Beck Depression Inventory BDIII

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Beck Depression Inventory (BDI-II)

• The Beck Depression Inventory is a self-report
  measure of the presence and severity of
  depressive symptoms. It examines an individuals
  emotional state in the two-week period prior to
  the evaluation.

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Trait vs. State

• A personality trait is a durable disposition
  to behave in a particular way in a variety of
  situations. An entrenched aspect less likely to
  respond well to
• therapy.
• A state is a temporary condition that an
  individual is in at a particular point in time,
  and can respond well to psychotherapy or
  pharmacotherapy.

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• Example
• Client scores Average on Emotional Reactivity
• Factor of the NEO-FFI and Severe on the
• BDI-II.
• What does this imply?

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Personality Assessment Inventory (PAI)

• Administered in Neuro-Psycho-Vocational
  evaluation
• Provides an in-depth description of clients
  personality functioning based on a self-report
  inventory
• Provide relevant information to clinical
  diagnosis, treatment planning and screening for
  psychopathology

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• Self-Directed Search (SDS)
• Administration

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Occupational Themes

• REALISTIC
• ENTERPRISING
• SOCIAL
• INVESTIGATIVE
• ARTISTIC
• CONVENTIONAL

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FACT

• Females typically obtain more S, A and C codes
• Males typically obtain more I, R and E codes

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• Vocational Rehabilitation Consultant
• Case Manager
• What is the SDS code?
• SEC
• SEC, SCE, ESC, ECS, CSE, CES

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Selection Criteria Suitable Employment
Business (SEB) Options

• Intellectual, achievement and aptitude scores
• NOC aptitude profile
• Physical restrictions or medical precautions
• Transferable skills e.g., educational training
  employment history
• Pre-injury wage earning
• Vocational interests
• Age
• Level of pain
• Personality traits

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Vocational Evaluation

• Lower pre-injury wage earnings
• Minimal or no retraining required
• Does not address learning potential for formal
  retraining
• Client has no psychological concerns (e.g.,
  Depression, Post-Traumatic Stress Disorder,
  stress, anxiety, etc.)

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Tests Administered

• Wonderlic Personnel Test (WPT)
• Wide Range Achievement Test Fourth Edition
  (WRAT-4)
• Career Ability Placement Survey (CAPS)
• Hollands Self-Directed Search (SDS)

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Psycho-Vocational Evaluation

• Evaluates clients learning competencies,
  academic/achievement level, intellectual
  functioning, work-related aptitudes and skills,
  vocational interests, general personality
  characteristics and current emotional status, as
  well as self-perception of pain and its affect on
  his/her daily activities of living
• To determine clients cognitive ability and
  emotional stability to retrain (up to university)

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Tests Administered

• Wechsler Adult Intelligence Scale Third Edition
  (WAIS-III)
• Wide Range Achievement Test Fourth Edition
  (WRAT-4)
• Career Ability Placement Survey (CAPS)
• Hollands Self-Directed Search (SDS)
• NEO Five-Factor Inventory (NEO-FFI)
• Beck Depression Inventory Second Edition
  (BDI-II)
• Beck Anxiety Inventory (BAI)
• Brief Pain Inventory (Short Form)
• Test of Memory Malingering (TOMM)

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Neuro-Psycho-Vocational Evaluation

• Purpose
• This evaluation will help to determine the
  effects of brain injury and/or psychiatric
  disability on cognitive and emotional functioning
• Based on clinical findings, determine the
  severity of impairment and whether employability
  is realistic
• It will help to determine between neurogenic
  conditions (physical/neurological origin) from
  psychogenic conditions (mental/psychological
  origin) or malingering

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When is referral appropriate?

• When memory and/or cognitive impairment is
  suspected
• When cognitive or memory functioning and
  personality characteristics are compromised by
  brain injury, psychiatric illness, psychotropic
  or pain medications
• When psychopathology is suspected and clinical
  diagnoses are required

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Who could benefit?

• Clients with Central Nervous System dysfunction,
  i.e., stroke, traumatic brain injury, dementia
• Suffering from a mental disorder on Axis I of
  DSM-IV, e.g., Schizophrenia, Mood Disorder,
  Anxiety Disorder, etc.
• Individuals undergoing treatment (medications,
  surgery) that may effect a cognitive or
  behavioural change secondary to intervention

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Cognitive Functions Assessed in
Neuro-Psycho-Vocational Evaluation

• Administration of series of standardized tests of
  mental functions
• In-depth mental status exam
• Screening for psychopathology in-depth
  personality functioning assessment
• Test of memory malingering
• Academic and aptitude performance

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Cognitive Functions Contd

• Intelligence
• Attention/Concentration
• Language
• Verbal and Non-Verbal Memory
• Perceptual Organization Abilities
• Sensory
• Motor
• Frontal Systems
• Functional Abilities or ADLs

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Tests Administered

• Wechsler Memory Scale Third Edition (WMS-III)
• Wechsler Adult Intelligence Scale Third Edition
  (WAIS-III)
• Bender Visual Motor Gestalt Test
• Personality Assessment Inventory (PAI)
• TOMM Test of Memory Malingering
• Wide Range Achievement Test Fourth Edition
  (WRAT-4)
• Beck Depression Inventory Second Edition
  (BDI-II)
• Career Ability Placement Survey (CAPS)
• Hollands Self-Directed Search (SDS)

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Psycho-Educational Evaluation

• Purpose
• To determine the presence of a Learning
  Disability

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Learning Disability

• A central nervous system disorder
• Affects persons ability to either interpret what
  he/she sees and hears or to link information from
  different parts of the brain
• Specific difficulties with spoken and written
  language, co-ordination, self-control or
  attention
• Vocationally-speaking, this has implications for
  upgrading, e.g., learning to read, write or do
  math and retraining, e.g., learning within an
  academic formal environment

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Psycho-Vocational and the determination of
Learning Disability

• Persons with an L.D. typically display at least
  average to
• above average I.Q. (i.e., verbal or non-verbal
  ability) but
• display a significant discrepancy between their
  highest level
• of intellectual ability and one or more measures
  of
• academic achievement.
• Example
• WAIS-III VIQ 100 (Average)
• WRAT-4 Reading (Decoding) 78
  (Borderline)

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When is referral appropriate?

• Significant discrepancy between cognitive ability
  and academic achievement
• Significant discrepancy between verbal (VIQ) and
  non-verbal (PIQ) on the WAIS-III
• Previous diagnosis of LD in school
• Self-reporting difficulties in academic subjects
  in school, e.g., reading, writing, spelling,
  solving arithmetic problems

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Assessing

• Memory and Learning
• Visual-Motor Integration
• Achievement/Academic
• Mood
• Processing Deficits

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Tests Administered

• Wechsler Adult Intelligence Scale Third Edition
  (WAIS-III)
• Wechsler Individual Achievement Test Second
  Edition (WIAT-II)
• Wide Range Assessment of Memory and Learning
  Second Edition (WRAML2)
• Bender Visual Motor Gestalt Test
• Beck Depression Inventory Second Edition
  (BDI-II)