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This week’s blog was contributed by Erika Thompson, PAR’s managing production editor. It is the second in a series on writing. Catch up on the first part here

As a mental health practitioner, you are required to write throughout your career. One way you can streamline your writing is by using a style guide. At PAR, the house style we use for all our publications is based on American Psychological Association (APA) Style. Via the PAR Blog, we’re providing some useful information about facets of APA Style that will help you tackle research, write better reports, and communicate more effectively with colleagues. 

This week, we’re covering how to cite sources properly. According to APA (2020): “Scientific knowledge represents the accomplishments of many researchers over time. A critical part of writing in APA Style is helping readers place your contribution in context by citing the researchers who influenced you” (p. 253). In other words, citing helps readers better understand what led to your conclusions. It also prevents you from accidentally plagiarizing someone else’s work. It’s important to cite both ideas, which may be paraphrased from someone else’s work, and direct quotes. 

Two elements are needed to cite properly: a short mention of the author and date of publication, or in-text citation, which appears within the text at the appropriate and relevant place; and a reference list entry, which expands on the citation by including the title, the source, and sometimes a link to locate the work. 

In-text citations can be narrative or parenthetical. In a narrative citation, the author and date are mentioned as part of the running text: “In 2010, Costa and McCrae published new normative data on the NEO.” In a parenthetical citation, the author and date are mentioned in parentheses: “New normative data on the NEO are also available (Costa & McCrae, 2010).” 

Reference list entries vary in format based on the type of publication, but generally the author is mentioned first, with the date of publication, title, and source following. Use a 0.5-in. hanging indent to format each entry—that is, indent the second and any subsequent lines. 

In some instances, it may be hard to figure out which reference entry format to use. The most recent edition of the Publication Manual of the American Psychological Association provided much-needed guidance on how to cite a test and how to cite a variety of different websites: 

Test

Feifer, S. G., & Clark, H. K. (2016). Feifer Assessment of Mathematics (FAM): Professional manual. PAR. 

(Note that the “supporting literature” [i.e., the manual; APA, 2020, p. 340] is cited versus the test itself, the title of the test is capitalized and italicized, and the publisher location is not mentioned.) 

Online magazine or newspaper article 

Bourke, J., & Titus, A. (2019, March 29). Why inclusive leaders are good for organizations, and how to become one. Harvard Business Review. https://hbr.org/2019/03/why-inclusive-leadersare-good-for-organizations-and-how-to-become-one 

Website article 

Gupta, G. (2016, September 4). Empowering leadership. People Matters. https://www.peoplematters.in/blog/leadership/empowering-leadership-14014 

(Note that established newspaper and magazine titles are italicized, whereas for websites that don’t have a publication associated with it, the title of the article is italicized.) 

A recent APA blog post explained how to cite ChatGPT. Because the results of the chat cannot be retrieved by others, communications are considered to be the output of the ChatGPT algorithm, and OpenAI is considered to be the “author” of the algorithm. Thus, each communication should be explained very clearly in text and cited as such: 

OpenAI. (2023). ChatGPT (Mar 14 version) [Large language model]. https://chat.openai.com/chat The in-text citation is (OpenAI, 2023). 

 

The Publication Manual of the American Psychological Association covers many, many more types of sources, including journal articles, books, audiovisual media, and social posts. 

Curious about how we keep track of references to our products? Check out our white paper on Zotero, which includes links to product-specific, continually updated, easy-to-access bibliographies. 

Interested in partnering with PAR for research or publishing? Visit our Partner with PAR page to learn more. 

 

References 

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000 

McAdoo, T. (2023, April 7). How to cite ChatGPT. APA Style. https://apastyle.apa.org/blog/how-to-cite-chatgpt

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This week’s blog was contributed by Erika Thompson, PAR’s managing production editor. It is the first in an ongoing series on writing. 

 

As a mental health practitioner, you are required to write throughout your career. One way you can streamline your writing is by using a style guide. At PAR, the house style we use for all our publications is based on American Psychological Association (APA) Style. Over the next few weeks, we’ll provide some useful information about facets of APA Style that will help you tackle research, write better reports, and communicate more effectively with colleagues.  

This week, we’re covering how to write as respectfully and inclusively as possible. According to APA (2020):  

It is unacceptable to use constructions that might imply prejudicial beliefs or perpetuate biased assumptions against persons on the basis of age, disability, gender, participation in research, racial or ethnic identity, sexual orientation, socioeconomic status, or some combination of these or other personal factors (e.g., marital status, immigration status, religion). (p. 131)  

To prevent biased writing, we must focus on two things: specificity and sensitivity.  

When we write with specificity, we eliminate unconscious attitudes that might sneak into overly general language. Being as precise as possible also allows your research or other scholarly work to reflect the most accurate and helpful information for readers. For example, use exact age ranges versus broad categories of ages, use specific names for racial and ethnic groups versus broad categories (e.g., “Chinese American” vs. “Asian American”), and use specific terms for gender identity and sexual orientation (e.g., “cisgender women,” “bisexual people”). Provide definitions of research groups early, and then stick to the same label throughout the manual: “Participants scoring between X and X on the ANX scale made up the low anxiety group.” “The low anxiety group exhibited no change from test to retest.” 

Writing with sensitivity means writing while acknowledging people’s preferences and their humanity. For example, overgeneralizing by using adjectives as nouns to label groups—for example, “the poor” or “schizophrenics”—eliminates the individuality of the people in those groups. Instead, use adjectival forms or nouns with descriptive phrases, like “poor people” or “individuals with schizophrenia.”  

There are many other areas that require writing with sensitivity: 

  • Gender and sex. Gender is a social construct and a social identity. Sex refers to biological sex assignment, or to sexual behavior. Gender identity (a person’s psychological sense of their gender) is distinct from sexual orientation (who a person is emotionally and/or sexually attracted to). APA strongly encourages us “to explicitly designate information about the gender identities of the participants making up our sample (e.g., whether they are transgender, cisgender, or other gender identities) rather than assuming gender identities” (p. 138). Over the past several years, we’ve also adopted use of the singular “they”—both to identify people who prefer that pronoun and to replace the cumbersome “he or she” construction throughout our writing. 
  • Age. For people of any age, “person” and “individual” are appropriate terms. Use “men,” women,” “transgender women,” “individual,” etc. for adults ages 18 years and older; use “child,” “boys,” “girls,” “infant,” etc. for individuals ages 12 years and younger; and use “adolescent,” “male adolescent,” “youth,” etc. for individuals ages 13 to 17 years. For older adults, preferred terms include “older adults,” “older people,” and “older persons”—not “seniors,” “elderly,” or “the aged.” Language should emphasize that aging is a normal part of life versus an obstacle to be overcome. 
  • Disabilities. There are two ways to write respectfully about people with disabilities. In person-first language, the person is emphasized, not the disability: “person with autism,” “individuals with learning disabilities.” In identity-first language, the disability is the focus, allowing the individual to claim ownership and identity over it: “autistic person,” “learning disabled individuals.” Both are acceptable choices, and the approaches can be mixed. If you know the preference of a particular group, use it! 
  • Race and ethnicity. Race and ethnicity are different, and it’s important to clearly delineate the two when writing about people. “Race refers to physical differences that groups and cultures consider socially significant….Ethnicity refers to shared cultural characteristics such as language, ancestry, practices, and beliefs” (APA, 2020, p. 142). Avoid the word “minority” if possible—better options are “people of color” and “underrepresented groups,” or be specific and use a qualifier: “racial minority.” Take care with capitalization and punctuation. “Black,” “White,” “Indigenous,” and “Aboriginal” should be capitalized, and we don’t use hyphens in racial or ethnic modifiers—that is, we write “African American people,” not “African-American people.”  

 

These are just a few tips and examples of how to improve your writing by focusing on specificity and sensitivity. For more information, see the Publication Manual of the American Psychological Association

Interested in partnering with PAR for research or publishing? Visit our Partner with PAR page to learn more. 

 

 

References 

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000   

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For those who are training the next generation of psychologists, it’s imperative to teach them to use the very best assessment instruments on the market. By providing your students with training on valid, reliable, and fully standardized instruments, you are helping to prepare them to enter the field with the skills they need to provide the highest standard of care to their own clients as well as put them on the path to conduct impactful research.

It’s not an easy job, but PAR is here to help!

Join the University Partnership Program (UPP)

The UPP is a concierge service that offers dedicated assistance to you and your students as they pursue advanced degrees. The entire program was developed to help you save time and energy so you can focus on what’s important—your students. Our UPP staff can provide you with the information you need to help you decide which tests best fit into your syllabus. In addition to offering a single point of contact for all your services, the UPP can provide a variety of training resources that can be integrated into your courses.

Get free materials and discounts

UPP members receive three free PAR test kits of your choice. Plus, you’ll get a 40% discount on products used for training and research. In addition, graduate students using PAR products for their research can take advantage of a 40% discount, too!

Learn more about the University Partnership Program and get started on your 2023–2024 syllabus now!

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May is Mental Health Awareness Month. Mental health providers play a critical role in promoting awareness and working to improve the lives of others. Yet, compassion fatigue and burnout are very real issues for those in the field. Last week, the PAR blog explored the state of burnout among mental health professionals. This week, we look at the signs of burnout and provide solutions for self-care.

Mental health providers continue to face a workforce shortage and ongoing burnout risks. Organizations and individuals need to prioritize and implement strategies to prevent and reduce burnout.

Mental health professionals were understaffed and facing a mental health crisis before the COVID-19 pandemic hit, which only exacerbated the demands on a healthcare system already stretched beyond its breaking point.

According to the 2023 Mental Health America report, nationally, there are 350 patients to every mental health provider. However, the ratio widely varies from state to state; for example, the Massachusetts patient-to-provider ratio is 140:1, and in Alabama, it is 850:1.

The American Psychological Association conducted a survey in 2022 that found that more people required treatment for anxiety or depression than there were mental health professionals available to provide it. According to APA, 6 out of 10 practitioners claimed they had no opening to take on new cases, 46% said they couldn’t handle the demand, and 72% said their patient waitlists had only grown since the onset of the pandemic.

Seeing the demand and shortage of mental health professionals highlights just one pain point of many that mental health professionals contend with daily. Many mental health professionals are so passionate about attempting to meet the needs of their patients that they may sacrifice their own physical, mental, and emotional health and well-being. Yet, even with this devotion, they realize that it still isn’t enough to be able to help everyone who needs help. It isn’t difficult to see why 45% psychologists reported feeling burned out in 2022.

Mental health professionals and organizations should not assume that their education, training, and experience make them immune from experiencing compassion fatigue and burnout. In fact, those in the mental health field need to be vigilant and watch for the signs that they themselves or others they work with may be experiencing burnout.

Signs of burnout

Three of the most common signs of burnout include:

Exhaustion: Individuals often feel emotionally exhausted or drained, unable to cope, and have low moods and energy. They may also experience physical symptoms such as gastrointestinal problems.

Loss of interest in work-related activities: Individuals often feel increasingly frustrated and stressed by their jobs. They may experience growing cynicism about their work environment or colleagues and emotionally withdraw and feel numb regarding their work.

Decreased effectiveness or performance: Burnout affects daily tasks at work or home. Individuals experiencing burnout may be pessimistic, have difficulty concentrating, lack creativity, and lack energy and enthusiasm.

Individuals, organizations, and the media have helped spread the word about burnout in healthcare, but that isn’t enough to prevent it from continuing. Organizations need to work to prevent and reduce burnout among mental healthcare staff.

Strategies to combat burnout

The Substance Abuse and Mental Health Services Administration (SAMHSA) argues that organization-level interventions should target burnout using a “whole-organization approach” due to the complex nature of burnout with many root causes and drivers.

According to SAMHSA, there are six areas that organizations need to address through improvement strategies to work towards preventing and reducing burnout among mental health workers. These six areas are:

  • Workload
  • Control
  • Reward
  • Community
  • Fairness
  • Values

SAMHSA outlines several strategies that can aid organizations in combatting and addressing burnout, such as:

  • Building a planning and implementation task force
  • Conducting a needs assessment
  • Identifying available resources and strategies for implementation
  • Sustainability planning

Practicing self-care

Although mental health professionals counsel others on the importance of self-compassion, it doesn’t mean they may not neglect its practice when it comes to themselves.

Self-care can help reduce stress, compassion fatigue, and other factors leading to burnout. Building the practice of self-care doesn’t have to be all or nothing. You can gradually add in one or several of the following:

Practice self-compassion: Self-compassion may work as a protective factor against exposure to secondary traumatic stress and burnout. Individuals need to see themselves as more than their job and know they are also due kindness and understanding.

Eat a balanced diet: Workloads may be excessive, and it may be tempting to work through lunch to squeeze in another client, a meeting, or other work, but don’t do it! It is important to take a break to eat nutrient-dense foods to keep your energy levels up and to help combat daily stress.

Get enough sleep: It is important to prioritize getting enough sleep. The CDC reports that adults need at least 7 hours of sleep. Studies have shown that sacrificing sleep can lead to anxiety and stress and how stressful events are perceived.

Exercise: Even taking a brisk walk can help remove you from your work and create a much-needed break, which helps to counter chronic stress and boost mood. Aerobic activity can also contribute to feeling better and increase endorphins in the body.

Reach out: If you are experiencing burnout, contact your supervisor or human resources about your hours or workload. If you are a solo practitioner, take some time to decide what boundaries you may be able to create to allow yourself a break.

Use time off: Vacations and breaks from work help prevent burnout.

Practice stress reduction activities: Yoga, meditation, deep breathing can provide short, much-needed breaks in a busy day.

Socialize with colleagues: Taking time out to connect with peers can help with the feeling of connectedness and reduce emotional exhaustion.

 

Mental health professionals must take steps to prioritize your own health and well-being. This will not only help to prevent burnout, it means you will be your most effective self and equipped to provide your clients and students with the quality care they need.

 

 

 

 

 

 

 

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May is Mental Health Awareness Month. Mental health providers play a critical role in promoting awareness and working to improve the lives of others. Yet, compassion fatigue and burnout are very real issues for those in the field. For the next two weeks, the PAR blog will explore these issues within the mental health community and provide guidance on how those in the mental health field can prioritize self-care to protect their own mental health needs.

Mental health providers with prolonged or cumulative exposure to compassion stress may be vulnerable to burnout if early steps to counteract excessive empathetic involvement are not taken.

A major part of a mental health professional’s job is the ability to empathize with clients. Developing a successful therapeutic alliance leads to better outcomes and correlates with the capacity to identify, comprehend, and share an individual's feelings, thoughts, and experiences. However, prolonged exposure to distressing information can negatively affect a mental health professional and is a risk factor for secondary traumatic stress.

Studies have shown that health professionals have moderate to high levels of burnout and secondary traumatic stress, but few present the prevalence of compassion fatigue and burnout found among mental health professionals.

Past studies have reported that people who work in helping professions have prevalence rates of compassion fatigue ranging from 7.3% to 40% and estimate that 21% to 61% of mental health practitioners experience signs of burnout.

According to an APA survey, the number of psychologists who said they could not keep up with patient demand increased from 30% in 2020 to 41% in 2021 to 46% in 2022. Similar amounts were recorded in 2020 (41%) and 2021 (48%), with nearly half (45%) of respondents in 2022 reporting feeling burned out.

Compassion stress

Secondary traumatic stress (compassion stress) negatively impacts mental health and can lead to psychological issues such as strained relationships, insomnia, poor sleep hygiene, severe depressive disorder, and compassion fatigue. Mental health providers with prolonged or cumulative exposure to compassion stress may be vulnerable to burnout if early steps to counteract excessive empathetic involvement are not taken.

Compassion fatigue

Compassion fatigue is caused by extended exposure to traumatized individuals. Mental health providers belong to a profession that demands constant empathy. While empathy is essential to your work, persistent and excessive demands for empathy can become emotionally exhausting and depleting without adequate time to recharge.

Signs and symptoms of compassion fatigue

Compassion fatigue stems from exposure to vicarious trauma and can affect people differently, but common signs to watch for include the following:

•            Chronic emotional and physical exhaustion

•            Anger or irritability

•            Headaches

•            Weight loss

•            Increased anxiety or irrational fears

•            Issues with intimacy

•            Decreased sympathy and/or empathy toward patients or coworkers

•            Dread in working with certain patients

•            Negative feelings separate from the work environment about work, life, or others

•            Negative coping behaviors, like alcohol and drug use

•            Increased absenteeism

•            Feelings of inequity and pessimism

•            Self-contempt

•            Low job satisfaction

Sometimes compassion fatigue and burnout are used interchangeably. There is a distinction. The onset of compassion fatigue is more abrupt, whereas burnout develops gradually over time. 

Burnout

The World Health Organization (WHO) defines burnout as a “syndrome conceptualized as resulting from chronic workplace stress that has not been fully managed.” The WHO's definition of burnout distinguishes that “burnout refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life.”

Symptoms of burnout

There are three key signs of burnout, which include:

•            Exhaustion: Individuals often feel emotionally exhausted or drained, unable to cope, and have low moods and energy. They may also experience physical symptoms such as GI problems.

•            Loss of interest in work-related activities: Individuals often feel increasingly frustrated and stressed by their jobs. They may experience growing cynicism about their work environment or colleagues and emotionally withdraw and feel numb regarding their work.

•            Decreased effectiveness or performance: Burnout affects daily tasks at work or home, and individuals are often very pessimistic, have difficulty concentrating, lack creativity, and lack energy and enthusiasm.

Factors that may lead to  burnout

Mental health professionals work with patients with mild to severe depression, anxiety, trauma, abuse, neglect, addiction, and other mental health illnesses, all of which can take an emotional, mental, and psychological toll on providers. Aside from the psychosocial issues, Patel and colleagues divide the contributing factors for provider burnout into workplace, organizational, and personal characteristics.

Workplace factors

There are many factors related to the workplace, such as excessive workloads, increased stress levels in overworked providers, the need to keep meticulous records, and time-consuming clerical duties. One national survey found that each hour spent interacting with patients added 1-2 hours of additional work with no additional compensation. Long work hours, lack of downtime at night or during the weekend, and the need to bring work home instead of taking time for themselves are also factors in burnout.

Organizational factors

Organizational factors include negative leadership behaviors, little to no reward or room for advancement, poor social support, and lack of interpersonal collaboration.

Personal characteristics

Personal characteristics include self-criticism, unhealthy coping strategies, perfectionism, poor work-life balance, poor sleep habits or lack of sleep, and inadequate support systems outside of work may also contribute to burnout. Studies have also shown that new and younger health providers have twice as much stress as older colleagues. Age and gender may impact levels of burnout, and studies have shown that younger workers and women may be at higher risk for burnout.

The impact of burnout

There are many downstream effects that burnout causes, such as:

•            Providers are at increased risk for developing cardiovascular disease, depression, or substance dependence.

•            Providers who lose their empathy could invite secondary harm to patients.

•            Increased healthcare costs are more common when providers suffer from burnout.

•            Compassion fatigue may lead to decreased retention and increased turnover and may lead some mental health professionals to leave the field.

Though empathy is the cornerstone of a strong connection and ability to treat and improve the mental health of their patients, mental health professionals must remember to prioritize their own physical and mental health. For health professionals to give their patients the best care possible and enhance client's quality of life, taking time off from work is essential to unplug, decompress, and practice self-care.

Come back next week to learn self-care tips meant specifically for those in the mental health field.

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This past weekend, PAR staff celebrated the 45th anniversary of the founding of this company. In honor of our anniversary, we thought we would share some fun facts about PAR.

  • It all started on a table—Bob and Cathy Smith began PAR on wooden table in their home in 1978. That table now holds a special place of honor in the PAR offices.
  • PAR employees are active in supporting our community organizations. We currently donate time and financial support to more than 70 charitable organizations each year.
  • Our Distribution Center ships orders with an incredible 99.99% accuracy rate—and it’s even more unbelievable because orders are shipped the day they are placed.
  • PAR is proud to have a staff that is 60% women.
  • Each year, PAR participates in a companywide fundraiser for United Way. We had 100% staff participation this year and raised $113,278 in staff contributions for this worthy organization.
  • Each week, a rotating group of PAR employees take part in a Meals on Wheels route, delivering fresh, nutritious meals to homebound individuals in our community.
  • We always say, “Customer service is our most important product,” and that’s not just an empty slogan. Our Customer Support team has more than 130 years of combined PAR experience and go through intensive training so they can be sure you are completely satisfied when you call. Also, all calls are answered by a live person—no automated messages!

These are just a few of the things we are proudest of as we look back on our 45-year history. As we look to the future, we hope to continue creating connections and changing lives with the work we do here at PAR.

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Each May, Mental Health Awareness Month seeks to raise awareness about the importance of mental health and reduce the stigma surrounding mental health disorders. Throughout the year, but especially in May, mental health providers play a crucial role in promoting awareness and taking action to improve the mental health of our communities.

What is Mental Health Awareness Month?

Mental Health Awareness Month began in the United States in 1949 as Mental Health Week. It was expanded to a month-long observance in 1980. The goal of Mental Health Awareness Month is to raise awareness about mental health and wellness, reduce the stigma surrounding mental health conditions, and promote greater access to mental health services and resources.

Why is Mental Health Awareness Month important?

In the U.S., more than 1 in 5 adults are living with a mental illness. Yet despite the prevalence of mental illness, stigma and discrimination surrounding mental health are significant barriers to treatment and recovery. Mental health and physical health are equal components to a healthy lifestyle, but many individuals fail to receive the support and care they need.

Mental Health Awareness Month provides an opportunity to break down these barriers and raise awareness about the importance of mental health. By promoting understanding and acceptance, we can encourage individuals to seek help, normalize the conversation around mental health, and improve access to mental health services and resources.

What can mental health professionals do to get involved?

As mental health professionals, we have a critical role to play in promoting mental health awareness and reducing stigma. Here are some ways we can get involved:

Raise awareness: Use your platform and expertise to educate others about mental health and wellness. Share information about Mental Health Awareness Month on social media and within your professional networks. Write blog posts, create infographics, and share resources that promote mental health awareness.

Engage with your community: Connect with local organizations and community groups to promote mental health awareness. Offer to speak at events or host workshops on mental health and wellness. Collaborate with other mental health professionals and organizations to create events and initiatives that promote mental health awareness and reduce stigma.

Advocate for policy change: Mental health professionals can also get involved in advocacy efforts to improve mental health policies and access to care. Contact your elected officials to express your support for mental health legislation and advocate for increased funding for mental health services and research.

Practice self-care: Mental health professionals also need to take care of their own mental health and well-being. Practicing self-care is essential to preventing burnout and maintaining mental health. Take breaks when needed, engage in regular exercise and meditation, and seek support.

No matter how you choose to get involved, Mental Health Awareness Month provides an important opportunity for mental health professionals to promote awareness and reduce stigma surrounding mental health, advocating for policy change, and providing direct services and support.

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During our recent PARtalks webinar series on assessing individuals with disabilities, PAR received many questions about where to go for further resources. Here is a short list of additional resources that may be helpful when assessing people with various disabilities.

American Psychological Association (APA)

APA offers a significant number of resources on disability issues. In addition to Guidelines for Assessment and Intervention with Persons with Disabilities, APA also offers disability-specific APA resolutions, and a disability mentoring program designed to support individuals with disabilities who are psychologists or who want to be. APA offers resources on accessibility, inclusive language, and the Americans with Disabilities Act, and more.

Association of University Centers on Disabilities (AUCD)

The AUCD is a network of university centers that provide resources and training on disability issues, as well as advancing policy and practice for and with individuals with developmental and other disabilities. The AUCD offers a library of materials and resources on disability rights, disability research, and disability policy.

Disability.gov

Disability.gov is a federal government website run by the Department of Labor that provides information and resources on disability-related issues related to disability rights, employment, education, and health.

Disability Rights Education & Defense Fund (DREDF)

The DREDF is a national disability rights law and policy center that provides information and resources on disability issues. They are a leading national civil rights law and policy center directed by individuals with disabilities and parents who have children with disabilities. They offer insight and guidance on special education, healthcare access, and additional public policy and legal issues.

National Association of School Psychologists (NASP)

NASP offers advice and guidance on modifying assessments as well as evaluating the effectiveness of those interventions.

National Center on Disability and Journalism (NCDJ)

The NCDJ is a great resource for mental health professionals. Although the NCDJ is designed to provide resources and training for journalists on disability issues, everyone can learn quite a bit from their Disability Language Style Guide. The style guide offers insight on language. It is offered in both English and Spanish.

National Joint Committee on Learning Disabilities (NJCLD)

The NJCLD is committed to the education and welfare of individuals with learning disabilities. The NJCLD offers resources and supports for individuals with a variety of learning disabilities. The NJCLD offers insight into assessment and intervention.

PAR resources

In addition to a recent blog on modifications versus accommodations, PAR offers a variety of on-demand videos on a variety of topics on the PAR Training Portal.

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One of PAR’s core values is to give back to the community. We participate in many special events during the year that benefit organizations in the Tampa Bay area. Here’s a look at some of the activities and events PAR staff have participated in recently.  

In January, PAR staff partnered with Feeding Tampa Bay to support their Mega-Pantry program. This program is held several times per week in various locations around Tampa. The Mega-Pantry distributes fresh fruits and vegetables, bread, dry goods, and more in a drive-through-style event to those in our community who are experiencing food insecurity. PAR staff members sorted food and loaded hundreds of cars with enough food to feed each family for a week.  

A yearly favorite event is Bark in the Park. PAR staff (and some of our furry friends) participated in a walk that set a PAR fundraising record—raising $12,325 to benefit the Humane Society of Tampa Bay. This year’s event was able to raise more than $180,000 to help animals. 

Later in February, a team from PAR participated in picking up litter as part of our regular Adopt-A-Road clean up. We were able to collect trash and recyclables, cleaning up the area that surrounds the PAR campus. 

We have also hosted the Big Red Bus from OneBlood every 8 weeks in the PAR parking lot. Every 2 seconds, someone in the U.S. needs blood. Generous blood donors are the only source of blood for patients in need of a blood transfusion. The PAR team is always willing to roll up our sleeves to help those in need. 

 

We are so grateful to be able to give back to our community with our time, energy, and resources. To learn more about what we are doing to make a difference in the Tampa Bay area, visit our Community PARtners page. 

 

 

 

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During our recent PARtalks webinar series on assessing individuals with disabilities, PAR received some questions about adapting, modifying, and accommodating assessments. It is important to be mindful of a range of psychometric, social, clinical, and disability-related issues. We hope the following will provide helpful guidance when determining if modifications or accommodations are necessary.

Considerations when assessing individuals with disabilities

There are many issues to consider that may complicate the psychological testing of people with disabilities. It is important to attend to issues of bias, reliability, and validity.

Language,  motor, sensory, medical, and cognitive disabilities can impact aspects of an assessment. Additionally, comorbid conditions or secondary disabilities can be a complicating factor.

It is crucial for examiners to consider each individual's disability and how it relates to other functions to develop a strategy that ensures the appropriate construct is being measured. For example, disability-related symptoms such as fatigue and pain can confound psychometric tests and artificially inflate measures of depression. Or a motor-functioning disability that affects fine motor control may create results that mistakenly imply cognitive impairment. Examiners who do not take these issues into consideration risk drawing misleading inferences, making inaccurate conclusions, and offering unsuitable treatment recommendations.

How do you determine an assessment is suitable for a particular individual?

To determine if an instrument is suitable for use with a client with a disability, clinicians must evaluate if the measure(s) being considered are appropriate for use without introducing accessibility challenges. If the construct to be measured will be measured in a way that requires a specific functional ability that is related to the client’s disability, or if the measure’s administration instructions and response options are related to the client’s impairment, for example, another measure may be considered.   

The clinician should consider validity information regarding a measure’s use with people with specific disabilities, just as they would for any other population. Quantitative measures should be supplemented by qualitative and functional assessments. Before testing, it is important to meet with the client to understand disability-specific characteristics related to the constructs of interest. It is the clinician's responsibility to describe the assessment and subsequent results in terms that the client can easily understand.

When is it suitable to alter an assessment?

Any decisions to modify protocols requires thoughtful consideration and justification but may be useful ways to support individuals with disabilities. There are two types of alterations to testing, accommodations and modifications. Accommodations improve access to the test without affecting the construct being measured. Modifications may affect the construct and may influence validity.

  • Accommodations: A testing accommodation is a change in test format, presentation, administration, or response procedures. Accommodations do not alter the construct being measured and scores are comparable with the original test.

  • Modifications: Modifications are testing changes that may alter the intended construct. The purpose of a modification is to improve accessibility while retaining as much of the original construct as possible.

 Examples of accommodations and modifications

Accessibility means the ability to access, interact with, and respond appropriately to test content. It involves designing a measure in a way that reduces barriers to a valid assessment of a given construct. Accommodations and modifications are often made to increase accessibility, but if accessibility is designed into the structure of an instrument, they may not be required.

Determining the necessity of an accommodation depends on how the disability presents as well as the construct or constructs being assessed. Accommodations help clients with varying levels of ability by removing access barriers that might influence the individual’s results. However, accommodations do not alter the construct being measured.

Accommodations may be made to the environment or to the way a task is presented without changing the content of the task. An accommodation for a student with a visual impairment might be  enlarging print materials; an accommodation for a student who is deaf might be providing an ASL interpreter.

Modifications, however, can be changes that are made to the content or expectations of an assignment, task, or assessment. A student with a learning disability might receive a modification that reduces the number of questions on a test or provides untimed access to the materials. Modifications change what the individual is expected to learn or do in order to make it more accessible.

In general, modifications are more significant changes. Modifications alter what is expected of the individual; accommodations are less significant changes that provide support for the individual to access the same content and activities as their peers.

Resources on accommodations and modifications

Learn more about modifying psychological assessments for individuals with disabilities:

American Psychological Association (APA) Guidelines for Assessment and Intervention with Persons with Disabilities: APA has developed these guidelines to help psychologists develop and implement effective, fair, and ethical psychological assessments and interventions.

National Joint Committee on Learning Disabilities (NJCLD): The NJCLD has developed guidelines for the assessment of individuals with learning disabilities. The NJCLD offers recommendations for modifying psychological assessments.

National Association of School Psychologists (NASP): NASP offers advice and guidance on modifying assessments as well as evaluating the effectiveness of those interventions.

The PAR Training Portal. Catch up on the PARtalks disability series on the PAR Training Portal. Recorded webinars are available on demand to help you learn more about working with individuals with a variety of disabilities.

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