Abstract
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.
Keywords
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
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.
Alpern, G. D. (2007). Developmental profile-3. Torrance, CA: Western Publishing Services.
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.
APA Practice Organization. (2018). https://www.apapracticecentral.org/reimbursement
Barkley, R. A. (2012). Barkley deficits in executive functioning scale—Children and adolescents (BDEFS-CA). New York, NY: Guilford Press.
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.
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.
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.
Busner, J., & Targum, S. D. (2007). The clinical global impressions scale: Applying a research tool in clinical practice. Psychiatry, 4(7), 28–37.
Castellanos, I., Kronenberger, W. G., & Pisoni, D. B. (2018). Questionnaire-based assessment of executive functioning: Psychometrics. Applied Neuropsychology: Child, 7(2), 93–109. https://doi.org/10.1080/21622965.2016.1248557
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.
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.
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.
Conners, C. K. (2008). Conners comprehensive behavior rating scales (Conners CBRS). North Tonawanda, NY: Multi-Health Systems (MHS).
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.
Eyberg, S., & Pincus, D. (1999). Eyberg Child Behavior Inventory & Sutter-Eyberg Student Behavior Inventory-Revised: Professional manual. Odessa, FL: Psychological Assessment Resources.
Fletcher, J. M., & Dennis, M. (2010). Spina bifida and hydrocephalus. Pediatric neuropsychology: Research, theory, and practice, 2, 3–25.
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.
Gilliam, J. E. (2014). Gilliam autism rating scale: GARS 2. Austin, TX: Pro-ed.
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.
Glascoe, F. P. (1997). Parents’ evaluation of developmental status (PEDS). Nashville, TN: Ellsworth & Vandermeer Press, Ltd..
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.
Groth-Marnat, G. (2009). Handbook of psychological assessment. Hoboken, NJ: Wiley.
Guy, W. (1976). ECDEU assessment manual for psychopharmacology (pp. 534–537). Rockville, MD: US Department of Health, and Welfare.
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. https://doi.org/10.1037/0278-6133.2.2.133
Kaufman, A. S., & Kaufman, N. L. (2004). Kaufman brief intelligence test (2nd ed.). Minneapolis, MN: NCS Pearson.
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.
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.
Kovacs, M. (2010). Children’s depression inventory 2 (CDI 2). North Tonawanda, NY: Multi-Health Systems (MHS).
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.
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. https://doi.org/10.1007/BF01994017
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. https://doi.org/10.1207/s15326888chc2604_1
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.
March, J. S. (1997). Manual for the multidimensional anxiety scale for children (MASC). Toronto, ON: Multi-Health Systems.
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.
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.
Reynolds, C. R., & Kamphaus, R. W. (2009). Behavior assessment system for children (BASC-2): Progress monitor (PM) (2nd ed.). Bloomington, MN: Pearson.
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.
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.
Robins, D. L., Fein, D., & Barton, M. (1999). The modified checklist for autism in toddlers (M-CHAT). Self-published.
Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: Survey forms manual (2nd ed.). Circle Pines, MN: AGS Publishing.
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. https://doi.org/10.1093/jpepsy/13.4.555
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.
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.
Squires, J., Twombly, E., Bricker, D., & Potter, L. (2009). Ages and stages questionnaires, User’s guide (3rd ed.). Baltimore, MD: Paul H. Brookes Publishing.
Stein, R. E., & Jessop, D. J. (1990). Functional status II (R): A measure of child health status. Medical Care, 28, 1041–1055.
Turk, D. C., & Melzack, R. (2011). Handbook of pain assessment (3rd ed.). New York, NY: Guilford Press.
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. https://doi.org/10.1016/0304-3959(87)91056-6
Wechsler, D. (2011). Wechsler abbreviated scale of intelligence (WASI-II) (2nd ed.). San Antonio, TX: Pearson.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Albright, D., Bruni, T., Kronenberger, W. (2020). Assessment in Pediatric Psychology Consultation-Liaison. In: Carter, B.D., Kullgren, K.A. (eds) Clinical Handbook of Psychological Consultation in Pediatric Medical Settings. Issues in Clinical Child Psychology. Springer, Cham. https://doi.org/10.1007/978-3-030-35598-2_11
Download citation
DOI: https://doi.org/10.1007/978-3-030-35598-2_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-35597-5
Online ISBN: 978-3-030-35598-2
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)
