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Clinical Assessments


WMH therapists use clinical assessments to know the type of treatment that must be used to effectively treat you. They collect information and draw conclusions about the symptoms you are presenting from these assessments, including your demographic information, sociocultural background, personal characteristics, cognitive and functional functioning, cultural factors, history of mental health and substance abuse treatment, as well as your skills, struggles, and treatment expectations.

Basically, your clinical assessment is an ongoing process that helps your therapist determine if treatment is needed, the extent to which your psychological condition is affecting you, whether the treatment method that has been selected is working, and if your symptoms are likely to return after treatment has ended.

Assessment Process

1 Identifying the reasons for assessment

2 Choosing and implementing instruments for data collections

3 Evaluating assessment information

4 Reporting results of assessment and making recommendations


INTAKE/SCREENING
Comprehensive Clinical Assessment (CCA)

The CCA is an intensive clinical and functional face-to-face evaluation of your presenting mental health, developmental disability, and substance use disorder from which a written report is created to provide the clinical basis of your treatment and service plan. A CCA is needed when there is a known or suspected mental health or substance use disorder, or initial screening or triage information indicates a need for additional mental health, substance use disorder.

The Clinical Interview

One of our licensed professionals will complete a CCA with you upon admission to determine medical necessity and the level of care needed. Relevant diagnostic information will be included in final report.

Your CCA will include the following elements: (a) the presenting problems, (b) chronological general health and behavioral health history, (c) current medications; (d) biopsychosocial and developmental dimensions, (e) case formulation, (f) diagnoses from the DSM-5, and (g) recommendations for additional assessments, services, support, or treatment.

Mental Status Exam

A mental status examination is used to organize the information collected during the interview and to systematically evaluate you through a series of observations and questions assessing your appearance and behavior, thought processes and content, mood and affect, intellectual functioning, and awareness of surroundings.

COST
$200 per assessment
LENGTH
Between 60 and 120 min
TURN-AROUND TIME
5 and 10 business days
Psychological Tests

WMH endorses the idea that mental health therapists are experts in testing and that testing is within the scope of practice of therapists.

WMH therapists to not provide psychological, neurological, or intelligent tests.

RISK AND NEEDS ASSESSMENT
Anger Management Evaluation

Anger and stress aggravate our emotional and mental health symptoms; hence our interest in clinically assessing its intensity and how frequently this emotion manifests over time. Anger management evaluations are designed to help you examine anger management areas in which you may need improvement. In fact, anger management evaluations are recommended for anyone facing personal problems, work-related issues, or legal charges because of anger. If you were arrested, charged, or convicted of a violent or abusive crime, you may be required to complete an anger management evaluation.

Our anger management evaluations are evidence-based and are conducted by a Certified Anger Management Specialist. The assessment is both objective and subjective to accurately quantify the effect anger has on your life and on those around you. It measures several behavioral patterns and provides important information regarding your family history, current and previous charges, demeanor, state and trait anger expression, and anger management skills.

Our evaluation process is very simple. It begins at intake with a comprehensive clinical assessment which provides us with background information. This is followed by the anger management evaluation which includes scales that measure your tendency to minimize problems and concerns, how anger moves on a continuum from annoyance to rage - a helpful tool to identify individuals who are dangerous to themselves or others, and how effectively you cope with anger, stress, tension and pressure. Once the evaluation is complete, your therapist will offer recommendations as to whether anger management is appropriate and explain the results of your tests; it is possible that there is no basis to suggest you have problems controlling your anger.

Who is if for?

Anyone facing domestic violence or disorderly conduct charges, who has been in a domestic dispute or altercation at work, who display anger in public, who is on parole, probation or pretrial diversion.

QUALIFICATION
Evaluation is for anyone who lacks proper anger management skills.
LENGTH
Interview and evaluation take approximately one hour each to complete.
CERTIFICATE
A certificate of completion is offered at the end of the program
TURN-AROUND TIME
Court or employer reports are completed between 5 and 10 business days.
REQUIREMENTS
A state ID, police report or warrant, and any other important document.
MENTAL HEALTH ASSESSMENT
Immigration Evaluation

An immigration evaluation is a mental health assessment that will be used by immigration court to determine whether you can legally remain in the United States. It is conducted by a licensed mental health professional and sent to your attorney. An effective immigration evaluation often addresses the psychological aspects of various legal points and expand beyond what is covered in clinical assessments.


EXTREME HARDSHIP WAIVERS
For qualifying family members of applicants seeking waivers of grounds of inadmissibility.
DOMESTIC VIOLENCE CASES
For undocumented immigrants who have been abused by their US citizen spouse.
ASYLUM / U VISA CASES
For victims of persecution in their home country or a qualifying crime within the USA.
T VISA EVALUATIONS
For anyone who has been a victim of forced labor/labor trafficking or sex trafficking.


The immigration evaluation includes in-depth interviews that occur over the course of 3 to 4 meetings. You will be asked questions regarding your personal and family history, work history, medical and psychiatric history, and immigration status as they pertain to the case. Pertinent information regarding your psychological and emotional state will be collected using some of the following instruments: Post-traumatic stress disorder, cognitive/intelligence, adaptive behavior, mental status, depression, anxiety, attention deficit, partner violence, measures of violent behavior and tendencies, measures of achievement, personality inventories, and malingered symptoms.


COST
$1000 (report included)
LENGTH
Approximately 4 hours
REPORT
Generally, 13-15pp. long
TURN-AROUND TIME
7-14 days to complete
REQUIREMENTS
Any supportive document


Expert Witness: Fees for court testifying are $200/hour and there is a 3-hour minimum. If you have any questions or would like to schedule an evaluation, please call our office at 910-777-5575.

Sex Offender Risk Assessment

A Risk Assessment is a clinical evaluation used to predict the degree of possibility of a sexual re-offense. Here at WMH, we use structured and research guided assessment tools to determine risk levels and make recommendations regarding treatment and danger posed to the public. If you are facing a sentence or criminal adjudication, need a decision regarding treatment needs, are registered as sex offender and waiting for a classification, or have a civil commitment proceeding, most likely would be asked to take an RA since courts have long supported mental health treatment as an alternative to jail.

The assessment starts with a list of factors that are likely to be related to risk, drawn from personal experience. Our assessment use actuarial tools and incorporate dynamic risk factors such as the offender's age at the time of assessment factors during testing. Risk factors are assessed on the basis of their nature, origin and effect to increase reliability and validity and to provide precise estimates of recidivism risk. The assessment incorporate protective and relevant factors, informs the development of treatment, and facilitates the patient’s engagement in the assessment process.


Facts about Risk Assessments
Children who welcome or allow being sexually abused by not resisting or saying “no” are giving consent to sexual activity – the age of consent in most states is 18 years.
Most sexual assaults are committed by someone known to the victim or the victim’s family, regardless of whether the victim is a child or an adult.
Contrary to the belief, sex offenders do not commit sexual assault because they were under the influence of alcohol or as a direct result of excessive drinking.
Treatment can contribute significantly with community safety and recidivism, especial when participants and attend and comply with treatment recommendations.



WMH RA evaluators receive training and are undergo monitoring to ensure that risk assessment procedures and instruments are used appropriately and with integrity.



COST
$2500 (report included)
LENGTH
Approximately 8 hours
REPORT
Generally, 20-25 pgs long
TURN-AROUND TIME
2-4 weeks to complete
REQUIREMENTS
Any supportive document

Domestic Violence Risk Assessment

Risk is defined as the probability that a person will engage in a certain kind of behavior in the future. A risk assessment is a procedure we use to gather important characteristics about individuals who have been involved in intimate partner violence and use that information to predict the likelihood of re-abuse, enhance safety for victims, and manage risks posed to victims.

Our treatment providers follow a decision-making process to estimate, identify, qualify, or quantify risk, but also to offer recommendations regarding treatment. Intervention is sensible to the risk caused by batterers to the victims and the victim’s immediate personal circumstances that may increase their vulnerability – such ass self-harm. We account for factors that may exacerbate those risks and strongly advocate for the victims by providing ease of access to mental health services and community resources. We listen to the victims and do not place them in situations where there is any possibility of further risk from their abusers.

Benefits

  • Help identify risk levels of recidivism, inform conditions of release, and need for supervision.
  • Provide intimate partner victims and case managers relevant information to develop more realistic safety plans
  • Educate our community and the justice system about domestic violence
  • Offers evidence-based best practices for batter intervention programs.

COST
$200 (report included)
LENGTH
Approximately 90 min
REPORT
Generally, 3-5 pgs long
TURN-AROUND TIME
1 week to complete
REQUIREMENTS
Any supportive document

Drug and Alcohol Evaluation

A drug and alcohol evaluation is used to analyze your substance use history and give your treatment provider more information about the situation you are in. In some case it is possible to know what substances you are using, the dosage and frequency of consumption, which can guide treatment lead to specific recommendations being made regarding your treatment.

Some drug and alcohol evaluations are conducted for medical purpose while others are requested by court for legal procedures. Your evaluation will follow a screening process that includes the completion of a clinical assessment in addition to the drug and alcohol test. You will be asked to provide a urine sample to establish a baseline. After assessment is done and reviewed, recommendations regarding treatment or education are made. Depending on the result, you may be required to participate in individual or group therapy sessions, substance abuse education class, or rehabilitation program. Our Level 1 Outpatient Substance Abuse Program requires participation in at least two support groups per week and random drug and/or alcohol urine testing in addition to therapy.


Phases
1
SCREENING
The initial stage where the issue is investigated.
2
ASSESSMENT
Information about the problem is gather in this stage.
3
FOLLOW-UP
Required when there is a need for treatment.
4
REFERRAL
Information is sent to treatment providers.



60% of individuals identified with a substance abuse also have a co-occurring disorder



IMPORTANT NOTICE
WMH does not provide alcohol and drug evaluations for court at this time. These types of evaluations need to be done through a certified DUI/DWI state agency. In most cases they are required in legal procedures for driving under the influence (DUIs), disorderly conduct while intoxicated, possession of drugs or alcohol; public intoxication, drug trafficking or distribution; manufacturing and/or distribution of controlled substances; and/or use of fake IDs for purchase or consumption.


COST
$200 (report included)
LENGTH
Approximately 90 min.
REPORT
Generally, 3-4 pgs long
REQUIREMENTS
Doctor or court referral