Anomalies & Outliers
Helpful Pre-Post Inventory Insights
Several Anomalies &
Outliers paragraphs rotate in printed Pre-Post Inventory reports. These
revolving anecdotes, vignettes or narratives provide information and insights
that are believed to be helpful in understanding the Pre-Post Inventory. In response
to user's requests all Anomalies & Outliers paragraphs are presented on
this webpage.
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The Pre-Post Inventory does not interpret, judge or state opinions about treatment program effectiveness. It simply reports positive and negative change. The intent is to objectively report pretest-posttest change.
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When comparing pretest - posttest scores you should note when
the pretest score is at or below the 69th percentile (non-problematic range).
Since a pretest problem did not exist, posttest improvement may be hard to come
by. Indeed, in this case any below 69th percentile pretest score would likely show
little or negative change.
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It is important to remember that treatment outcome is influenced by both the
treatment program and client-related factors like motivation, attitude,
cooperation, commitment, acceptance and goals. Expecting all clients to want
positive change may be unrealistic, especially when treatment is court ordered.
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No change or negative pre-post comparison scores could reflect
non-treatment. When a patient�s treatment plan does not include the problem or
disorder represented by an omitted scale, it is likely that such
problems/disorders will not be treated. Scale exceptions should be noted in the
�comments and recommendations� section of the report. It is recommended that
the Pre-Post Inventory be administered as part of the intake screening.
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The Pre-Post Inventory is an automated computerized assessment
instrument designed for clinical assessment at intake (pre-treatment) and again
at the completion of treatment. It enables comparison of client status prior
to, during and upon treatment completion. The Pre-Post Inventory can be
re-administered to the same client at important decision making points in the
treatment program.
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In many testing settings it may be advantageous to �group test�
with paper-pencil materials. Indeed most Pre-Post Inventory users utilize paper-pencil tests. You can download Pre-Post Inventory test booklets
and answer sheets at www.online-testing.com and then photocopy them. If you
have any questions call us at 1 (800) 231-2401 or email us at
hl@online-testing.com.
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When Pre-Post Inventory scales, or more specifically the
problems and disorders they represent are not specifically mentioned in the
patient�s referral or treatment plan it is likely they won�t be treated. To
avoid this oversight we recommend that the Pre-Post Inventory �pretest report�
be reviewed during program intake screening. Not being treated could help
explain �no change� or even some negative outcome results.
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Although posttest scale scores are discussed in terms of their
comparison to analogous pretest scores, they also represent the client�s
current or present problem status or intensity. Elevated (70th percentile and
higher) posttest scale scores may foster consideration of continued or
alternative treatment.
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It is important that the Pre-Post Inventory be included in
treatment intake screening. Intake administration of the Pre-Post Inventory
(pretest) serves as the baseline against which posttest scale scores are
compared. It is important to include the Pre-Post Inventory in treatment intake
screening.
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A 90th percentile or higher Truthfulness Scale score can occur
in a pretest or posttest. In either case, the Pre-Post Inventory "Comparison
Report" is negated, nullified or rendered null and void because an invalid
(inaccurate) test can not be used in a meaningful baseline comparison.
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If you are interested in obtaining more information on patient treatment effectiveness visit www.pre-post-inventory.com; domestic violence treatment effectiveness visit www.domestic-violence-tests.com; or the treatment effectiveness of referred probationers visit www.probation-referral-outcome.com.
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In a small percentage of cases, treatment or counseling can
sensitize clients to full disclosure or "baring their soul." Defense mechanisms
(e.g., abreaction, catharsis, etc.) may be involved in extreme self-disclosure.
This phenomenon could result in some posttest scale scores being higher after
treatment.
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When can the Pre-Post Inventory be re-administered? The Pre-Post Inventory
should be administered at treatment program screening or intake (pretest) and re-administered prior to alteration or change.
Traditionally it is administered again prior to program completion. Some
treatment programs utilize 6 or 12 month re-administration review. Others
administer the Pre-Post Inventory prior to important treatment program changes.
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Risk range classification is straightforward: low risk (0 to 39th percentile),
medium (40 to 69th percentile), problem (70 to 89th percentile) and severe
problem (90 to 100th percentile). Yet, evaluator experience and judgment are
needed to interpret borderline scores, co-occurring disorder effects, and scale
interrelationships.
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Report terminology varies. Scale risk is equated to treatment
intensity, medium risk may be paraphrased as average risk, scale graphs are
referred to as profiles and severe risk is described as maximum (or max) risk.
Other synonyms include answer � response, validity � accuracy, item - question,
etc.
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