Ethical, Legal and Risk Management Considerations in the Neuropsychological Assessment of Veterans

Russo, Arthur C.

doi:10.1007/s12207-013-9145-z

Cited by 7 publications

(5 citation statements)

References 23 publications

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“…However, adherence to standard MMPI-2-RF interpretive guidelines ensures that clinicians do not over-or misinterpret available information from the substantive scale scores. This is particularly important considering the evaluative context (Russo, 2013(Russo, , 2014Worthen, & Moering, 2011) and the influence that various factors may have on validity scale elevation (e.g., sex, diagnosis, evaluation purpose; Ingram & Ternes, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…In addition to greater comorbidity and higher rates of prevalence, compensation and pension evaluations can also complicate service delivery in the VA. This environment creates a context in which clinically directed treatment can be intermingled with a forensic evaluation process (Russo, 2013), making it difficult to know how and to what degree a test-taker's report in a psychological evaluation is affected by the compensation process. Indeed, the compensation evaluation process may frequently lead to response styles that embellish actual experienced symptoms (see Ray, 2017, for a discussion on this topic).…”

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confidence: 99%

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Patterns of MMPI-2-Restructured Form (MMPI-2-RF) validity scale scores observed across Veteran Affairs settings.

Ingram¹,

Tarescavage²,

Ben‐Porath³

et al. 2020

Psychological Services

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The purpose of this investigation is to provide descriptive information on veteran response styles for a variety of VA referral types using the Minnesota Multiphasic Personality Inventory (MMPI)-2-Restructured Form (MMPI-2-RF), which has well-supported protocol validity scales. The sample included 17,640 veterans who were administered the MMPI-2-RF between when it was introduced to the VA system in 2013 until May 31, 2015 at any VA in the United States. This study examines frequencies of protocol invalidity based on the MMPI-2-RF's validity scales and provides comprehensive descriptive findings on validity scale scores within the VA. Three distinct trends can be seen. First, a majority of the sample did not elevate any of the validity scales beyond their recommended interpretive cut-scores, indicating that scores on the substantive scales would be deemed valid and interpretable in those cases. Second, elevation rates are higher for the overreporting scales in comparison to the underreporting and non-content-based invalid responding scales. Lastly, a majority of those with an elevation on one overreporting validity indicator also had an elevation on at least one other overreporting scale. Implications for practice and the utility of the MMPI-2-RF within the VA are discussed.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Patterns of MMPI-2-Restructured Form (MMPI-2-RF) validity scale scores observed across Veteran Affairs settings.

Ingram¹,

Tarescavage²,

Ben‐Porath³

et al. 2020

Psychological Services

View full text Add to dashboard Cite

show abstract

“…Finally, brief screening instruments do not have embedded protocol validity indicators, yet it is important to consider response style to ensure self-report information is not embellished, minimized, or provided by an individual who does not understand the test content. This need for the monitoring of response style is particularly pronounced within the VA (Ray 2017;Russo 2013). Between 33% to 53% of veterans undergo the forensically-intermingled compensation evaluation process (DeViva and Bloem 2003;Freeman et al 2008) and those evaluations can incorporate historic testing data from the veteran's record (Worthen and Moering 2011) that may not reflect symptom presentation accurately if not screened for patterns of invalid responding.…”

mentioning

confidence: 99%

Descriptive Profiles of the MMPI-2-Restructured Form (MMPI-2-RF) across a National Sample of Four Veteran Affairs Treatment Settings

Ingram

Tarescavage

Ben‐Porath

et al. 2019

J Psychopathol Behav Assess

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This investigation provides descriptive information on substantive scale scores from the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) across four common service locations within Veterans Affairs (VA): PTSD clinical team, individual substance use treatment, primary medical care, and residential polytrauma rehabilitation. Test protocols for these four service settings are drawn from a national sample of all MMPI-2-RF and converted MMPI-2 administrations between January 1, 2008 and May 31, 2015 using the VA Mental Health Assist system at any VA across the United States. Frequency of substantive scale elevation and descriptive findings are examined. Results of this investigation suggest that there are differences between VA service locations on the MMPI-2-RF substantive scales, the magnitude of difference depends on the substantive scale examined, and the pattern of elevation within service location follows common clinical concerns for the settings. Implications for the clinical use, and research with, the MMPI-2-RF within the VA and with the veteran population are discussed.

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“…Although the VA does not require formal testing (or other usual rigors of forensic examination), it does encourage providing a sufficient examination to answer all referral questions asked by the VBA. It is good practice and highly recommended to treat all C&P exams like any other forensic assessment and include all appropriate assessment techniques to adequately defend diagnostic conclusions and opinions made (Bush, 2014;Caron, 2017;russo, 2013.…”

Section: Writing Reports: the Disability Benefit Questionnairementioning

confidence: 99%

Compensation and pension examinations with older veterans.

Caron¹,

Floyd²

2018

Forensic Geropsychology: Practice Essentials.

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The recent wars in Iraq and Afghanistan increased the number of younger veterans in the U.S. Department of Veterans Affairs (VA) system, but older adults still comprise much of the veteran population, and they make up a large portion of disability claimants in the VA. Many disability claims involve mental disorders, and those usually necessitate examinations from mental health experts. Examining older veterans for mental disorders requires special consideration because multiple factors mediate or moderate claimed conditions. Many variables, including the war era served, the interplay of military and generational culture, medical comorbidities, and stages of life, can affect the presentation.Several key areas of the VA examination and adjudication process are covered in this chapter, such as reviewing VA disability benefits, the epidemiology of older veterans claiming benefits, the most common mental disorders

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Ethical, Legal and Risk Management Considerations in the Neuropsychological Assessment of Veterans

Cited by 7 publications

References 23 publications

Patterns of MMPI-2-Restructured Form (MMPI-2-RF) validity scale scores observed across Veteran Affairs settings.

Patterns of MMPI-2-Restructured Form (MMPI-2-RF) validity scale scores observed across Veteran Affairs settings.

Descriptive Profiles of the MMPI-2-Restructured Form (MMPI-2-RF) across a National Sample of Four Veteran Affairs Treatment Settings

Compensation and pension examinations with older veterans.

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