# Evidence-based assessment/Portfolio template

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* Medical disclaimer: This page is for educational and informational purposes only and may not be construed as medical advice. The information is not intended to replace medical advice offered by physicians. Please refer to the full text of the Wikiversity medical disclaimer.

## What is a "portfolio"?

* For background information on what assessment portfolios are, click the link in the heading above.
* Want even 'more' information about this topic? There's an extended version of this page here.

## Preparation phase

[The preparation phase is when we do groundwork to make it easier to do good assessment. Deciding what measures to buy or download for the clinic, what reading or training we need before we are ready to do the assessment as part of a "real" session, and looking for supporting information are all things best done before scheduling an appointment.
We use "base rates," or benchmarks from other clinics and settings, to decide what we should be sure to get prepared to assess.
Having quick links to the diagnostic criteria or descriptions of clinical presentations would also be excellent things to include in this section.] DELETE ALL OF THIS IN YOUR PORTFOLIO

### Diagnostic criteria for ______ disorder

   ICD-11 Diagnostic Criteria
   * (insert ICD-11 diagnostic criteria)
   Changes in DSM-5
   * The diagnostic criteria for _____ disorder changed slightly from DSM-IV to DSM-5. Summaries are available here.

### Base rates of adolescent depression in different clinical settings

This section describes the demographic setting of the population(s) sampled, base rates of diagnosis, country/region sampled and the diagnostic method that was used. Using this information, clinicians will be able to anchor the rate of [insert disorder] that they are likely to see in their clinical practice.
| Demography | Setting | Base Rate | Diagnostic Method |
| All of U.S.A. | Acute psychiatric hospitalizations in 2009-2010 children (under the age of 15) (Blader & Carlson, 2010) | 13% | Centers for Disease Control survey of discharge diagnoses |
$^p$:Parent interviewed as component of diagnostic assessment; $^y$:youth interviewed as part of diagnostic assessment.

## Prediction phase

[The prediction phase is when we gather information to get a sense of what clinical hypotheses we definitely want to consider during the assessment. It often is possible to gather these assessments before the assessment appointment. These could be forms mailed ahead of time, email or text messages with links to brief surveys, or assessments completed on a clipboard or tablet in the waiting room. The power of these is that additional information can be gathered and organized for the clinician and client to review during the assessment appointment. Patients dislike filling out paperwork that never gets used, and clinicians do not like adding measures that do not guide care. A relentless focus on asking about the right topics, and having the information available during the appointment, make everyone happier.
It is possible to use assessment results to update the probability of a clinical issue in real time. This is easiest using a type of effect size called a diagnostic likelihood ratio. When these are available, definitely include them in the tables in this section. Other pages have links to probability nomograms and calculators where people can use these with clients.] DELETE ALL OF THIS IN YOUR PORTFOLIO

### Psychometric properties of screening instruments for (insert portfolio name)

The following section contains a list of screening and diagnostic instruments for (insert portfolio name).
Screening measures for (insert portfolio name) :
| Measure | Format (Reporter) | Age Range | Administration/ Completion Time | Where to Access |
| Children's Depression Inventory *not free | Structured self-report | 7-17 | 15-20 minutes | Link to purchase CDI |
| Mood and Feelings Questionnaire (MFQ) | Self-report | 6-17 | 5-10 minutes | Homepage PDF |
Note: Reliability and validity are included in the extended version (link). This table includes measures with Good or Excellent ratings.

### Likelihood ratios and AUCs of screening measures for (insert portfolio name)

 Add link to page about how to calculate likelihood ratios from other information
 Add link about AUC and ROCs
* For a list of the likelihood ratios for more broadly reaching screening instruments, click here.
****Here is the the table for psychometric properties. An example is listed below of a good example. Either include link to the PDF (uploaded from OSF) if applicable, or denote that the screener is not free.
| Screening Measure (Primary Reference) | AUC (sample size) | DLR+ (score) | DLR- (score) | Clinical Generalizability | Where to Access |
| Child Behavior Checklist (CBCL) Anxious/Depressed Scale T-score | .70 (N=470) | 3.78 (60+) | .39 (<60) | High. Large diverse sample with mixed depression sample compared to samples without depression. | Not free |

### Interpreting (insert portfolio name) screening measure scores

* For information on interpreting screening measure scores, click here.
* Also see the page on likelihood ratios in diagnostic testing for more information

## Prescription phase
### Gold standard diagnostic interviews

* For a list of broad reaching diagnostic interviews sortable by disorder with PDFs (if applicable), click here.

### Recommended diagnostic interviews for (insert portfolio name)

****This table should contain diagnostic interviews that are specific just to the disorder your portfolio focuses on. General or broad reaching diagnostic interviews, like the KSADS, are listed in the link in the section above.
Diagnostic instruments for (insert portfolio name) :
| Measure | Format (Reporter) | Age Range | Administration/ Completion Time | Where to Access |
| Children's Depression Rating Scale - Revised (CDRS-R) | Structured Interview | 6-12 | 15-20 minutes | Link to purchase CDRS-R PDF (excerpt) |
Note: Reliability and validity are included in the extended version (link). This table includes measures with Good or Excellent ratings.

### Severity interviews for (insert portfolio name here)

| Measure | Format (Reporter) | Age Range | Administration/ Completion Time | Where to Access |
| Children's Depression Rating Scale - Revised (CDRS-R) | Structured Interview | 6-12 | 15-20 minutes | Link to purchase CDRS-R PDF (excerpt) |
Note: L = Less than adequate; A = Adequate; G = Good; E = Excellent; U = Unavailable; NA = Not applicable

## Process phase

The following section contains a brief overview of treatment options for (insert portfolio name) and list of process and outcome measures for (insert portfolio name). The section includes benchmarks based on published norms for several outcome and severity measures, as well as information about commonly used process measures. Process and outcome measures are used as part of the process phase of assessment. For more information of differences between process and outcome measures, see the page on the process phase of assessment.

### Process measures

****If applicable, insert information on process measures commonly used with your portfolio's disorder.

### Outcome and severity measures

This table includes clinically significant benchmarks for (insert portfolio name here) specific outcome measures
* Information on how to interpret this table can be found here.
* Additionally, these vignettes might be helpful resources for understanding appropriate adaptation of outcome measures in practice.
* For clinically significant change benchmarks for the CBCL, YSR, and TRF total, externalizing, internalizing, and attention benchmarks, see here.
Clinically significant change benchmarks with common instruments for (insert portfolio name) :
| Benchmarks Based on Published Norms ||||||||
| Measure | Subscale | Cut-off scores | Cut-off scores | Cut-off scores | Critical Change (unstandardized scores) | Critical Change (unstandardized scores) | Critical Change (unstandardized scores) |
| Measure | Subscale | A | B | C | 95% | 90% | SE$_{difference}$ |
| Beck Depression Inventory-II | | 4 | 22 | 15 | 9 | 8 | 4.8 |
| CBCL T-scores (2001 Norms) | Total | 49 | 70 | 58 | 5 | 4 | 2.4 |
****replace the numbers

### Treatment

****Insert brief description of commonly used therapy for your disorder. Insert bullet point below with links replaced to resources that describe therapy more in depth.
* Please refer to the page on (insert the link for the wikipedia page on portfolio's disorder) for more information on available treatment for (insert portfolio name) or go to Effective Child Therapy (replace link) for a curated resource on effective treatments for (insert portfolio name).

## External resources

* ICD-10 diagnostic criteria
* Find-a-Therapist (a curated list of find-a-therapist websites where you can find a provider)
* NIMH (information about (insert portfolio name))
* John's Hopkins Resource (guide-guide about (insert portfolio name), treatment, and more)
* OMIM (Online Mendelian Inheritance in Man)
** 608516
** 608520
** 608691
* eMedicine entry for adult depression
* Effective Child Therapy page for (insert name)
** Effective Child Therapy is website sponsored by Division 53 of the American Psychological Association (APA), or The Society for Clinical Child and Adolescent Psychology (SCCAP), in collaboration with the Association for Behavioral and Cognitive Therapies (ABCT). Use for information on symptoms and available treatments.
****replace these links and add any extra links to external resources as relevant

## How to tell the quality

Look at the top of the "Discuss" tab. We are using the Wikipedia Quality scale
and also indicating the importance of the articles here. Many of the articles have detailed tables or chunks of content, and we intend to go back and add transitions and context.