Child and Adult Pre-Treatment Assessment
The Pre-Treatment, PsychoAnalytic PsychoDiagnostic Assessment has a necessary and essential
function. It is the basis upon which diagnosis is determined, treatment and implementation is
designed, and treatment effectiveness is ascertained.
Course and Procedure of Pre-Treatment Assessment
Once a prospective patient has contacted R~WAP, a staff psychotherapist prepares the initial telephone interview. The telephone interview, lasting thirty minutes to three-quarters of an hour, begins the process of establishing a working alliance-relationship. The telephone interview begins asking the caller to describe the reasons for seeking services for their child, or her/himself. The initial set of questions is intended to gain an impression of how the patient is functioning in broad terms. The interviewer follows then with questions which seek specific descriptions of the child's-adults current emotional and behavioral functioning. Basic demographic information (name, mailing address, contact information), and billing information is collected thereafter, if the caller feels s/he is then comfortable to come to the office to begin the several hours of interviews spanning two to three appointments. With a strong emphasis on one's developmental histories, these interviews are intended to begin the process of developing a comprehensive understanding of the nature and reasons for the patient's illness. Upon completing these interviews, the patient is scheduled for the Pre-Treatment Psycho-Diagnostic Assessment. The treatment phase begins at the time of providing the patient with both verbal and documented results of the Psycho-Diagnostic assessment. Depending upon the nature of the illness, mid-treatment assessments may be conducted to determine treatment progress.
On a limited basis, psychological assessment services are provided to those not seeking counsel-
ing or psychotherapy. Dr Geoffrey Robinson-Wood provides academic achievement and
ability evaluations, cognitive, and emotional functioning assessments. His particular expertise is in the assessment of emotional functioning in children ages nine months through late adolescence.
Course and Procedure of the Psychological Evaluation
You, your physician, your psychotherapist, a school, or an agency has referred you or your child
to undergo a psychological evaluation. The referral is a request for an evaluator to answer one or more questions posed by the referral sources. Questions may concern one’s academic achievement, cognitive, or emotional functioning, or one’s motor development. The referral questions may be broadly asked: "Is the psychiatric diagnosis provided by my primary care physician fitting?" And, the referral question may be specific: "Why does my child act out aggressively at home, but not at school?” Quite often the referral question is comprised of general and specific questions. Answering the referral question/s culminates from having conducted interviews, and observations and the collection of administered tests and measures.
The clinical interview is designed to be comprehensive. The evaluator gathers the evaluee’s bio-psychosexual and psychosocial histories. The interview can extend to two hours or more depending on the complexity of the referral question. If found necessary, the evaluator may wish to obtain and review academic, medical, and behavioral health records. Signed consents are required permitting such disclosures.
The nature of the referral question guides the selection of tests administered. The numbers of tests administered will determine the time spent testing and gathering data. Testing and gathering test data may take six to eight hours to complete. Two, sometimes three testing appointments may be necessary.
The Psychological Evaluation document presents a review and interpretive summary of all data collected. The document concludes with a succinct summation of the findings, and puts forward answers to the referral question. Recommendations are provided to assist parents, teachers and guidance counselors, behavioral health service professionals, medical professionals, and employers.
The evaluation concludes when the evaluator meets with the evaluee, and/or parents for approximately one hour to discuss test findings and to answer questions. The evaluee is at liberty to invite other interested parties to the feedback appointment.