphasia Motor-Free Visual Perception Test

Neuro; Language Neuro/LD: Perceptual

Adults

90

4-8

25

Multiscore Depression Inventory for Children

Pers Rating Scale

8 ? 17

15

Allow 1 hr for set of checklists

Multiscore Depression Inventory for Adolescents and Adults NEO Personality-R (NEO PI-R)

Pers Rating Scale Neuro

17+

15

Allow 1 hr for set of checklists

3-12

120

Neo Five-Factor Inventory (NEO-FFT) NESPY

Pers Inventory Pers Inventory

17-76

30

17+

30

NEPSY

Neuro screen

90

Neuropsychological Impairment Scale Omni Personality Inventory

Neuro screen Pers Inventory

18 ? 88 18-74

15

Allow 1 hr for set of checklists

60

Omni IV Personality Disorder Inventory

Pers Inventory

18-74

60

Paced Auditory Serial Addition Test Pain Apperception Test

Neuro: Attention Pain disorders

Adult

30

15

Allow 1 hr for set of checklists

Pain Patient Profile (P3)

Pain

17-76

30

Pain Patient Profile

Medical Coping Style

17-76

10

Revised December 2004

5 of 10

3.704.3 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.

INSTRUMENT Parent-Child relationship Inventory (PCRI)

TYPE Prenatal Style

AGE 3 ? 12

MINUTES

COMMENTS

15

Allow 1 hr for set of checklists

Parenting Stress Index (PSI) PASAT: C Auditory Serial Addition Test Peabody Developmental Motor Scales and Activity Cards

Parental Style Neuro: Attention Developmental

3 ? 12

15

16+

45

0 ? 7

90

Peabody Individual Achievement Test ? Revised (PIAT-R) Peabody Picture Vocabulary Test ? Revised (PPVY-R)

Academic Skills IQ-Brief/LD

5 - 18

75

2.5-Adult

30

Perception of Ability Scale for Students

Personality Inventory

15

Allow 1 hr for set of checklists

Personal Experience Inventory for Adolescents (PEI)

Chemical Dep

12 ? 18

15

Allow 1 hr for set of checklists

Personal Experience Inventory for Adults (PEI-A)

Chemical Dep

19+

30

Personality Assessment Inventory

Pers Inventory

18+

60

Personality Research Form (PRF)

Pers Inventory

11+

60

Philadelphia Head Injury Questionnaire PIAT-R (Peabody Individual Achievement Test) PIC-R (Personality Inventory for Children, revised)

Neuro Academic Skills Pers Inventory

Adult 5-18 3-16

15

Allow 1 hr for set of checklists

75

30

Piers-Harris Children's Self Anapt Scale

Personality

7-18

15

Porteus Mazes

IQ-Single Task

3+

30

PPVT-R (Peabody Picture vocabulary Test-Revised)

IQ-Brief/LD

2.5 Adult

30

Problem Behavior Inventory Problem Experiences Checklist

Pers Rating Scale Life Problems

13+ 13 ? 19

15

Allow 1 hr for set of checklists

15

Allow 1 hr for set of checklists

Progressive Figures Test

Neuro; Attention

15

Psychiatric Diagnostic Interview, Revised (PDI-R) Purdue Pegboard

Interview Schedule Neuro/LD: Motor

18+

45

Child +

15

Quick Neurological Screening Test-2 (QNST-2) RATC (Roberts Apperception Test for Children)

Neuro-Memory-Lang Proj.-Thematic

12 to

30

adults

6-15

60

Raven's Progressive Matrices (all versions) Ray Auditory Verbal Learning Test

IQ/Neuro; Problem Solving

6.5+

45

Neuro: Memory

7-89

15

Repeatable Battery for Assessment of Neuropsychological Status Neuro

30

(RBANS)

Revised Behavior Problem Checklist (RBPC)

Beh Rating Scale

5 ? 18

15

Allow 1 hr for set of checklists

Revised Token Test

Neuro: Language

20-80

30

Revised December 2004

6 of 10

3.704.3 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.

INSTRUMENT Reynolds Adolescent Depression Scale

TYPE Symptom rating scale

AGE 7 ? 12

MINUTES

COMMENTS

15

Allow 1 hr for set of checklists

Reynolds Adolescent Adjustment Screening Inventory Reynolds Adolescent Depression Scale Reynolds Child Depression Scale

Personality Personality; single scale Symptom rating scale

12-19 7-12

15

Allow 1 hr for set of checklists

15

15

Allow 1 hr for set of checklists

Rey-Osterrieth Complex figure Test Rorschach Rotter Incomplete Sentence Test

Neuro: Visual-Motor Proj-Inkblot Proj.

Child+ Child+

30

120

Includes scoring

60

SASSI SASSI-A School Behavior Checklist

Substance Abuse Substance Abuse Beh Rating Scale

18+ 12-18 4 ? 13

15

15

15

Allow 1 hr for set of checklists

SCID II Patient Questionnaire

Beh Rating Scale

18+

30

Structured interview for DSM-Axis II

SCID Screen Patient Questionnaire SCL-90-R

Beh Rating Scale Symptom Checklist

30

30

Structured interview for DSM-Axis II

15

Seashore Rhythm Test

Neuro: Perceptual

20

Selective Reminding Test Sensory Perceptual exam (Klove)

Neuro: Memory

30

Neuro: Perceptual

30

Severe Impairment Battery (SIB) Shipley Institute of Living Scale

Neuro-Dementia IQ-BRIEF

Adult

30

14+

30

Short Category Test, Booklet Format

Neuro: Problem Solving

15+

35

Single and Double Simultaneous Stimulation Test Sixteen Personality Factor Questionnaire (16pf)

Neuro: Perceptual Pers Inventory

20

16+

30

Slosson Full-Range Intelligence Test (S-FRIT)

IQ

Slosson Full-Range Intelligence Test (S-FRIT)

IQ

5t ? 21

30

5 ? 21

45

Slosson Intelligence Test ? Revised Social Phobia and Anxiety Inventory

IQ-Brief Beh Rating Scale

4+

30

14+

15

Allow 1 hr for set of checklists

Speech Sounds Perception Test

Neuro: Language

30

School Situations Questionnaire (SSQ, SSQ-R)/Survey Stanford Binet Intelligence Scale

Behavioral Rating Scale IQ-Multitask

6-12

15

120

State-Trait Anger Expression Inventory

Symptom rating scale

12 ? 67

15

Allow 1 hr for set of checklists

State-Trait Anxiety Inventory Stroop Color Naming

Symptom rating scale Neuro: Attention

15+

15

Allow 1 hr for set of checklists

7+

20

Revised December 2004

7 of 10

3.704.3 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.

INSTRUMENT Structured Interview of Reported Symptoms

TYPE Malingering Screen

AGE 18+

MINUTES 45

COMMENTS

Structural Clinical Interview for DSM-Dissociative Disorders (SCID-D) Substance Abuse Subtle Screening Inventory (SASSI)

Beh Rating Scale Chemical Dep

18+

30

Structured interview for dissociative disorders

12+

15

Suicidal Ideation Questionnaire

Symptom rating scale

12 ? 18

15

Allow 1 hr for set of checklists

Suicide Probability Scale

Personality; Single Scale

15

Symbol-Digit Modalities test

Neuro: Attention

6+

20

Tactual Performance Task (TPT)

Neuro: Perceptual

5+

35

Target Test

Neuro: Perceptual

5+

35

TAT (Thematic apperception Tests)

Proj-Thematic

Adoles+

60

Taylor-Johnson Temperament Analysis

Personality/Marital

13+

30

TED (Tasks of Emotional Development)

Proj-Thematic

Approx 6-

60

Tell-Me-A-Story (TEMAS) Test of Emotional Development (TED)

Proj-Thematic Proj-Thematic

5 ? 18 6+

60

Minorities and non-minorities

20

Test of Everyday Attention (TEA)

Attention

18 ? 80

60

Test of Memory Malingering (TOMM)

Malingering

16+

15

Test of Memory and Learning (TOMAL) Test of Nonverbal Intelligence-3 (TONI-3)

Neuro-Mem-LD IQ

5-19.11

60

6 ? 89

30

Test of Visual ?Motor Skills, Upper Level

Neuro-LD

12 ? 40

20

Test of Visual-Motor Skills, Revised

Neuro-LD

3 ? 13

20

Test of Visual-Perceptual Skills (non-motor)-R

Neuro-LD

4 ? 13

30

Test of Visual-Perceptual Skills (non-motor) Upper Level

Neuro-LD

12 ? 18

20

Test of Visual-Perceptual Skills Revised (TVPS:R)

Neuro-LD

4 ? 13

30

Token Test (Revised Token Test, Token Test for children)

Neuro-Language

3+

30

TONI-2 Test of Nonverbal Intelligence

IQ ? Nonverbal

5-85+

30

TOVA ? Test of Variable Attention

NEURO/ADD: Attention

4-80

60

Tower of London

Neuro

30

Trail Making Test

Neuro; Attention

15

Trauma Symptom Checklist for Children (TSC)

Personality

8 ? 16

15

Revised December 2004

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