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.

Expanding any auto-scored assessment will reveal more details.

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

Past scores

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

Clicking the icon will bring you to a chart where you can easily the score trends over time.

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)
• Adverse Childhood Experiences (ACE)
• Columbia-Suicide Severity Rating Scale (C-SSRS)
• Dissociative Experience Scale-II (DES-II)
• Satisfaction With Life Scale 

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.

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.

Adverse Childhood Experiences (ACE)

ACEs assesses a range of adversity.

Rules:

Total Score is calculated by adding up each "yes" answer.

• 0 ACEs (No Reported Adversity): Indicates no exposure to the measured adverse childhood experiences. Individuals in this category typically show the lowest risk for negative health outcomes.
• 1-3 ACEs (Low to Moderate Adversity): Indicates exposure to one or more types of adversity. Research demonstrates a modest but statistically significant elevation in risk for various health and social problems compared to individuals with no ACEs.
• 4+ ACEs (High Adversity): Represents a clinically significant threshold where risk for negative outcomes increases substantially. This category is associated with significantly elevated risk across multiple domains of functioning and should prompt thorough clinical attention.
• 6+ ACEs (Very High Adversity): Although not a formal categorization in all ACE literature, scores of 6 or higher represent exposure to multiple forms of serious adversity and are associated with the highest risk for severe and complex health problems.

Columbia-Suicide Severity Rating Scale (C-SSRS)

The C-SSRS assigns a risk severity for suicidality.

Rules:

If YES to question 2 or 3, seek behavioral healthcare for further evaluation.

If the answer to 4, 5 or 6 is YES, get immediate help: Call or text 988, call 911 or go to the emergency room. STAY WITH THEM until they can be evaluated.

Dissociative Experience Scale - II (DES-II)

The Dissociative Experience Scale is a screening tool for dissociative disorders, trauma, and PTSD.

Rules:

The average of all the answers is the DES score, giving a maximum of 100. The questions are scored by dropping the zero on the percentage of each answer, e.g., 30% = 3; 80% = 8, these numbers are then added up give a total. The total is multiplied by 10 then divided by 28 (the number of questions) to calculate the average score.

Dissociative Experiences Scale Scores

High and Low DES Scores High levels of dissociation are indicated by scores of 30 or more, scores under 30 indicate low levels. [1]:22 Successful treatment of a dissociative disorder should reduce the DES score when compared to the result before treatment began. [1]:23 Very high scores do not necessarily mean a more severe dissociative disorder is present, this is because the scale measures both normal and pathological dissociation.[1]:18

Dissociative Identity Disorder and the DES

Only 1% of people with Dissociative Identity Disorder have been found to have a DES score below 30. A very high number of people who score above 30 have been shown to have Posttraumatic Stress Disorder or a dissociative disorder other than Dissociative Identity Disorder. [1]

Clinical Uses of the Dissociative Experiences Scale

If a person scores in the high range (above 30) then the DES questions can be used as the basis for a clinical interview, with the clinician asking the client to describe examples of the experiences they have had for any questions about experiences which occur 20% of the time or more. Alternatively, the Dissociative Disorders Interview Schedule or Structured Clinical Interview for Dissociative Disorders-Revised can be used to reach a diagnosis. [1]

Average DES Scores in research

• General Adult Population 5.4
• Anxiety Disorders 7.0
• Affective Disorders 9.35
• Eating Disorders 15.8
• Late Adolescence 16.6
• Schizophrenia 15.4
• Borderline Personality Disorder 19.2
• Posttraumatic Stress Disorder 31
• Dissociative Disorder Not Otherwise Specified (OSDD) 36
• Dissociative Identity Disorder (MPD) 48

Satisfaction with Life Scale

The Satisfaction with Life Scale is a 5-item scale designed to measure global cognitive judgments of one’s life satisfaction (not a measure of either positive or negative affect).

Rules:

Participants indicate how much they agree or disagree with each of the 5 items using a 7-point scale that ranges from 7 strongly agree to 1 strongly disagree.

The following are some cut-offs to be used as benchmarks.

31 - 35 = Extremely satisfied

26 - 30 = Satisfied

21 - 25 = Slightly satisfied

20 = Neutral

15 - 19 = Slightly dissatisfied

10 - 14 = Dissatisfied

5 - 9 = Extremely dissatisfied