Module Overview16.html
Assessment Tools
In the first six modules, we discussed mental health issues found in children and adolescents, particularly those involved in the legal system. These mental health issues include psychiatric symptoms with significant impact on the youth and those around them. A proper diagnosis helps to treat and improve these symptoms. A proper diagnosis can be achieved through psychological assessment or testing. A psychological assessment provides important insights into a child’s learning and social, behavioral, and personality development. A goal of psychological assessments is to tailor a specific treatment plan. Psychological assessments also support recommendations that address the youth’s educational and mental health needs.
Psychological assessment of children and adolescents is a reliable method to identify different domains of the child’s functioning. Tests can identify variables that include the following:
Strengths and weaknesses of the child’s current state of functioning
Psychological symptoms
Problematic behaviors
Various assessment tools are available for mental health treatment providers to use as a supplement to their clinical examination. These tools efficiently screen for a broad range of behavioral problems. The type of instrument or assessment selected depends on factors such as age and clinical concern. Assessment of children and adolescents can present unique challenges. For example, mood symptoms are more challenging to evaluate in children than in adults. In 1978, Joachim Puig-Antich, MD adapted the Schedule for Affective Disorders and Schizophrenia (SADS) to create the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) (Townsend et al., 2020). The K-SADS aims to promote earlier diagnosis of mental disorders in children. All versions of K-SADS include interviews with both the child and the parents or guardians. The semi-structured interview measures symptoms of mood, anxiety, psychotic behaviors, and disruptive behaviors. K-SADS uses a combination of screening questions and more comprehensive modules to balance interview length and thoroughness. K-SADS has various versions but mainly serves to diagnose childhood mental disorders in school-aged children 6–18.
References
Townsend, L., Kobak, K., Kearney, C., Milham, M., Andreotti, C., Escalera, J., Alexander, L., Gill, M. K., Birmaher, B., Kaufman, J., & Deep, A. (2020). Development of three web-based computerized versions of the Kiddie Schedule for Affective Disorders and Schizophrenia child psychiatric diagnostic interview: Preliminary validity data. Journal of the American Academy of Child & Adolescent Psychiatry, 59(2), 309–325. https://doi.org/10.1016/j.jaac.2019.05.009
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