Friday Factoids: Mandatory Psychological Testing for Disability Claims?

A new report from the Institute of Medicine (IOM) recommends broader standardized psychological testing for applicants that are submitting claims for mental health disabilities to the U.S. Social Security Administration (SSA) with the belief that incorporating additional psychological testing could improve both the accuracy and the consistency of disability determinations. In 2012 the SSA provided disability benefits to approximately 15 million adults and children. Proponents contend that mandatory psychological testing, validity based measures in particular, would result in significantly lower application approval rate, resulting in a substantial cost savings.

 

At the present, state agencies determine eligibility for disability based on medical records in addition to other evidence deemed relevant in an applicant’s case record. Standardized psychological tests that have been conducted are considered to be eligible material permitted for review within an applicant’s case file. Tests assessing validity can be used in conjunction with standardized psychological tests in order to assess whether the individual being evaluated is exerting a genuine effort and/or providing an accurate portrayal of their symptoms. While the SSA recognizes that utility and validity of psychological testing, it currently only requires testing to be conducted in cases pertaining to intellectual disability (ID), as an intelligence quotient (IQ) score is required in order to determine ID eligibility criteria.

 

Currently, SSA policy prevents requiring an applicant to submit psychological testing, but applicants (and their representatives) are permitted to submit psychological testing in support of their claims. It was recommended by the IOM that the SSA adopt a policy that incorporates mandatory standardized, non-cognitive psychological testing for all applicants that purport non-cognitive related impairments. It is their contention that testing should be required when the purported symptoms is based primarily on an applicant’s self-reported symptoms in the absence of objective medical evidence or longitudinal medical records that are considered sufficient to make a determination for disability. At the present, the IOM is gathering more information in order to more accurately offer an approximation of the cost savings that may be gained through mandatory incorporation of psychological testing in disability claims.

 

Faisal Roberts, M.A.

WKPIC Doctoral Intern

 

Nauert PhD, R. (2015). Report Urges More Psychological Testing to Determine Disability Claims. Psych Central. Retrieved on April 13, 2015, from http://psychcentral.com/news/2015/04/13/recommendation-expand-psychological-testing-to-better-determine-disability-status/83466.html

Accreditation News!

WKPIC is elated to announce that we discovered this on APA’s website today, thanks to former intern David Wright:

 

Western Kentucky Psychology Internship Consortium – Hopkinsville, KY – Effective December 9, 2014
Next site visit 2021

At its meeting on March 19-22, 2015, the APA Commission on Accreditation reviewed the psychology internship program at theWestern Kentucky Psychology Internship Consortium and voted to approve initial accreditation, with the next site visit scheduled 7 years from the date of the program’s last site visit. The 7 year decision is based on CoA’s professional judgment of compliance or substantial compliance with all domains of the Guidelines and Principles for Accreditation (G&P). No serious deficiencies.

 

Reaching for Success

 

 

Friday Factoids: Are Mental Practice Exercises Beneficial for Individuals that Have Experienced a Stroke?

 

 

Results yielded from a new study conducted by Georgia State University indicates that a person recovering from a recent stroke should undergo both physical therapy and mental practice (also known as motor imagery) in order to gain the most optimal results. Motor imagery is a mental rehearsal of a motor action without actually performing the action (while physical therapy involves using repetitive, task-oriented training on the body part that is impaired). The combination of physical therapy and motor imagery should be used to improve motor movement, balance, and coordination in individuals that have suffered a recent stroke.

 

For participants, the researchers employed the use of 13 older stroke survivors in addition to 17 healthy control participants. The participants from the stroke group were placed in two groups: 1) motor imagery only; or, 2) motor imagery and physical therapy. The treatment was given within 14 to 51 days of the participants’ stroke; each participant experienced 60 total hours of rehabilitation. To assess the effectiveness of each treatment, the participants in the stroke group and the control group underwent functional magnetic resonance imaging (fMRI) scans before and after each treatment.

 

During normal brain functioning, there are multiple cortical areas of the brain that communicate with each other; however, following a stroke, these interactions are disrupted. After a stroke, there is damage to brain cells; it can take a long time for the neurons to grow back, if they grow back at all. Dr. Butler, a faculty member at Georgia State University, stated that when attempting physical therapy many stroke patients are unable to move at all. Therefore the treatment teams often incorporate motor imagery, as if the stroke patients simply think about moving that area of the body, it helps keep the neurons active near the area that died in the brain.  Results obtained from this study indicated that the individuals in the stroke group that participated in both physical therapy and motor imagery had a significant increase in the flow of information between several brain regions.

 

It’s interesting that simply thinking about something can produce such beneficial and even tangible outcomes. What other areas of health can this notion be applied towards?

 

Faisal Roberts, M.A.

WKPIC Doctoral Intern

 

Pedersen, T. (2015). Both Physical Therapy, Mental Practice Important in Stroke Recovery. Psych Central. Retrieved on April 13, 2015, from http://psychcentral.com/news/2015/04/13/both-physical-therapy-mental-practice-important-in-stroke-recovery/83468.html

 

 

Friday Factoids: An Influence in making Doctor Appointments: Loneliness?

 

A new study conducted by researchers at the University of Georgia’s College of Public Health found that the frequency of physician visits correlated with chronic loneliness in the elderly population. These findings are suggestive that creating interventions for elderly loneliness may significantly reduce physician visits and, correspondingly, health care costs. That begs the question of why. Is it that loneliness is detrimental to one’s health? Is it that if someone is lonely “reasons” to visit the physician may be influenced simply by to sheer longing for human contact? Perhaps a combination of the two? Or perhaps something else entirely?

 

The study examined senior citizens living in the general community and not those in a retirement community. The study relied on data collected in 2008 and 2012 by the University of Michigan’s Health and Retirement Study, a national survey of Americans that were over the age of 50. In order to assess loneliness, participants completed a survey examining their feelings regarding lack of companionship and social/emotional isolation. To meet the criteria for “chronic loneliness,” participants had to be identified as lonely in both years of the study (2008 and 2012, respectively).  The researchers reviewed responses from 3,530 of adults over the age of 60 that lived in the general community. The results are suggestive that chronic loneliness was significantly associated with the number of visits to the physician, although it did not appear to correlate with hospitalizations. 

 

These findings may implicate that the actual loneliness (as opposed to the detrimental impact of loneliness on health) plays a role, as the participants may have made an appointment with their physician because it is usually someone that they have known for years–and with whom they have built a relationship–therefore providing an element of sought after socialization. (As opposed to going to a hospital in which one typically does not know the staff there or which doctor they will be assigned). That is not to proclaim that the members of the elderly population malinger their symptoms in order to have an excuse to socialize with their physician; rather, it may be a confluence of variables, including the possibility of subconsciously generating reasons to visit a physician in order to alleviate loneliness. What do you make of these findings? Do you have any theories to explain it? Finally, hopefully we are spurred to facilitate meeting needs and helping a population to improve quality of life – can you think of any interventions to target loneliness in the elderly population?

 

Faisal Roberts, M.A.

WKPIC Predoctoral Intern

 

Nauert, R. (2015). Loneliness Drives Elders to Physician Offices. Psych Central. Retrieved on April 3, 2015, from http://psychcentral.com/news/2015/04/03/loneliness-drives-elders-to-physician-offices/83119.html

Changing the expectations of those with mental illness

 

 

It is important to ask the question, do we BELIEVE that the person we are working with can live a productive life?  At times it can be hard to do so.  The amount of trauma some individuals have faced in their lives, along with illnesses once thought to be disabling, add to the thoughts of some that maybe, just maybe, the best this person can do is stay out of the hospital.

 

The thought process connected to this must change in order to best serve the patient.  As a Peer Support Specialist, I go into it with the memories of the once overwhelming and nearly incapacitating effects of Bipolar Disorder I and PTSD.  I remember the long road and struggle to get well after diagnoses.  The bouncing back and forth from stable to symptomatic was frustrating until I found the right combination of medication. I also look at my life now and know that I can live a productive life.  If I can, why can’t other patients in this hospital?

 

A “productive” life can look differently to every individual.  Productive to some might mean volunteering; to others the word might mean staying sober.  Others may return to work and pursue a career like Kay Redfield Jamison, a well-known psychologist and author who writes about her own journey with Bipolar Disorder.  My victory was getting my degree and returning to employment.  I’m not cured by any means.  I still must work at it, as I tell the patients (peers) with whom I speak.  I go to my psychiatrist, my therapist, I watch my sleep patterns, and I try to manage my stress levels.

 

To some the goal may be to simply stay out of the hospital, but we must believe they can achieve beyond that.  Rebuilding their self-image and instilling hope may help make them realize that there IS life after diagnoses.  Others have done it successfully. A mental illness can become a small part of a person’s life.

 

Rebecca Coursey, KPS

Peer Support Specialist