ࡱ> T Z 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S | c bjbjZWZW 48=`\8=`\38  \B' L*(t*t*t*+j&/*0$<!90++00!t*t*HZ7770Jt*t*7077't\zt*``S2vv>p0v ؈n3B؈|zz\؈'{00700000!!70000000؈000000000> T: Canberra Hospital and Health Services Operational Procedure Psychological Tests: Use, Storage, and Access (MHJHADS) Contents  TOC \h \z \t "Heading 1,1,Heading 2,2"  HYPERLINK \l "_Toc500406414" Contents  PAGEREF _Toc500406414 \h 1  HYPERLINK \l "_Toc500406415" Purpose  PAGEREF _Toc500406415 \h 2  HYPERLINK \l "_Toc500406416" Scope  PAGEREF _Toc500406416 \h 2  HYPERLINK \l "_Toc500406417" Section 1 Background  PAGEREF _Toc500406417 \h 3  HYPERLINK \l "_Toc500406418" Section 2 Use of Psychological Tests  PAGEREF _Toc500406418 \h 4  HYPERLINK \l "_Toc500406419" Section 3 Storage of Test Data  PAGEREF _Toc500406419 \h 7  HYPERLINK \l "_Toc500406420" Section 4 Storage of Psychological Tests  PAGEREF _Toc500406420 \h 9  HYPERLINK \l "_Toc500406421" Implementation  PAGEREF _Toc500406421 \h 10  HYPERLINK \l "_Toc500406422" Related Policies, Procedures, Guidelines and Legislation  PAGEREF _Toc500406422 \h 11  HYPERLINK \l "_Toc500406423" Definition of Terms  PAGEREF _Toc500406423 \h 11  HYPERLINK \l "_Toc500406424" Search Terms  PAGEREF _Toc500406424 \h 12  HYPERLINK \l "_Toc500406425" Attachments  PAGEREF _Toc500406425 \h 12  HYPERLINK \l "_Toc500406426" Attachment A: Templates of Forms for MAJICeR  PAGEREF _Toc500406426 \h 14  HYPERLINK \l "_Toc500406427" Attachment B: Sample Information and Consent Forms for Psychological Assessment  PAGEREF _Toc500406427 \h 17  HYPERLINK \l "_Toc500406428" Attachment C: Sample Test Data Sheet  PAGEREF _Toc500406428 \h 22  HYPERLINK \l "_Toc500406429" Attachment D: Psychological Testing Procedure Flowchart for Psychologists  PAGEREF _Toc500406429 \h 27  PurposeThe purpose of this procedure is to protect the integrity of psychological tests and test data in line with the Australian Psychological Society Code of Ethics (2007) and the Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests (2014). This is to ensure appropriate qualified use and interpretation for people under the National Standards for Mental Health Services (2010) standard 10.4.1 and 10.4.2 (Assessment and Review). This procedure also provides psychologists a standardised process for the documentation of psychological assessment and storage of psychology test data in MHJHADS. Psychological tests in Mental Health, Justice Health and Alcohol and Drug Services (MHJHADS) are accessed and used by appropriately qualified psychologists and are securely stored and disposed of. Psychologists are health practitioners registered with the Psychology Board of Australia (AHPRA). A psychological test in this procedure refers to a test that is restricted to psychologists under commercial test licensing agreements, including manuals, inventories, equipment, and original test record forms. MHJHADS has adopted the use of the Australian Psychological Society Code of Ethics and Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests and as such, all psychologists in MHJHADS are expected to have read and to comply with the standards in those documents. This document should also be read in conjunction with the MHJHADS Mental Health Services Neuropsychology Referral and Administrative Process Procedure. HYPERLINK \l "Contents"Back to Table of Contents Scope This procedure applies to all psychologists (including provisional psychologists and psychology students) and Team Managers of psychologists in MHJHADS. All MHJHADS psychologists and their Team Managers are responsible for appropriate use and storage of psychological tests and test data in line with this procedure. Non-psychologists who are credentialed to use specialised assessment tools are not in scope for this procedure. However, it is expected that any use of specialised assessment tools adheres to the best practice principles of appropriate use and storage of the assessment tool, documentation of the results/interpretation of the assessment, and providing timely feedback to the person. HYPERLINK \l "Contents"Back to Table of Contents Section 1 Background Under the Australian Psychological Society Code of Ethics (hereafter referred to as The Code) and the Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests (hereafter referred to as The Guideline), psychologists have a responsibility to secure psychological tests from unqualified professionals and the public and to safeguard the confidentiality of psychological assessment data. Psychological tests are characterised by standardised administration and scoring, the use of a manual and usually the availability of population norms to assist interpretation. A psychological test is a set of items that has accepted levels of reliability and validity, and allows measurement of some attribute of an individual, for example, intelligence, aptitudes, or personality traits (The Guideline, p. 126). Psychological testing covers a number of different areas, including: Achievement testing, Adaptive behaviour assessments, Aptitude testing, Cognitive testing, Forensic psychological testing, Mental health assessment, Neuropsychological testing, and Personality assessment. Commonly used psychological tests in MHJHADS that require appropriate security and safeguarding include, but are not limited to, the following tests: WAIS-IV Wechsler Adult Intelligence Scale Fourth Edition WISC- VA&NZ Wechsler Intelligence Scale for Children 5th Edition Australian and New Zealand WMS-IV Wechsler Memory Scale Fourth Edition WPPSI III Wechsler Preschool and Primary Scale of Intelligence (and WPPSI-IV A&NZ Standardised Edition) SB5 StanfordBinet Intelligence Scales Fifth Edition KAIT Kaufman Adolescent and Adult Intelligence Test WASI Wechsler Abbreviated Scale of Intelligence (and WASI II, no Australian norms) WJ III COG Woodcock-Johnson Test of Cognitive Abilities III WRAML2 Wide Range Assessment of Memory and Learning Second Edition SDS Self Directed Search (and 2nd Australian Edition 2012, Form R) Strong Strong Interest Inventory PAI Personality Assessment Inventory NEO-PI-R NEO Personality Inventory Revised MMPI-2 Minnesota Multiphasic Personality Inventory-2 16PF 5th Ed Sixteen Personality Factor Questionnaire Fifth Edition BDI Beck Depression Inventory (and BDI-II) WIAT-III Wechsler Individual Achievement Test- 3rd Edition ABAS Adaptive Behaviour Assessment System Psychologists who are unsure of whether a test and/or test data requires to be secured will seek advice from the Team Manager of Mental Health Services (MHS) Neuropsychology (hereafter referred to as the Senior Neuropsychologist) or representative MHS Neuropsychology team member. HYPERLINK \l "Contents"Back to Table of Contents Section 2 Use of Psychological Tests Psychologists in MHJHADS who are appropriately trained and/or under the supervision of an appropriately trained psychologist are encouraged to utilise psychological tests when it is identified that the assessment, treatment or care of a person may benefit from testing. Psychologists are expected to work collaboratively with the multidisciplinary team, other psychologists, including their clinical supervisor and/or the Senior Neuropsychologist or representative MHS Neuropsychology team member, to identify the appropriateness of testing for a person. Scope of Practice and Clinical Supervision Psychologists are to be aware of their limitations and work within the scope of their practice for psychological testing and assessment. Psychologists are encouraged to receive clinical supervision on psychological testing via a senior psychologist, their clinical supervisor and/or the Senior Neuropsychologist if they are conducting psychological assessments. Referral Question Prior to conducting testing, psychologists must be able to identify and confirm a clear and appropriate referral question, which will assist in determining if testing is required and if so, which tests are to be used. Psychologists are encouraged to contact a senior psychologist, their clinical supervisor and/or the Senior Neuropsychologist if they require assistance in formulating a referral question and/or identification of appropriate tests. It is the responsibility of the psychologist to clearly document the final referral question using the Psychological Testing Referral Question for Psychologists form in MAJICeR, tagging the form as psychology (refer to Attachment A). Evidence of a referral question is required, irrespective of whether the referral for psychological testing is to be undertaken by the same psychologist, referred elsewhere, or testing deemed inappropriate. Notification to MHS Neuropsychology Psychologists do not require the prior approval of the Senior Neuropsychologist to complete a psychological assessment. However, to assist with quality control and provision of clinical supervision (if required), MHS Neuropsychology are to be informed of psychological assessments via MAJICeR message for noting. This is not required for the use of routine psychological tests (e.g. the BDI) or cognitive screening instruments (e.g. NUCOG, ACE-III). Consent Psychologists are to ensure prior to the use of psychological tests that appropriate informed consent has been obtained from the person and/or their guardian, carer or nominated person. Written consent is not usually required for more routine psychological tests (e.g. the BDI) but should be considered when a full psychological report is anticipated (e.g. to provide a diagnostic psychological report and/or following the use of tests such as the PAI). Examples of samples of information and consent forms can be found in Attachment B and adapted based on needs of the person and program area. Psychologists are to scan and upload the consent form onto MAJICeR using the title Psychological Testing Consent Form (tagging the document as psychology) and then enter the required consent information under the Consent tab. Psychologists will refer to the ACT Health Consent and Treatment Policy for further information on supported decision making and obtaining consent from a person with a mental disorder or mental illness and with children and young people. Psychological Reports Psychologists that undertake psychological testing with people are required to provide an interpretation report (i.e. a psychological report). Routine tests do not require a full psychological report but do require interpretation. The sole use of computer generated reports without taking into account all other relevant data (such as the persons history and any observations made) for the psychological report is not acceptable. Psychologists are to use their clinical expertise to integrate diverse information and to provide a valid opinion to the person, the treating team, guardian, carer and nominated person (where applicable). Psychological reports will follow a standardised structure, which may be amended dependent on the referral question and assessment method used. This standard template will be available as a MAJICeR form (refer to Attachment A). A full psychological report may include but is not limited to the following information: Name Date of Birth Date of Assessment Age at Testing Reason for Referral Disclaimer on limits to report (see sub-section on Documentation below) Assessment Method Background Presentation (including cultural factors) Early Childhood Education and Vocational History Social History Medical History Mental Health History Drug and Alcohol History Family Members/Carers/Nominated Person Observations Psychological Assessment Description of tests Mental State Examination/Presentation at Testing Results Summary and Conclusions Diagnosis and/or Formulation Treatment Recommendations Details of psychologist, including qualifications Disclaimer on where test data is stored (see sub-section on Documentation below). Psychologists should be mindful that psychological assessment information is used only for the purposes for which it was first collected and for which consent was obtained from the person being assessed (i.e. the referral question). Routine Tests Routine tests do not require a full psychological report, but do require interpretation. Psychologists will provide a brief interpretation using the Psychological Report form in MAJICeR (removing the non-applicable headings), tagging the form as psychology (refer to Attachment A). Test Data Psychologists will not provide the raw scores of tests to untrained professionals or to the public. As such, clinical file notes and/or psychological reports will provide qualitative descriptors rather than test data. The summary Data Sheet is to be stored with the test forms (refer to section 3 on Storage of Test Data) and not to be attached with the clinical record and/or psychological reports. It is prefaced with the following These data are strictly confidential and should only be interpreted by a registered psychologist. They should not be released to any other persons because they have the potential to cause harm through misuse or misinterpretation. A sample of a Data Sheet can be found in Attachment C. Note that this is only a sample data sheet; psychologists are to modify the Data Sheet to include all psychological tests administered, relevant scores, and statistical analyses. Feedback Psychologists who have conducted psychological testing (including routine tests such as symptom inventories) are required to communicate the results by oral or written feedback (refer to documentation subsection below) to the individual person and/or to the guardian, carer or nominated person. Psychologists will use their clinical judgement in determining what feedback is provided to people and/or guardians, carers or nominated persons. The feedback session is to be clearly documented in MAJICeR using the Psychological Testing Feedback Session form, tagging the document as psychology (refer to Attachment A). In circumstances when feedback has not been possible or appropriate (e.g. the person declines or is not available), this should be documented using the aforementioned form in MAJICeR. Documentation Psychologists without an area of practice endorsement in clinical neuropsychology (exception of clinical neuropsychology registrars) will not use the title Neuropsychological Report or Neuropsychological Assessment, and will instead title all psychological reports in MAJICeR as Psychological Report. Provisional psychologists that complete psychological reports must print the report, have the report counter-signed by a psychologist supervisor before scanning and uploading the report onto MAJICeR (using the title Psychological Report) and/or prior to distribution (tagging the document as psychology). All psychological reports must state the following at the beginning of the psychological report: This report has been prepared for clinical purposes and is not intended or sufficient for medico-legal use. Due to the confidential and personally sensitive nature of the information contained herein, this report is not to be provided to third parties, including the client/family, and all requests made by third parties to access this report require formal processing by the MHJHADS Release of Information Officer (ph: 6205 4806 or 6205 5142). All psychological reports must identify where the test data is stored at the end of the report following the details of testing psychologist, for example the test data is stored in the Psychology Test Cabinet at City Mental Health Team and not in the MHJHADS clinical record. Refer to section 3 on Storage of Test Data. The full report is only made available to MHJHADS clinical staff via MAJICeR. Where clinically relevant and appropriate to do so, a psychologist may choose to release the full report (instead of the summary report) to non-MHJHADS clinical staff and external providers. A person who has undertaken testing (including their guardian, carer or nominated person, if applicable) will receive a summary of the results and the conclusions from psychological assessment by the author of the report. Consent to share the summary of the results and conclusions or the full report to non-MHJHADS clinical staff or external providers, including General Practitioners, must be obtained in writing by the person before distribution by the author. A flowchart outlining the steps psychologists need to follow is available in Attachment D. HYPERLINK \l "Contents"Back to Table of Contents Section 3 Storage of Test Data Psychology File Completed record forms from psychological tests are to be stored on a separate paper file to both the persons MAJICeR and paper based clinical record (if applicable) by the psychologist responsible for testing. The file should be clearly identified with the persons first and last name, date of birth, and clinical record number (obtained from MAJICeR) and marked as Confidential. The file remains an official ACT Health record but will be stored in the teams psychology test cabinet, filed by year. The location of the psychology file must be identified both within the Psychological Report and on MAJICeR via the Physical Files tab. The psychology file should contain the following: A print-out of the persons client registration form from MAJICeR, A copy of the psychological report, The summary of test data, and Completed test record forms. The documents forming the psychology file should be filed promptly and not left in a place where they may be subject to casual inspection. A flowchart outlining the steps psychologists need to follow is available in Attachment D. Release of Psychology Files/Psychology Test Data Requests for information contained specifically in psychology files (i.e. test data) must be made via the MHJHADS Release of Information Officer (ph: (02) 6205 4806 or (02) 6205 5142), who will consult with the Senior Neuropsychologist or the Discipline Principal of Psychology regarding the appropriate release of test data. Under the Australian Psychological Society Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests (2014), testing documents may be deemed exempt documents on the grounds that disclosure would be contrary to the public interest, where disclosure would: Invalidate the utility of the test or tests in the practice of psychology; Impair the ability of psychologists to perform their duties properly; Constitute a breach of the contractual arrangements under which psychologists are supplied with test materials. In the event the psychology file is to be released, it will only be released to a psychologist who holds general registration with the Psychology Board of Australia (or equivalent in the case of international request). This information on release of psychology test data will be made available as a document under the Information tab in MAJICeR (refer to Attachment A). Disposal of Psychology Files The nominated psychologist will be responsible for an annual audit of paper based psychology files and disposing of these in accordance with the Health Records (Privacy and Access) Act 1997. The disposal of a psychology file must be documented in the persons MAJICeR file by the nominated psychologist. HYPERLINK \l "Contents"Back to Table of Contents Section 4 Storage of Psychological Tests Psychology Test Cabinet Restricted psychological tests are to be stored in a secure, lockable cabinet. The key to the test cabinet should remain with the most senior psychologist in the team (refer to sub section Nominated Psychologist below), who is responsible for overseeing test security, maintenance, and lending. When in use, psychology tests should not left in a place where they may be subject to casual inspection. Nominated Psychologist The most senior psychologist in each team where there is a psychology test cabinet is responsible for the securing and maintenance of test materials. Where there are multiple senior psychologists in a team, the nominated psychologist will be determined in collaboration with the Senior Neuropsychologist and/or Team Manager. If a given team does not actively employ a registered psychologist, the Team Manager will be responsible for ensuring the cabinet is secure until such time as a psychologist is employed. The nominated psychologist is responsible for: Ensuring the test cabinet remains locked and secure, Ensuring restricted psychological tests are only used and or lent to appropriately qualified persons, Establishing whether the request to borrow and use a test is valid and appropriate, Ordering new tests and record forms as required to keep the test/s updated and in working order (with permission from the Team Manager or financial delegate), Disposing of old tests under advice from the Senior Neuropsychologist, Informing Team Managers about inter-team lending and borrowing of test materials, Providing oversight of the register of tests and tracking the lending of test materials via the register, Reporting any breaches of security to their Team Manager and the Senior Neuropsychologist and/or the Discipline Principal of Psychology, and Delegating the responsibility to another appropriately qualified psychologist in their absence and/or in the case of permanently leaving the service, and informing the Team Manager and Senior Neuropsychologist of this arrangement. Register of Tests A register of available tests will be kept for each test cabinet and managed by the nominated psychologist with oversight provided by the Senior Neuropsychologist. The register will also track borrowed test materials to other teams. The spreadsheet will be kept in the share drive with nominated psychologists provided access to the following location via the ACT Health IAM Service Portal: Q:\MH\Director of Allied Health\Psychology\Testing\Register Ordering of Psychological Tests Each team and/or program area is responsible for the payment and re-ordering of psychological tests and test protocols for their team. Under test licensing agreements, ordering of protected tests and forms can only be done by a psychologist with general registration (i.e. provisional psychologists cannot order tests), following permission by the Team Manager or financial delegate. If a psychologist would like to order a test not previously owned by the team, this is to be discussed with the Senior Neuropsychologist prior to ordering the test (with permission of the Team Manager or financial delegate). This is to ensure the test falls within the remit of testing undertaken by MHJHADS and to discuss test purchasing options in the case of single use testing. Copyright Where psychological tests are restricted, psychologists are to ensure original test materials (inclusive of manuals, test forms, answer sheets and other forms) are used. Photocopies of these materials are a breach of copyright and are to be avoided. Disposal of Tests The Senior Neuropsychologist will provide advice and directives to psychologists as required regarding updates to psychological tests and any requirements to dispose of out of date tests. Tests (including manuals) that are to be disposed can be done so via the confidential waste bin. Manuals that are bound are to be separated from the bind before disposal in confidential waste. Test materials that cannot be disposed of in confidential waste (i.e. block design test material) can be disposed of by returning them to the publisher/supplier of the test, or, in exceptional circumstances, placing these in closed bags in general waste. Psychologists are to ensure the means of disposing of a test does not compromise the restricted nature of the content. HYPERLINK \l "Contents"Back to Table of Contents Implementation  This procedure is to be overseen and implemented by the Discipline Principal of Psychology and the Senior Neuropsychologist and championed by senior psychologists, clinical supervisors and Team Managers. Expectations will be communicated at MHJHADS Psychologists Meetings and by email. HYPERLINK \l "Contents"Back to Table of Contents Related Policies, Procedures, Guidelines and Legislation Policies ACT Public Service Code of Conduct ACT Health Consent and Treatment Policy ACT Health Privacy and Confidentiality Policy Procedures ACT Health Clinical Records Management Manual MHJHADS Clinical Supervision for Allied Health Procedure MHJHADS Mental Health Services Neuropsychology Referral and Administrative Process Guidelines Australian Psychological Society Code of Ethics (2007) Australian Psychological Society Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests (2014) Australian Psychological Society Ethical Guidelines on Record Keeping (2004) Australian Psychological Society Managing Legal Requests for Disclosure of Test Data and Test Materials (2015) National Standards for Mental Health Services (2010) National Safety and Quality Health Services Standards (2013) Standards of Practice for ACT Allied Health Professionals (2016) Legislation Carers Recognition Act 2010 Children and Young People Act 2008 Health Practitioner Regulation National Law (ACT) Act 2010 Health Records (Privacy and Access) Act 1997 Human Rights Act 2004 Mental Health Act 2015 Privacy Act 1988 HYPERLINK \l "Contents"Back to Table of Contents Definition of Terms  MAJICeR Mental Health, Alcohol and Drug, Justice Health Integrated Care eRecord. The electronic clinical record used in MHJHADS. People the terms person or people have been used as a generic term which applies to people accessing MHJHADS who may otherwise be known as clients, patients and consumers. Psychologists health practitioners registered with the Psychology Board of Australia (AHPRA). This is inclusive of psychologists that hold provisional or general registration. Psychological Assessment an assessment conducted by a psychologist to gather information about how people think, feel, behave and react. Psychological assessments include a range of ways for gathering information and may include interview, observation, consultation with other professionals, and formal psychological testing. Psychological Tests all test materials that are restricted to psychologists under test licensing agreements, including manuals, inventories, equipment, and original test record forms. Psychological Testing involves the administration, scoring and interpreting of psychological tests. Supported Decision Making a person with mental disorder or mental illness must always be given the opportunity to make decisions about their treatment, care or support to the best of their ability and always be supported to contribute to decisions about their treatment, care or support to the best of their ability. HYPERLINK \l "Contents"Back to Table of Contents Search Terms  MHJHADS, MAJICeR, psychology, psychological tests, psychologist, neuropsychology, testing, psychological assessment. HYPERLINK \l "Contents"Back to Table of Contents Attachments Attachment A: Templates of Forms in MAJICeR Psychological Testing Referral Question for Psychologists Psychological Report Psychological Testing Feedback Session Information Sheet for Release of Psychology Test Data Attachment B: Sample Information and Consent Forms for Psychological Assessment Psychometric Assessment Information Sheet Cognitive Assessment Information Sheet (Adult) Cognitive Assessment Information Sheet (Child or Adolescent) Psychometric/Cognitive Assessment Consent Form (Adult) Psychometric/Cognitive Assessment Consent Form (Child or Adolescent) Attachment C: Sample Test Data Sheet Attachment D: Psychological Testing Procedure Flowchart for Psychologists Disclaimer: This document has been developed by ACT Health, Canberra Hospital and Health Services specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and Health Directorate assumes no responsibility whatsoever. Policy Team ONLY to complete the following: Date AmendedSection AmendedDivisional ApprovalFinal Approval 01/12/17Entire reviewTina Bracher, ED MHJHADSCHHS Policy Committee This document supersedes the following: Document NumberDocument NameNo Doc NumberPsychological Tests: Use, Storage and AccessNo Doc NumberStorage and Use of Psychological Tests Attachment A: Templates of Forms for MAJICeR MAJICeR Psychological Testing Referral Question for Psychologists This form is only to be completed by the psychologist to document the final referral question. Members of the treating team seeking to refer a person for psychological testing are to document the request in the MDTR file note and discuss their request with the psychologist. Referral Question: Recommendation (drop-down box): Psychological testing to be completed within community team Referral for psychological testing with MHS Neuropsychology team Psychological testing not recommended If psychological testing to be completed within community team: Tests to be used: Notification to MHS Neuropsychology completed (drop-down box)? Yes No If psychological testing not recommended, please provide rationale for this: MAJICeR Psychological Report Note: These are sample headings only [exception: disclaimers and where test data is stored]. A full psychological report may include but is not limited to the following information. Psychologists are to adapt the information sheet to suit the needs of the testing participant and/or the MHJHADS program area. Name: Date of Birth: Date of Assessment: Age at Testing: Reason for Referral: Disclaimer: This report has been prepared for clinical purposes and is not intended or sufficient for medico-legal use. Due to the confidential and personally sensitive nature of the information contained herein, this report is not to be provided to third parties, including the client/family, and all requests made by third parties to access this report require formal processing by the MHJHADS Release of Information Officer (ph: 6205 4806 or 6205 5142) Assessment Method: Background: Presentation (including cultural factors) Early Childhood Education and Vocational History Social History Medical History Mental Health History Drug and Alcohol History Family Members/Carers/Nominated Person Observations Psychological Assessment: Description of tests Mental State Examination/Presentation at Testing Results Summary and Conclusions: Diagnosis and/or Formulation Treatment Recommendations Details of testing psychologist, including qualifications: The test data is stored in ___________________________ and not in the MHJHADS clinical record. MAJICeR Psychological Testing Feedback Session Individuals provided with feedback: Type of feedback provided (drop-down box): Oral Written Both Oral and Written Summary of feedback session: Reason why feedback not provided: MAJICeR Information Sheet for Release of Psychology Test Data Under the Australian Psychological Society Code of Ethics and the Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests, psychologists have a responsibility to secure psychological assessment/test data from unqualified professionals and the public and to safeguard the confidentiality of psychological assessment data. Psychological test data should only be interpreted by a psychologist registered with the Psychology Board of Australia. They should not be released to any other persons because they have the potential to cause harm through misuse or misinterpretation. As such, psychology test data is stored separately to MAJICeR as per the aforementioned ethical guidelines. Requests for information contained in psychology files must be made via the MHJHADS Release of Information Officer (ph: (02) 6205 4806 or (02) 6205 5142), who will consult with the Senior Neuropsychologist or the Discipline Principal of Psychology regarding the appropriate release of test data. Under the Australian Psychological Society Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests (2014), testing documents may be deemed exempt documents on the grounds that disclosure would be contrary to the public interest, where disclosure would: Invalidate the utility of the test or tests in the practice of psychology; Impair the ability of psychologists to perform their duties properly; Constitute a breach of the contractual arrangements under which psychologists are supplied with test materials. In the event the psychology file is to be released, it will only be released to a psychologist with general registration with the Psychology Board of Australia (or equivalent in the case of international request). Guidelines: Australian Psychological Society Ethical Guidelines on Record Keeping (2004) Australian Psychological Society Code of Ethics (2007) Australian Psychological Society Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests (2014) Australian Psychological Society Managing Legal Requests for Disclosure of Test Data and Test Materials (2015) Attachment B: Sample Information and Consent Forms for Psychological Assessment Note: This is a sample information sheet. Psychologists are to adapt the information sheet to suit the needs of the testing participant and/or the MHJHADS program area. Psychometric Assessment: Information Sheet What is a psychometric assessment? A psychometric assessment aims to assess psychological functioning which may include psychological difficulties and personality traits. A psychometric assessment is used to more objectively detect areas of strength and difficulty and identify their impact on a persons life. The information gained from the assessment is used to help with diagnosis, understanding of personal strengths and weaknesses, and identifying best treatment. What is the process? A psychologist with training and experience can carry out psychometric assessments. The assessment involves an interview and completion of standardised questionnaires or other psychological assessment tools. You will be asked to provide information about your medical and psychiatric history, education, employment and social relationships. The psychologist will write a report based on the interview and questionnaire. The report will include a summary of the findings and specific recommendations, and a copy will be made available to your psychiatrist, case manager and other relevant health care professionals. You will receive feedback from the psychologist, where you will be free to ask questions and discuss the recommendations. Note: This is a sample information sheet. Psychologists are to adapt the information sheet to suit the needs of the testing participant and/or the MHJHADS program area. Cognitive Assessment: Information Sheet (Adult) What is a Cognitive assessment? A cognitive assessment aims to objectively assess a range of thinking abilities via standardized tests of cognition and interview with a psychologist. These thinking abilities might include intellectual functioning and academic skills. The information gained from the assessment is used to help with diagnosis, understanding of personal strengths and weaknesses, and identifying best treatment or compensatory approaches. In addition, the information can be useful to guide decision making about important areas of life, like independent living or returning to work or study. What is the process? A psychologist with training and experience in cognitive assessment can carry out the assessment. The assessment involves an interview and cognitive tasks. The interview is held over a one to two hour period. During this time, the psychologist will want to listen to any concerns you may have about your thinking abilities. You will be asked to provide information about your medical and psychiatric history, education, employment and social relationships. You can ask someone to attend the interview with you (e.g. partner, family member, carer), as speaking to someone who knows you well can also be helpful. It might also be necessary for the psychologist to review medical records and previous educational assessments. If appropriate, following the interview, the psychologist will ask you to complete a set of tasks that measure specific areas of thinking ability. The tasks are completed with the psychologist over a series of sessions to ensure you do not become tired. The psychologist will write a report based on the interview and task performance. The report will include a summary of the findings and specific recommendations, and a copy will be made available to your psychiatrist, case manager and other relevant health care professionals. You will receive feedback from the psychologist, where you will be free to ask questions and discuss the recommendations. Note: This is a sample information sheet. Psychologists are to adapt the information sheet to suit the needs of the testing participant and/or the MHJHADS program area. Cognitive Assessment: Information Sheet (Child or Adolescent) What is a cognitive assessment? A cognitive assessment aims to objectively assess a range of thinking abilities via standardized tests of cognition and interview with a psychologist. These thinking abilities might include short-term memory, attention, visuo-spatial functions, language, planning, reasoning, intellectual functioning and academic skills. Children and adolescents can experience difficulties with cognitive abilities as a result of a number of factors including a genetic condition, brain injury or disease, a specific learning disorder, mental illness or medical illness. A cognitive assessment is used to objectively detect areas of strength and difficulty and identify the impact that these changes might have on family and social relationships, education and achievement, and mood and behaviour. The information gained from the assessment is used to help with diagnosis, understanding of personal strengths and weaknesses, and identifying best treatment or compensatory approaches. In addition, the information can be used to guide decisions about important areas of life, like education programs, independent living or vocational training. What is the process? A psychologist with training in cognitive assessment can carry out assessments. The assessment involves an interview and cognitive tasks. The interview is usually held over a one to two hour period. During this time, the psychologist will want to listen to any concerns about your child or adolescents thinking abilities. You will be asked to provide information about their medical and psychiatric history, education, social functioning and family relationships. It might also be necessary for the psychologist to review their developmental, medical and educational records, as well as speak to their teacher and GP. If appropriate, following the interview, the psychologist will ask your child/adolescent to complete a set of tasks that measure specific areas of cognitive ability. The tasks are completed with the psychologist over a series of sessions (up to two hours at a time) to ensure that they do not become tired. The psychologist will write a report based on the interview and task performance. The report will include a summary of the findings and recommendations, and a copy will be made available to your childs psychiatrist, case manager and other relevant health care professionals. You will receive feedback from the psychologist, where you will be free to ask questions and discuss the recommendations. Note: This is a sample consent form. Psychologists are to adapt the consent form to suit the needs of the testing participant and/or the MHJHADS program area. Psychometric or Cognitive Assessment: Consent Form (Adult) I _________________________________________(Name), __________________ (DOB) of __________________________________________________________________ (Address) consent to receiving a psychometric or cognitive assessment. I have read and understood the information sheet regarding psychometric or cognitive assessment and I have had the opportunity to ask questions and have them answered to my satisfaction. I understand that the information gathered in the psychometric or cognitive assessment will be used to assist with decisions about my continued health care. The assessment will be conducted by a registered Psychology Board of Australia psychologist in accordance with the Australian Psychological Society Code of Ethics. I am aware that the testing information will be kept in a secure location and that the information will be kept confidential within Mental Health, Justice Health and Alcohol and Drug Services, ACT Health unless required to be released for specific reasons in accordance with the Health Records (Privacy and Access) Act 1997. Exemptions may apply to the release of specific psychological testing material and data. I understand that my participation is voluntary and I am able to withdraw my consent at any time without negative consequence to my health care treatment. Signed: _______________________ Date: _________________ Note: This is a sample information sheet. Psychologists are to adapt the information sheet to suit the needs of the testing participant and/or the MHJHADS program area. Psychometric or Cognitive Assessment: Consent Form (Child or Adolescent) I ______________________________________ (parent/guardian), consent to my child ___________________________________ (childs name) ___________ (DOB) of ______________________________________________________________ (address) receiving a psychometric or cognitive assessment. I have read and understood the information sheet regarding psychometric or cognitive assessment and I have had the opportunity to ask questions and have them answered to my satisfaction. I understand that the information gathered in the psychometric or cognitive assessment will be used to assist with decisions about my childs continued health care. The assessment will be conducted by a registered Psychology Board of Australia psychologist in accordance with the Australian Psychological Society Code of Ethics. I am aware that the testing information will be kept in a secure location and that the information will be kept confidential within Mental Health, Justice Health and Alcohol & Drug Services, ACT Health unless required to be released for specific reasons in accordance with the Health Records (Privacy and Access) Act 1997. Exemptions may apply to the release of specific psychological testing material and data. I understand that my childs participation is voluntary and I am able to withdraw my consent at any time without negative consequence to my childs health care treatment. Signed: _______________________ Date: __________________ Attachment C: Sample Test Data Sheet Note: This is a sample data sheet. Psychologists are to modify the Data Sheet to include all psychological tests administered, relevant scores, and statistical analyses. MHJHADS Psychological Testing Data SheetPLEASE NOTE: These data are strictly confidential and should only be interpreted by a registered psychologist. They should not be released to any other persons because they have the potential to cause harm through misuse or misinterpretation.Patient IDDates of assessmentAgeHandednessEducation Effort Measures MeasureRaw ScoreBase RatesDescriptorNOTES.  Wechsler Adult Intelligence Scale IV (The Psychological Corporation)SubtestRaw ScoreSc S%ileDescriptorSimilaritiesVocabularyInformationBlock DesignMatrix ReasoningVisual PuzzlesDigit Span (, , )Arithmetic Symbol SearchCodingIndexSum SSComposite Score%ileDescriptorVCI PRIWMIPSI FSIQGAI NOTES: LDSF: , LDSB: , LDSS:  Significant WAIS-IV Index -level discrepancy comparisonsIndex ComparisonsDifferenceCritical ValueBase RateVCI < PRIVCI < WMIVCI > PSIPRI > PSIWMI > PSIFSIQ < GAISignificant WAIS-IV Subtest -level discrepancy comparisonsSubtest ComparisonsDifferenceCritical ValueBase RateN/A--- *Discrepancy comparisons made using the overall sample and at the .05 significance level * Base rates d" 10 are considered clinically unusual. Wechsler Memory Scale  IV (The Psychological Corporation)SubtestRaw ScoreSc S%ileDescriptorLogical Memory ILogical Memory IILM II Recognition (cum)Visual Reproduction IVisual Reproduction IIVR II Recognition (cum)Designs IDesigns IIDE II Recognition (cum)Symbol SpanIndexSum SSIndex Sc%ileDescriptorAuditory Memory*Visual MemoryImmediate MemoryDelayed Memory NOTES: *AMI substituting CVLT-II for Word Pairs  Significant WMS-IV Index -level discrepancy comparisonsIndex ComparisonsScore 1Score 2Contrast SSN/A---Significant WMS-IV Subtest -level discrepancy comparisonsSubtest ComparisonsScore 1Score 2Contrast SSLM Recognition vs. Delayed RecallAbility-Memory AnalysesComparisonsScore 1Score 2Contrast SSGAI vs. AMIGAI vs. VMIGAI vs. IMIGAI vs. DMIVCI vs. AMI PRI vs. VMIWMI vs. AMI Note. Contrast score values between 6 and 14 indicate that performance on the index scores do not vary from one another.  California Verbal Learning Test Second EditionSubtestRaw Z scoreDescriptorTrials 1-5 Total (, , , , ) (T)Short Delay Free Recall CorrectShort Delay Cued Recall CorrectLong Delay Free Recall CorrectLong Delay Cued Recall CorrectTotal Intrusions Total Repetitions Delayed Recognition HitsDelayed Recognition False Positives NOTES:  Verbal FluencyIndexRawSSDescriptorLetter Fluency (FAS)  Boston Naming TestMeasureRaw ScZ ScoreDescriptorSpontaneous correctNotes. Semantic cues: . Phonemic cues:  Depression, Anxiety, Stress Scale (DASS-21)MeasureRaw ScDescriptorDepressionAnxietyStressNotes.  Rey Complex Figure (Meyer and Meyer; PAR, 1995)Raw%ileDescriptorCopyTime to copy3 delay30 delayNOTES: Recognition:  Delis-Kaplan Executive Function System (DKEFS)COLOUR-WORD INTERFERENCEConditionRaw TimeScaled ScDescriptorColour NamingWord ReadingInhibitionInhibition/SwitchErrorsRawCumulative % / SSDescriptorColour NamingWord ReadingInh/sw uncorr.Inh/sw total TRAILSConditionRaw TimeScaled ScDescriptorVisual ScanningNumber SequencingLetter SequencingSwitchingMotor Speed Attachment D: Psychological Testing Procedure Flowchart for Psychologists      CHHS17/294 Doc NumberVersionIssuedReview DateArea ResponsiblePageCHHS17/2941&12;<=QRktuvƻ}yqmqZLCLh@VmHnHuh/Zh@V0JmHnHu$jh/Zh@V0JUmHnHuhFXjhFXUhi{ hhi{hp7jhi{56CJ$^JaJ$h\VU5CJ$^JaJ$hh\VU5CJ$^JaJ$hh@V5CJ$^JaJ$h@V5CJ$^JaJ$hh56CJ^JaJ,hh56CJ,^JaJ,h5CJ,^JaJ,hh5CJ,^JaJ,&=v@ J  |vvvvvvv 8# gdi{\kd$$Ifl4Z##  6`l #644 laf4p ytC$l&`#$/IfgdBgdp7jgd@&gd       : ; < = > ? @ A B ^ _ ɾ׋ɂlɾZ׋ɂ#jh@VUmHnHu*jrh/Zh@V0JUmHnHuh@VmHnHu#h^Zh@VCJaJmHnHtH u#jh@VUmHnHujh@VUmHnHuh@VmHnHuh/Zh@V0JmHnHu$jh/Zh@V0JUmHnHu*jxh/Zh@V0JUmHnHu _ ` a f g h ɾ׋ɂlɾZ׋ɂ#jh@VUmHnHu*jfh/Zh@V0JUmHnHuh@VmHnHu#h^Zh@VCJaJmHnHtH u#jh@VUmHnHujh@VUmHnHuh@VmHnHuh/Zh@V0JmHnHu$jh/Zh@V0JUmHnHu*jlh/Zh@V0JUmHnHu   ( ) * D E F G H I J K L h i j k ɾ׋ɂlɾZ׋ɂ#jh@VUmHnHu*jZh/Zh@V0JUmHnHuh@VmHnHu#h^Zh@VCJaJmHnHtH u#jh@VUmHnHujh@VUmHnHuh@VmHnHuh/Zh@V0JmHnHu$jh/Zh@V0JUmHnHu*j`h/Zh@V0JUmHnHu          8 9 : ; I J K e f g i j k l m n ɾ׋ɂlɾZ׋ɂ#jh@VUmHnHu*jNh/Zh@V0JUmHnHuh@VmHnHu#h^Zh@VCJaJmHnHtH u#jh@VUmHnHujh@VUmHnHuh@VmHnHuh/Zh@V0JmHnHu$jh/Zh@V0JUmHnHu*jTh/Zh@V0JUmHnHu  l ? 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xx}S%W 7Psychological Tests: Use, Storage, and Access (MHJHADS)14;# Kerryn HunterDunn, Carolyn (Health)|                       Oh+'0  <H h t  8Psychological Tests: Use, Storage, and Access (MHJHADS)14;#Kerryn HunterNormalDunn, Carolyn (Health)11Microsoft Office Word@ա@824@Dqdn@S՜.+,D՜.+,p, hp  ACT GovernmentO^6 8Psychological Tests: Use, Storage, and Access (MHJHADS) Title#  ( 8 D P \ p 8$0<HT`lx !"! _PID_HLINKSContentTypeIdTaxKeywordTaxHTField TaxKeyword TaxCatchAllDecision Number New Owner New Applies To Approval Date Review Date Description0 Version NumberStatusApproval Name|Committee Replaces:Type of Document Key WordsDisplay on InternetNotes0Manager ContactEmailTo Progress EmailHeadersRankz0v5 EmailSender EmailFrom EmailSubjectRelated Documents Risk Rating EmailCc!7display_urn:schemas-microsoft-com:office:office#Editor"7display_urn:schemas-microsoft-com:office:office#AuthorA~ Contents{ Contentsx Contentsu Contentsr Contentso Contentsl Contentsi Contentsf Contentsc Contents1\_Toc5004064291V_Toc5004064281P_Toc5004064271J_Toc5004064261D_Toc5004064251>_Toc50040642418_Toc50040642312_Toc5004064221,_Toc5004064211&_Toc5004064201 _Toc5004064191_Toc5004064181_Toc5004064171_Toc5004064161_Toc5004064151_Toc500406414,0x01010016A7C784EB518C4F96C2FE3F9C94085F CHHS17/294MHJHADS(Canberra Hospital and Health Services2017-12-01T00:00:00Z2021-12-01T00:00:00ZThis procedure intends to protect the integrity of psychological tests and test data in line with the Australian Psychological Society Code of Ethics (2007) and the Ethical Guidelines for Psychological Assessment and the Use of Psychological Tests (2014).1 ApprovedCHHS Policy CommitteeTPsychological Tests: Use, Storage and Access Storage and Use of Psychological Tests ProceduretMHJHADS, MAJICeR, psychology, psychological tests, psychologist, neuropsychology, testing, psychological assessment1ANDHunter, KerrynHunter, Kerryn  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnpqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~                           ! 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