The guidelines provided by the New York State Workers Compensation Board offer general principles for the screening and testing of Post-Traumatic Stress Disorder (PTSD). These directives aim to assist healthcare professionals in determining appropriate strategies for conducting assessments and tests as part of a comprehensive screening process for individuals affected by PTSD.
Healthcare practitioners specializing in the screening and testing for PTSD can rely on the guidance from the Workers Compensation Board to make well-informed decisions about the most suitable approaches for evaluating and identifying PTSD in their patients.
It is crucial to emphasize that these guidelines are not intended to replace clinical judgment or professional expertise. The ultimate decision regarding screening and testing for Post-Traumatic Stress Disorder should involve collaboration between the patient and their healthcare provider.
Screening and Testing for post traumatic stress disorders
There are lots of screening and psychometric testing tools out there. While they might hint at a diagnosis, it’s important to know that neither screening nor psychometric tests can outright diagnose a condition. Figuring out the diagnosis should come after a thorough look at all the available information, including a detailed history and clinical interview.
Each test needs to focus on something specific and shouldn’t cover the same ground as others. It’s fine to use tests to keep an eye on a patient’s condition and progress, but there’s no need for routine repeat testing if the clinical records show things are getting better. The testing report should tie together the test data with the client’s specific treatment goals.
Psychological/Psychiatric Evaluation
Suggested – for anyone dealing with possible acute stress disorder or post-traumatic stress disorder. Reasons – it’s crucial to conduct mental health assessments to establish, affirm, or validate a diagnosis. These assessments lay the groundwork for future treatment strategies. The evaluation should particularly hone in on ASD/PTSD, anxiety disorders, depression, substance use disorders, and the risk of suicide. How often/How much/How long – Start with an initial evaluation for diagnosis. Follow-up appointments for treatment involve carrying out and understanding screening and diagnostic tests.
ASD/PTSD Screening Tools
Encouraged – for checking out patients with ASD or the possibility of PTSD. Reasons – People who have ASD or the chance of developing PTSD, especially those who’ve been through a tough situation. Advantages – Spotting potential PTSD sooner, leading to the patient getting connected with the right mental health services for a confirmed diagnosis. How often/How much/How long – Just one screening visit.
Since PTSD can have an unpredictable course for many, it might make sense to do another screening if there are delayed or changing symptoms. But doing it routinely isn’t the way to go. Screening tools could be things like the PTSD Checklist, Primary Care PTSD Screen, and the Post-Traumatic Adjustment Scale.
Psychometric Testing: ASD/PTSD
Suggested – for folks who show positive on a screening or display signs and symptoms matching acute stress disorder or post-traumatic stress disorder. Reasons – to help mental health experts confirm a diagnosis of ASD/PTSD or other linked mental health conditions. It should be done by a mental health professional with proper training. How often/How much/How long – Just a one-time battery of tests, unless there’s a good reason for more.
Outcome Measures
Good idea to keep an eye on a patient’s condition and progress. Why – No need for repeat testing if the clinical records show things are getting better. The testing report should weave together the test data with the specific treatment goals of the client. Needs to be handled by a properly trained mental health professional.
Functional MRI
Evidence for the Use of PTSD Screening Tools and Tests – Using functional MRI isn’t recommended for diagnosing post-traumatic stress disorder.
