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we all practice in different areas but wanted to ask..what is your fav assesment instrument and why?
My colleague just got back from an intensive ADOS training workshop. He told me it was an electronic rabbit. Either he is losing it or he had too much fun in the evenings after the workshop.ADOS- bubbles and electronic puppies.
I really think administration of most tests is boring unless one has some kind of unique, usually neurological, presentation (neglect, perseveration, utilization behavior, etc.).
The discussion could lead to a more robust discussion about the real power of any test in isolation. The MMPI has held up well over time and no doubt the structured nature of things like the ADOS are good too. I did alot of work (via my research lab) with the SCID and always wonder why this semi-structured interview is not more widely used for general psychological differential diagnosis?
An hour or 2 of superficial checklists, scales, and an PAI...or a SCID?
It's more about getting an insurance company to pay for a 2+ hour diagnostic eval for psych issues. Easy to do in some VA settings, not easy at all in non-socialized medicine systems.
I know 90791 only goes so far...but its has been set it up a un-timed code, which sucks. My understanding is multiple units are not allowed for one visit?
When I did my neuropsych practicum at a huge university hospital complex where I frequently had trouble finding my way around, I thought that the best measure was whether or not they found their way to our office.
My colleague just got back from an intensive ADOS training workshop. He told me it was an electronic rabbit. Either he is losing it or he had too much fun in the evenings after the workshop.
Correct. In some instances, 90791 can be billed twice, but on different days and there needs to be a clear reason. It isn't something I do, but i've seen the process done successfully w the right documentation.I know 90791 only goes so far...but its has been set it up as an un-timed code, which sucks. My understanding is multiple units are not allowed for one visit?
The TOMM
First, hats off to Tom Tombaugh for naming his instrument TOMM.
Great face validity, only administered when you suspect ulterior motives to someone's presentation (so usually already have an intriguing case), easy to run, easy to score.
My colleague just got back from an intensive ADOS training workshop. He told me it was an electronic rabbit. Either he is losing it or he had too much fun in the evenings after the workshop.
Maybe we need @ClinicalABA to weigh in, I think he is the resident expert on the ADOS on this board.
I think we have the winner! Blows away timing someone making abstract designs out of red and white blocks. If I substitute an electronic flipping puppy for Block Design would that affect my standardized administration?
Rorschach because of the looks I get.
Come now folks, the OP asked what people's favorite instrument to use was, not their favorite parlor game to play with patients.
Hah! Everything's a game with a 20 month-old. There are really not many other options. What looks like cheap Chinese made crap is actually part of of series of presses to evaluate response to joint attention. I don't think I could ever go back to assessing adults- there just aren't impressed when I start to randomly juggle in the middle of an assessment.
. Over time they sometimes have to move to different (but as similar as possible) when the company they have been getting items from to make the kits quits making a particular item. Someone above mentioned a puppy that does flips- I want that one!My colleague just got back from an intensive ADOS training workshop. He told me it was an electronic rabbit. Either he is losing it or he had too much fun in the evenings after the workshop.
It's definitely a remote control rabbit. It's kind of annoying, actually. (I administer WAY too many ADOS batteries, clearly.) But the action figures are cool!My colleague just got back from an intensive ADOS training workshop. He told me it was an electronic rabbit. Either he is losing it or he had too much fun in the evenings after the workshop.