The Substance Abuse Subtle Screening Inventory-Third Edition (SASSI-3)
The Substance Abuse Subtle Screening Inventory – Third Edition (SASSI-A2) is a self-report questionnaire designed to help identify individuals who have a high probability of having a substance use disorder (Miller, 1997). It includes five face valid scales: Face Valid Alcohol, Face Valid Other Drugs, Family-Friends Risk, Attitudes, and Symptoms. It also includes five subtle scales: Obvious Attributes, Subtle Attributes, Defensiveness, Supplemental Addiction Measure, and Correctional. According to Melanie’s profile, she attended appropriately to the items and did not appear to randomly respond to the SASSI-A2 protocol. However, she did endorse a supplemental …show more content…
scale which measures defensiveness which may be as a reflection of the pressure of the situation or a general tendency to be defensive and an elevated score on the Correctional scale (COR) which tends to be associated with youths who are involved in the criminal justice system. Importantly, Melanie’s overall SASSI-A2 profile appeared consistent with there being a low probability of Melanie meeting diagnostic criteria for having a substance use disorder at this time.
Anger:
Adolescent Anger Rating Scale (AARS)
The AARS is a self-report instrument that measures anger expression and differentiates among instrumental and reactive anger, as well as anger control. Melanie’s scores on the instrumental anger fell within the Average level range and her reactive and total anger was suggested to be Moderately low. Furthermore, scores indicate a Very high average on anger control suggested that Melanie has the ability to control her anger.
Intelligence:
Kaufman Brief Intelligence Test Second Edition
The K-BIT2 is a brief individually administered screening measure that assesses crystallized ability (verbal score) and fluid reasoning (nonverbal score). Melanie’s K-BIT2 IQ composite score fell within the Below Average range (standard score of 80, 9th percentile). Utilizing a 90% confidence interval, it was estimated that Melanie’s true IQ score falls within the Below average to Average range (i.e., 74 to 88). Her verbal abilities (word knowledge, range of general information, verbal concept formation and reasoning ability) fell within the Below Average range (standard score of 80, 9th percentile). Melanie’s nonverbal analytic skills (ability to perceive relationships and complete visual analogies) were found to be in the Average range (standard score of 85). No significant difference was found between her verbal and nonverbal skills, suggesting Melanie verbal and nonverbal abilities are about equally developed.
Trauma
Trauma Symptom Children Checklist (TSCC)
The TSCC is designed to evaluate posttraumatic stress and other psychological sequela of traumatic events, including the effects of sexual and physical assault, intimate partner violence, combat, torture, motor vehicle accidents, mass casualty events, medical trauma, traumatic losses, and/or childhood abuse or neglect. Based on Melanie’s test results there were no elevations on the clinical scales. Although, on the validity scale her (91-Tscore) suggested that Melanie was denying her behaviors, thoughts or feelings that most others would report having or experiencing at any given time and therefore it is recommended that the test be invalid.
Attention:
Conners 3- Parent Assessment Report (C3-P), and Conners 3rd Edition_ Self-Report Short Form Assessment Report (C3-SR).
The Conners 3rd Edition-Self-Report Short Form (Conners 3-SR (S)) is an assessment tool that prompts the youth to provide valuable information about herself. This instrument is designed to assess Attention Deficit/Hyperactivity Disorder (ADHD) and its most common co-morbid problems in children and adolescents aged 8-18 years old. No validity issues noted regarding Melanie’s response style on this measure. Specifically, her content scales were in the average to low average score, but very elevated in learning problems indicating the youth may struggle with reading, spelling and/or math and difficulty learning concepts. Furthermore, scores suggest that Melanie may be eligible for special education and related services.
The examiner administered the Conners (C3-P) to Melanie’s (mother and current caretaker) in order to determine whether Melanie was experiencing difficulties within the domains defined from her perspective. Based on her responses results did not indicate an overly response, but did indicated a possible negative response style, nevertheless there was no evidence of a possible inconsistency response style within the measure. Melanie’s content scale scores were presented within the Very elevated range which indicates many more concerns that are typically reported in attention, hyperactivity/impulsivity, defiance/oppositionality, learning issues, aggression/defiance or family relations and contributes to her functioning Very frequently in her academic and home settings. Based on the parent ratings, the Conners-3 ADHD Index indicates a 99% probability of an ADHD classification. Furthermore, scores indicated the mother reported issues of youth with possible depression and anxiety behaviors warranting further evaluation and in addition Immediate attention is required for conduct critical items scale which includes (forced sex, uses a weapon, cruel to animals, breaking and entering and confrontational stealing).
Personality/Behavior:
Personality Assessment Inventory-Adolescent (PAI)
The PAI is a brief, empirically validated adolescent personality inventory for youths between the ages of 12 and 18.
Melanie’s responses to this measure produced a valid protocol as the youth responded consistently to test items. Melanie’s response styles may have been distorted on the PAI which indicated that the youth portrayed herself as free of the common shortcomings to which most individuals will admit and therefore the report should be reviewed with caution.
According to her responses Melanie identified and presented no concerns on any clinical scales. Specifically, the youth denied major concerns in the area of: unusual thoughts or peculiar experiences, antisocial behavior, problems with empathy, undue suspiciousness or hostility, extreme moodiness and impulsivity, unhappiness and depression, unusually elevated mood or heightened activity, marked anxiety, problematic behaviors used to manage anxiety, or difficulties with health or physical functioning and she identified no significant problems with alcohol or drug abuse or drug …show more content…
dependence.
Testing suggest Melanie’s appears to have a reasonably stable and positive self-evaluation which may be occasionally punctuated by periods of a pessimism and self-doubt which indicates that she approaches life with a purpose, convictions and is aware of her goals. Interpersonally, Melanie portrays as being self-assured, confident and dominant, and is described by others as being ambitious and having a leader-like demeanor. In social settings, Melanie is comfortable, but prefers to interact in situations of which she can exercise some form of control. Nevertheless, Melanie was perceived to having experienced few stressors pertaining to social environment and availability of social supports, but also described as having a large support group. Overall, Melanie’s stressors are presented as being a favorable prognostic for future adjustments.
Parenting Stress Index, Fourth Edition (PSI-4)
The PSI-4 long form is a self-report measure designed to identify potentially dysfunctional parent-child systems (Abidin, 1995).
Validity scales suggested Melanie appropriately attended to the questions and answered in a forthright manner. Melanie responses suggested the overall stress she is experiencing at this time falls in the normal range. Thus, if parenting difficulties exist, they are likely to be isolated and manageable to this parent. Melanie’s profile suggested Sophia behaves toward her in a way which the parent feels is not reinforcing, the absence of smiles and other positive behaviors is likely to cause a distance between the parent-child relationship. According to the mother Sophia is independent and does not attempt to unreasonably gain adult attention or assistance. Melanie endorsed items suggestive of a parent who is comfortable with her knowledge of child management strategies and although she may periodic experience swings in her confidence level she believes she can remain in control of her child. According to Melanie, she has the presence of a reasonably large social-emotional support network of friends and relatives. The parent readily accepts the daily demands and restrictions that parenthood places upon her personal freedom and does not view these restrictions as stressors. According to Melanie responses, she operated within normal limits with regard to mood and she possess sufficient resiliency to bounce back from situational upsets. With regard
to life stress, Melanie responses suggested she does not experience a significant number of life stressors that originate outside the parent child relationship. As a result of these stressors, Melanie attention could be viewed as a positive factor in relation to her carrying out her parenting responsibilities and therefore does not endorsed any follow-up items at this time.