Assessment in Pediatric Psychology Consultation-Liaison

  • Dana AlbrightEmail author
  • Teryn Bruni
  • William Kronenberger
Part of the Issues in Clinical Child Psychology book series (ICCP)


Assessment is a fundamental component of pediatric psychology practice that requires flexibility in its application to consultation-liaison (CL) services. In contrast to comprehensive psychological evaluations, assessment in the CL context focuses on specific behaviors/symptoms related to the referral question, with the intent of enhancing formulations, guiding intervention, and informing treatment planning. This chapter describes specific applications of psychological assessment to the pediatric CL setting. Tables are provided as a reference guide for commonly used assessment tools. Special considerations for assessment in a pediatric CL context include time to administer, score, and interpret assessments; billing processes; follow-up and coordination with medical providers; and referrals for comprehensive psychological evaluations. A case illustration is provided demonstrating the value of psychological assessment for a child experiencing challenges with health behaviors, mood concerns, and adherence to medical recommendations.


Assessment Testing Childhood Pediatric psychology Consultation-liaison 


  1. Achenbach, T. M. (2009). The Achenbach system of empirically based assessment (ASEBA): Development, findings, theory, and applications. Burlington, VT: University of Vermont Research Center for Children, Youth, & Families.Google Scholar
  2. Alpern, G. D. (2007). Developmental profile-3. Torrance, CA: Western Publishing Services.Google Scholar
  3. American Academy of Pediatrics Task Force on Mental Health. (2009). Policy statement, the future of pediatrics: Mental health competencies for the care of children and adolescents in primary care settings. Pediatrics, 124, 410–421.CrossRefGoogle Scholar
  4. APA Practice Organization. (2018).
  5. Barkley, R. A. (2012). Barkley deficits in executive functioning scale—Children and adolescents (BDEFS-CA). New York, NY: Guilford Press.Google Scholar
  6. Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1230–1236.CrossRefGoogle Scholar
  7. Blount, R. L., Sturges, J. W., & Powers, S. W. (1990). Analysis of child and adult behavioral variations by phase of medical procedure. Behavior Therapy, 21(1), 33–48.CrossRefGoogle Scholar
  8. Briggs-Gowan, M. J., & Carter, A. S. (2002). Brief-infant toddler social and emotional assessment (BITSEA): Manual. Version 2.0. New Haven, CT: Yale University.Google Scholar
  9. Busner, J., & Targum, S. D. (2007). The clinical global impressions scale: Applying a research tool in clinical practice. Psychiatry, 4(7), 28–37.PubMedGoogle Scholar
  10. Castellanos, I., Kronenberger, W. G., & Pisoni, D. B. (2018). Questionnaire-based assessment of executive functioning: Psychometrics. Applied Neuropsychology: Child, 7(2), 93–109. Scholar
  11. Cipani, E. (2018). Functional behavioral assessment, diagnosis, and treatment: A complete system for education and mental health settings (3rd ed.). New York, NY: Springer Publishing Company.Google Scholar
  12. Claar, R. L., & Walker, L. S. (2006). Functional assessment of pediatric pain patients: Psychometric properties of the functional disability inventory. Pain, 121(1–2), 77–84.CrossRefGoogle Scholar
  13. Cohen, L. L., Lemanek, K., Blount, R. L., Dahlquist, L. M., Lim, C. S., Palermo, T. M., … Weiss, K. E. (2008). Evidence-based assessment of pediatric pain. Journal of Pediatric Psychology, 33(9), 939–955.CrossRefGoogle Scholar
  14. Conners, C. K. (2008). Conners comprehensive behavior rating scales (Conners CBRS). North Tonawanda, NY: Multi-Health Systems (MHS).Google Scholar
  15. Cummings, N. A., O’Donohue, W. T., & Cummings, J. L. (2009). The financial dimension of integrated behavioral/primary care. Journal of Clinical Psychology in Medical Settings, 16(1), 31–39.CrossRefGoogle Scholar
  16. Eyberg, S., & Pincus, D. (1999). Eyberg Child Behavior Inventory & Sutter-Eyberg Student Behavior Inventory-Revised: Professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
  17. Fletcher, J. M., & Dennis, M. (2010). Spina bifida and hydrocephalus. Pediatric neuropsychology: Research, theory, and practice, 2, 3–25.Google Scholar
  18. Gardner, W., Murphy, M., Childs, G., Kelleher, K., Pagano, M., Jellinek, M., … Chiappetta, L. (1999). The PSC-17: A brief pediatric symptom checklist with psychosocial problem subscales. A report from PROS and ASPN. Ambulatory Child Health, 5(3), 225–236.Google Scholar
  19. Gilliam, J. E. (2014). Gilliam autism rating scale: GARS 2. Austin, TX: Pro-ed.Google Scholar
  20. Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2015). Behavior rating inventory of executive function-2 manual. Lutz, FL: Psychological Assessment Resources.Google Scholar
  21. Glascoe, F. P. (1997). Parents’ evaluation of developmental status (PEDS). Nashville, TN: Ellsworth & Vandermeer Press, Ltd..Google Scholar
  22. Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.CrossRefGoogle Scholar
  23. Groth-Marnat, G. (2009). Handbook of psychological assessment. Hoboken, NJ: Wiley.Google Scholar
  24. Guy, W. (1976). ECDEU assessment manual for psychopharmacology (pp. 534–537). Rockville, MD: US Department of Health, and Welfare.Google Scholar
  25. Jay, S. M., Ozolins, M., Elliott, C. H., & Caldwell, S. (1983). Assessment of children’s distress during painful medical procedures. Health Psychology, 2(2), 133–147. Scholar
  26. Kaufman, A. S., & Kaufman, N. L. (2004). Kaufman brief intelligence test (2nd ed.). Minneapolis, MN: NCS Pearson.Google Scholar
  27. Kazak, A. E., Barakat, L. P., Ditaranto, S., Biros, D., Hwang, W. T., Beele, D., … Reilly, A. (2011). Screening for psychosocial risk at cancer diagnosis: The psychosocial assessment Tool (PAT). Journal of the Pediatric Hematology Oncology, 33, 289–294.CrossRefGoogle Scholar
  28. Kazak, A. E., Schneider, S., Didonato, S., & Pai, A. L. (2015). Family psychosocial risk screening guided by the pediatric psychosocial preventative health model (PPPHM) using the psychosocial assessment tool (PAT). Acta Oncologica, 54(5), 574–580.CrossRefGoogle Scholar
  29. Kovacs, M. (2010). Children’s depression inventory 2 (CDI 2). North Tonawanda, NY: Multi-Health Systems (MHS).Google Scholar
  30. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.CrossRefGoogle Scholar
  31. Kronenberger, W. G., Carter, B. D., Stewart, J., Morrow, C., Martin, K., Gowan, D., & Sender, L. (1996). Psychological adjustment of children in the pretransplant phase of bone marrow transplantation: Relationships with parent distress, parent stress, and child coping. Journal of Clinical Psychology in Medical Settings, 3(4), 319–335. Scholar
  32. Kronenberger, W. G., Carter, B. D., & Thomas, D. (1997). Assessment of behavior problems in pediatric inpatient settings: Development of the pediatric inpatient behavior scale. Children’s Health Care, 26(4), 211–232. Scholar
  33. Kronenberger, W. G., & Pisoni, D. B. (2018). Neurocognitive functioning in deaf children with cochlear implants. In H. Knoors & M. Marschark (Eds.), Evidence-based practices in deaf education. London, UK: Oxford University Press.Google Scholar
  34. March, J. S. (1997). Manual for the multidimensional anxiety scale for children (MASC). Toronto, ON: Multi-Health Systems.Google Scholar
  35. Paclawskyj, T. R., Matson, J. L., Rush, K. S., Smalls, Y., & Vollmer, T. R. (2000). Questions about behavioral function (QABF): A behavioral checklist for functional assessment of aberrant behavior. Research in Developmental Disabilities, 21(3), 223–229.CrossRefGoogle Scholar
  36. Palermo, T. M., Lewandowski, A. S., Long, A. C., & Burant, C. J. (2008). Validation of a self-report questionnaire version of the child activity limitations interview (CALI): The CALI-21. Pain, 139(3), 644–652.CrossRefGoogle Scholar
  37. Reynolds, C. R., & Kamphaus, R. W. (2009). Behavior assessment system for children (BASC-2): Progress monitor (PM) (2nd ed.). Bloomington, MN: Pearson.Google Scholar
  38. Reynolds, W. M. (2004). The Reynolds Adolescent Depression Scale-Second Edition (RADS-2). In M. J. Hilsenroth & D. L. Segal (Eds.), Comprehensive handbook of psychological assessment, Vol. 2. Personality assessment (p. 224–236). John Wiley & Sons Inc.Google Scholar
  39. Roberts, M. C., Mitchell, M. C., & McNeal, R. (2003). The Evolving Field of Pediatric Psychology: Critical Issues and Future Challenges. In M. C. Roberts (Ed.), Handbook of pediatric psychology (p. 3–18). The Guilford Press.Google Scholar
  40. Robins, D. L., Fein, D., & Barton, M. (1999). The modified checklist for autism in toddlers (M-CHAT). Self-published.Google Scholar
  41. Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: Survey forms manual (2nd ed.). Circle Pines, MN: AGS Publishing.Google Scholar
  42. Spirito, A., Stark, L. J., & Williams, C. (1988). Development of a brief coping checklist for use with pediatric populations. Journal of Pediatric Psychology, 13(4), 555–574. Scholar
  43. Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.CrossRefGoogle Scholar
  44. Squires, J., Bricker, D., & Twombly, E. (2015). Ages and stages questionnaires: Social-emotional (ASQ:SE-2): A parent-completed child monitoring system for social-emotional behaviors. Baltimore, MD: Paul H. Brookes Publishing.Google Scholar
  45. Squires, J., Twombly, E., Bricker, D., & Potter, L. (2009). Ages and stages questionnaires, User’s guide (3rd ed.). Baltimore, MD: Paul H. Brookes Publishing.Google Scholar
  46. Stein, R. E., & Jessop, D. J. (1990). Functional status II (R): A measure of child health status. Medical Care, 28, 1041–1055.CrossRefGoogle Scholar
  47. Turk, D. C., & Melzack, R. (2011). Handbook of pain assessment (3rd ed.). New York, NY: Guilford Press.Google Scholar
  48. Varni, J. W., Thompson, K. L., & Hanson, V. (1987). The Varni/Thompson pediatric pain questionnaire: I. Chronic musculoskeletal pain in juvenile rheumatoid arthritis. Pain, 28(1), 27–38. Scholar
  49. Wechsler, D. (2011). Wechsler abbreviated scale of intelligence (WASI-II) (2nd ed.). San Antonio, TX: Pearson.Google Scholar
  50. Wissow, L. S., Brown, J., Fothergill, K. E., Gadomski, A., Hacker, K., Salmon, P., & Zelkowitz, R. (2013). Universal mental health screening in pediatric primary care: A systematic review. Journal of the American Academy of Child & Adolescent Psychiatry, 52(11), 1134–1147.CrossRefGoogle Scholar
  51. Wolraich, M. L., Lambert, W., Doffing, M. A., Bickman, L., Simmons, T., & Worley, K. (2003). Psychometric properties of the Vanderbilt ADHD diagnostic parent rating scale in a referred population. Journal of Pediatric Psychology, 28(8), 559–568.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Dana Albright
    • 1
    Email author
  • Teryn Bruni
    • 1
  • William Kronenberger
    • 2
  1. 1.Department of PediatricsC.S. Mott Children’s Hospital, University of Michigan School of MedicineAnn ArborUSA
  2. 2.Department of PsychiatryRiley Hospital for Children, Indiana University School of MedicineIndianapolisUSA

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