Auto-Scored Assessments

Some assessments within Sessions Health are enabled for auto-scoring. When the clinician or the client completes the assessment, the score and interpretation, based upon the scoring rules, will be automatically displayed. The scoring rules for these assessments are hidden from the client and are only visible from the client's chart on each assessment within the Assessments tab.


From the Assessments tab of a client's chart, any auto-scoring assessments will show the latest score. Hovering over the score will show the interpretation.

Scores for assessments

Expanding any auto-scored assessment will reveal more details.

Details of a self-scored assessment

Clicking Show Scoring Rules will reveal the full scoring details. Click Hide Scoring Rules to minimize them.

Scoring rules

Past scores

By clicking on the Past tab for an auto-scoring assessment, you can see the scores over time and compare with the current score.

Past scores

Current assessments enabled for auto-scoring

  • Adult ADHD Self-Report Screening Scale for DSM-5 (ASRS-5)
  • Generalized Anxiety Disorder 7-Item (GAD-7) Scale
  • Obsessive-Compulsive Test
  • Patient Health Questionnaire (PHQ-9)
  • PTSD Checklist for DSM-5 (PCL-5)

Adult ADHD Self-Report Screening Scale for DSM-5 (ASRS-5)

Scoring for the ASRS-5 uses a cut-off. Scores of 14 or higher will indicate ADHD. Scores below 14 suggest a lower likelihood of ADHD.

Rules:

Total Score is calculated by adding up each selected answer. The higher the score the higher likelihood of Adult ADHD.

"Never" = 0, "Rarely" = 1, "Sometimes" = 2, "Often" = 3, and "Very Often" = 4.

Scores of 14 or higher: Indicative of likely ADHD. Individuals with a score of 14 or more should be considered for further clinical evaluation for ADHD.

Scores below 14: Suggest lower likelihood of ADHD but do not entirely rule it out. If symptoms cause significant impairment, further assessment may still be warranted.


Generalized Anxiety Disorder 7-Item (GAD-7) Scale

GAD-7 uses a range of scores to convey severity. A score of 10 or greater will suggest further investigation.

Rules:

Scoring Criteria: Total score (adding all the numbers) provides a possible score from 0-21.

"Not At All" = 0, "Several Days" = 1, "Over Half the Days" = 2, and "Nearly Every Day" = 3.

GAD-7 Total Score Symptom Range
0-4 = Minimal Anxiety
5-9 = Mild Anxiety
10-14 = Moderate Anxiety
15-21 = Severe Anxiety

Obsessive-Compulsive Test

The Obsessive-compulsive Test also uses a range to assess severity. It also verifies the presence of both obsessions and compulsions. Both must be present to find OCD.

Rules:

If you have both obsessions and compulsions, and your total score is:

8-15 = Mild OCD

16-23 = Moderate OCD

24-31 = Severe OCD

32-40 = Extreme OCD


Patient Health Questionnaire (PHQ-9)

PHQ-9 also assesses a range of severity. It will also suggest considering either Major Depressive Disorder or Other Depressive Disorder based upon certain criteria.

Rules:

Total Score is calculated by adding up each selected answer.

"Not At All" = 0, "Several Days" = 1, "Over Half the Days" = 2, and "Nearly Every Day" = 3.

Consider Major Depressive Disorder if there are at least five 3s selected.

Consider Other Depressive Disorder if there are two-four 3s selected.

1-4 = Minimal depression

5-9 = Mild depression

10-14 = Moderate depression

15-19 = Moderately severe depression

20-27 = Severe depression


PTSD Checklist for DSM-5 (PCL-5)

PCL-5 uses a cut-off to assess for the presence of PTSD. While there are two scoring methods, this assessment uses the raw score for assessing presence.

Rules:

Total Score is calculated by adding up each selected answer.

"Not at all" = 0, "A little bit" = 1, "Moderately" = 2, "Quite a bit" = 3, and "Extremely" = 4.

This assessment sums all 20 items (range 0-80) and uses a cut-point score of 31. Scores of 31 or higher will show as Likely PTSD.

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