Reviews of the American Psychological Association Insurance Trust

Suggested Citation:"Front Matter." Constitute of Medicine. 2015. Psychological Testing in the Service of Disability Conclusion. Washington, DC: The National Academies Press. doi: 10.17226/21704.

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Psychological Testing
in the Service of
Disability Determination

Committee on Psychological Testing, Including Validity Testing,
for Social Security Assistants Inability Determinations

Board on the Health of Select Populations

INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Forepart Matter." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Conclusion. Washington, DC: The National Academies Press. doi: 10.17226/21704.

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Observe: The project that is the subject of this written report was approved past the Governing Board of the National Inquiry Council, whose members are fatigued from the councils of the National Academy of Sciences, the National University of Engineering, and the Institute of Medicine. The members of the commission responsible for the report were chosen for their special competences and with regard for appropriate balance.

This report was supported by Contract/Job Social club No. SS00-13-60048/0003 between the National Academy of Sciences and the U.S. Social Security Administration. Whatever opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(due south) and do not necessarily reflect the views of the organizations or agencies that provided support for the project.

International Standard Volume Number-13: 978-0-309-37090-5
International Standard Book Number-10: 0-309-37090-six

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Suggested citation: IOM (Institute of Medicine). 2015. Psychological testing in the service of disability determination. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: x.17226/21704.

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"Knowing is non plenty; we must apply.
Willing is not enough; we must do.
"

                                                —Goethe

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INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES

Advising the Nation. Improving Health.

Suggested Citation:"Front end Affair." Establish of Medicine. 2015. Psychological Testing in the Service of Inability Determination. Washington, DC: The National Academies Press. doi: ten.17226/21704.

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THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating lodge of distinguished scholars engaged in scientific and applied science research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the potency of the lease granted to it by the Congress in 1863, the University has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National University of Engineering was established in 1964, nether the charter of the National Academy of Sciences, as a parallel arrangement of outstanding engineers. Information technology is democratic in its assistants and in the choice of its members, sharing with the National University of Sciences the responsibility for advising the federal regime. The National University of Engineering also sponsors engineering programs aimed at coming together national needs, encourages didactics and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Establish of Medicine was established in 1970 by the National University of Sciences to secure the services of eminent members of advisable professions in the test of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional lease to exist an adviser to the federal authorities and, upon its own initiative, to identify bug of medical care, research, and instruction. Dr. Victor J. Dzau is president of the Institute of Medicine.

The National Enquiry Quango was organized past the National Academy of Sciences in 1916 to associate the wide community of scientific discipline and technology with the Academy'south purposes of furthering knowledge and advising the federal regime. Operation in accordance with general policies determined by the Academy, the Council has get the chief operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Forepart Matter." Constitute of Medicine. 2015. Psychological Testing in the Service of Disability Decision. Washington, DC: The National Academies Press. doi: 10.17226/21704.

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COMMITTEE ON PSYCHOLOGICAL TESTING, INCLUDING VALIDITY TESTING, FOR SOCIAL SECURITY ADMINISTRATION DISABILITY DETERMINATIONS

HERBERT PARDES (Chair), Executive Vice Chairman of the Board, New York-Presbyterian Hospital, New York, New York

ARTHUR J. BARSKY Iii, Professor of Psychiatry, Harvard Medical Schoolhouse, and Vice Chair for Psychiatric Inquiry, Brigham and Women's Hospital, Boston, Massachusetts

MARY C. DALY, Senior Vice President and Associate Director of Economic Research, Federal Reserve Bank of San Francisco, California

KURT F. GEISINGER, West. C. Meierhenry Distinguished University Professor of Educational Psychology and Director, Buros Center for Testing, University of Nebraska–Lincoln

NAOMI LYNN GERBER, University Professor, Heart for the Study of Chronic Illness and Disability, George Mason Academy, Fairfax, Virginia

ALAN M. JETTE, Professor of Health Policy & Management, Boston Academy School of Public Health

JENNIFER I. KOOP, Acquaintance Professor, Department of Neurology, Medical Higher of Wisconsin, Milwaukee

LISA A. SUZUKI, Associate Professor of Applied Psychology, New York University Steinhardt School of Culture, Education, and Homo Evolution, New York, New York

ELIZABETH Due west. TWAMLEY, Associate Professor of Psychiatry, University of California, San Diego

PETER A. UBEL, Madge and Dennis T. McLawhorn University Professor of Business concern, Fuqua School of Business, and Professor of Public Policy, Sanford School of Public Policy, Knuckles University, Durham, North Carolina

JACQUELINE REMONDET WALL, Professor, School of Psychological Sciences, University of Indianapolis, Indiana, and Director, Office of Program Consultation and Accreditation, American Psychological Association, Washington, DC

Liaison to IOM Standing Committee of Medical Experts to Help Social Security on Disability Bug

HOWARD H. GOLDMAN, Professor Psychiatry, University of Maryland Schoolhouse of Medicine, Baltimore

Suggested Commendation:"Forepart Thing." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: 10.17226/21704.

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IOM Project Staff

CAROL Stonemason SPICER, Study Director

FRANK R. VALLIERE, Associate Program Officeholder

ALEJANDRA MARTÍN, Research Associate (since January 2015)

NICOLE GORMLEY, Senior Programme Assistant (since December 2014)

JONATHAN PHILLIPS, Senior Plan Banana (April to November 2014)

JON SANDERS, Plan Coordinator (through Jan 2015)

PAMELA RAMEY-McCRAY, Authoritative Assistant

FREDERICK ERDTMANN, Director, Board on the Health of Select Populations

Suggested Commendation:"Front Matter." Establish of Medicine. 2015. Psychological Testing in the Service of Disability Conclusion. Washington, DC: The National Academies Press. doi: x.17226/21704.

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Reviewers

This report has been reviewed in typhoon class past individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council'southward Report Review Committee. The purpose of this independent review is to provide candid and disquisitional comments that will assist the establishment in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, testify, and responsiveness to the report charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the post-obit individuals for their review of this study:

David Autor, Massachusetts Institute of Engineering science Economic science

Leighton Chan, National Institutes of Health

Allen W. Heinemann, Northwestern University

Anita Hubley, University of British Columbia, Vancouver Campus

Michael Kirkwood, Children's Hospital Colorado-Aurora

Glenn J. Larrabee, Clinical Neuropsychology

Brian Levitt, Kaplan Psychologists

Patricia Owens, Health and Disability Policy Programs

Stephen M. Raffle, Forensic and Clinical Psychiatry

Jerry Sugariness, Academy of Chicago, Pritzker School of Medicine

Although the reviewers listed higher up have provided many constructive comments and suggestions, they were non asked to endorse the conclusions

Suggested Commendation:"Front Thing." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: 10.17226/21704.

×

or recommendations nor did they see the concluding draft of the written report earlier its release. The review of this study was overseen by Nancy Adler, University of California, San Francisco, and Randy Gallistel, Rutgers University. Appointed by the National Research Quango and the Institute of Medicine, they were responsible for making certain that an contained examination of this written report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.

Suggested Citation:"Forepart Matter." Found of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: 10.17226/21704.

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Preface

The U.S. Social Security Administration (SSA) disability programs provide important, sometimes vital, benefits to millions of adults and children annually in the Usa. The programs are an expression of the nation'south principle of caring for individuals who need back up from the larger community. Within the confines of SSA policy, the state Disability Determination Services (DDS) agencies, which implement the policy, have the latitude to do then in whatever way they deem fit. Information technology is not surprising that in a state every bit diverse as the United States nosotros would discover geographic variations in the style and methods with which that procedure is undertaken.

One chemical element of such variation is the use or not of standardized psychological tests during the inability determination process, other than the use of intelligence tests in determinations of intellectual disability in children and adults. SSA asked the Institute of Medicine (IOM) to review selected psychological tests and to provide guidance on the apply of psychological testing in SSA disability determinations.

SSA and the DDS agencies have the disquisitional task of determining which applicants qualify for inability benefits, a chore complicated by the lack of direct correlation between the presence of an impairment and disability, which SSA defines as the inability to work. DDS examiners undertake the very complex chore of reviewing and developing applicants' files to make up one's mind which requests for disability benefits are justified. As described in the report, the commission felt that it was worth considering whether increased systematic use of standardized psychological testing in specific circumstances would strengthen the current process for disability determination.

Suggested Citation:"Front Affair." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: 10.17226/21704.

×

The committee thanks colleagues, organizations, and agencies that were willing to share their expertise, fourth dimension, and information during the commission's information-gathering meetings. The names of the speakers are included in the meeting agendas provided in Appendix A. The commission is grateful to the authors of the 2 deputed papers, Erin Bigler, David Freedman, and Jennifer Manly, for the in-depth analyses they provided. The written report sponsor, SSA, gladly provided information and data and responded to questions. Nosotros also thank Howard Goldman, chair of the IOM Continuing Committee of Medical Experts to Assist Social Security on Disability Issues, who served as a consultant to the committee and provided valuable insight. The contributions from all of these sources informed the committee deliberations and enhanced the quality of this report.

I desire also to pay tribute to and thank the expert members of our committee. A diversity of views, at times a difference of views, all contributed to generating a consensus almost issues of import to SSA and to the country. Throughout the projection, they put in an enormous amount of fourth dimension and effort; contributed their experience, knowledge, and perspective; listened to contending arguments; and ultimately generated the recommendations in this report. Information technology is heartening to me and the other commission members to feel the excellence and the commitment of then many good colleagues. I trust this written report will be helpful to and well received by SSA.

Finally, the committee cheers the IOM staff members who contributed to the production of this report, including Frederick "Rick" Erdtmann (board managing director), Ballad Bricklayer Spicer (study director), Frank Valliere (acquaintance program officeholder), Alejandra Martín (research associate), Nicole Gormley (senior plan assistant), Jonathan Phillips (senior program assistant), Jon Sanders (program coordinator), Julie Wiltshire (financial associate), and other staff of the Lath on the Health of Select Populations and the IOM, who provided support. Research help was provided by Daniel Bearss, Rebecca Morgan, and Catherine van der List.

Herbert Pardes, Chair
Commission on Psychological Testing, Including
Validity Testing, for Social Security Assistants
Inability Determinations

Suggested Citation:"Front end Matter." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: 10.17226/21704.

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Suggested Citation:"Front Matter." Found of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: 10.17226/21704.

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Suggested Citation:"Front Thing." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: 10.17226/21704.

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Suggested Citation:"Front Affair." Institute of Medicine. 2015. Psychological Testing in the Service of Inability Determination. Washington, DC: The National Academies Printing. doi: x.17226/21704.

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Suggested Citation:"Front Matter." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Printing. doi: 10.17226/21704.

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Acronyms and Abbreviations

AACN American Academy of Clinical Neuropsychology
AADEP American Academy of Disability Evaluating Physicians
ABCN American Board of Clinical Neuropsychology
ABIME American Boards of Contained Medical Examiners
ADL action of daily living
AFB Ability-Focused Neuropsychological Examination Battery
ALJ administrative constabulary estimate
AMA American Medical Association
APA American Psychological Association
ASAPIL Clan for Scientific Advancement in Psychological
Injury and Constabulary
BDI Beck Depression Inventory
BLS Agency of Labor Statistics
BPRS Cursory Psychiatric Rating Scale
BSI Brief Symptom Inventory
BVMT-R Cursory Visuospatial Retentivity Test-Revised
C&P compensation and pension
CASL Comprehensive Assessment of Voice communication
CBCL Child Behavior Checklist
CDMI Composite Disability Malingering Alphabetize
CE consultative examination
CELF-four Clinical Evaluation of Language Fundamentals-4

Suggested Citation:"Front end Matter." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Printing. doi: 10.17226/21704.

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CFS chronic fatigue syndrome
CIDI Composite International Diagnostic Interview
CPP Canada Pension Plan
CRPS complex regional pain syndrome
CVLT-Ii California Verbal Learning Test—second edition
DDS Disability Conclusion Services
DIF differential item functioning
DOM Depression Outcomes Module
DSM Diagnostic and Statistical Manual of the American
Psychiatric Association
GAF Global Assessment of Operation Calibration
GAO Government Accountability Office
HVLT-R Hopkins Verbal Learning Test-Revised
ICF International Nomenclature of Functioning, Disability and Health
ID intellectual inability
IDES Integrated Inability Examination System
IME independent medical test
IOM Institute of Medicine
IQ intelligence caliber
IRT item response theory
MDI medically determinable impairment
MEDCOM U.S. Army Medical Command
M-FAST Miller Forensic Assessment of Symptom Test
MINI Mini International Neuropsychiatric Interview
MMPI Minnesota Multiphasic Personality Inventory
MMY Mental Measurements Yearbook
MRFC Mental Remainder Functional Capacity
MSVT Medical Symptom Validity Test
NAN National Academy of Neuropsychology
NIH National Institutes of Health
NIM Negative Impressionism
NPP negative predictive ability
NPRM Observe of Proposed Rulemaking
NRC National Research Council

Suggested Citation:"Front end Matter." Establish of Medicine. 2015. Psychological Testing in the Service of Disability Decision. Washington, DC: The National Academies Printing. doi: 10.17226/21704.

×

OIDAP Occupational Information Evolution Advisory Panel
OIS Occupational Information Organisation
OTSG Office of the Surgeon General
P-3 Pain Patient Profile
PAI Personality Assessment Inventory
PCE psychological consultative examination
PDRT Portland Digit Recognition Exam
PHQ Patient Health Questionnaire
POMS Program Operations Manual System
PPP positive predictive power
PTSD posttraumatic stress disorder
PVT performance validity test
RAVL Rey Auditory Exact Learning
RDS Reliable Digit Span
RMFIT Rey Memory for Fifteen Items Exam
RMT Recognition Memory Test
RMTF Warrington Recognition Memory Exam for Faces
Scan Schedule for Clinical Assessment in Neuropsychiatry
SCL-ninety-R Symptom Checklist 90-Revised
SDM single-decision-maker
SGA substantial gainful activity
SIMS Structured Inventory of Malingered Symptomology
SIRS Structured Interview of Reported Symptoms
SSA U.S. Social Security Assistants
SSDI Social Security Disability Insurance
SSI Supplemental Security Income
SVT symptom validity test
TBI traumatic brain injury
TMJ temporomandibular joint disorder
TOMM Test of Memory Malingering
VA U.S. Department of Veterans Affairs
VBA Veterans Benefits Administration
VHA Veterans Health Administration
WAIS Wechsler Adult Intelligence Scale
WHO World Health Organization
WISC Wechsler Intelligence Scale for Children
WMS Wechsler Memory Scale
WMT Word Retention Exam

Suggested Citation:"Front end Matter." Institute of Medicine. 2015. Psychological Testing in the Service of Disability Determination. Washington, DC: The National Academies Press. doi: x.17226/21704.

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