Child at Psychologist

ASSESSMENT & TESTING

NCFWC provides a range of assessment/testing services. Assessments help answer specific questions regarding an individual’s intellectual, academic, developmental, and psychosocial functioning. The purpose of an assessment may include diagnostic clarity, treatment planning, academic recommendations, and identification of appropriate future services. We work with families to determine their goals for Assessment and Testing which then drive which testing protocols and assessment procedures will be administered and the overall cost.

See below for descriptions of the range of assessments we provide.

 

TESTING SERVICES

INTRODUCTION AND INFORMATION FOR TESTING SERVICES

Testing services at NCFWC include psychoeducational, psychological, and developmental evaluations with a clinical psychologist or psychological examiner. These are comprehensive assessments that involve a series of standardized tests and measurements, clinical interviews, review of relevant clinical and medical history, and behavioral observations and result in a thorough written report that provides results and recommendations.

WHAT IS A PSYCHOEDUCATIONAL, PSYCHOLOGICAL OR DEVELOPMENTAL EVALUATION?

Psychoeducational, psychological, and developmental evaluations are comprehensive assessments that include a series of standardized tests and measurements, clinical interviews, review of relevant clinical and medical history, and behavioral observations. The results of the assessment measures are utilized to create a detailed profile of an individual’s cognitive, behavioral, and psychosocial functioning. Thorough written reports that discuss results, any relevant diagnoses, and recommendations are generated. The purpose of the evaluation may include diagnostic clarity, treatment recommendations, academic planning, and identification of appropriate services. The clinicians at NCFWC will help families to determine their specific goals for the evaluation. Common presenting concerns include developmental delays, ADHD, specific learning disorders, autism spectrum disorder (ASD), or other psychosocial conditions.

THE EVALUATION PROCESS

Testing Intake: The first appointment is a parent/guardian-only clinical intake. This appointment allows  for the clinician to discuss the presenting concerns that prompted the evaluation, review the initial intake paperwork, obtain additional information regarding relevant clinical/academic/medical history, and identify goals for the evaluation. This appointment will be scheduled on a day prior to the testing date and usually lasts between 60 and 90 minutes.


Testing Block(s): Testing is typically scheduled over the course of one to two mornings with sessions lasting approximately three to four hours. Time will vary depending on the child’s age, presenting concerns, and/or stamina. Additional time may be scheduled if needed. Breaks are incorporated within the testing block. If the child typically wears glasses, then ensure that glasses are brought on the day of testing. It is recommended that snacks and drinks be packed and brought to the testing appointment. If a testing client takes stimulant medication (e.g., ADHD medications), please consult with your NCFWC clinician about the appropriateness of taking the medication on the day of testing. We also recommend recent (within the year) hearing and vision screenings so those can be ruled as factors in testing results.


Feedback Appointment: Once testing is complete, a feedback appointment is scheduled. At this appointment, the parents/guardians receive a copy of the evaluation. The clinician reviews the testing results, diagnostic impressions, and recommendations. If the testing client is an adolescent/young adult, then the clinician may recommend a separate feedback appointment with the testing client. 


*On occasion, a classroom observation or social observation may be indicated. This will be discussed with the parents/guardians during the evaluation process. 


*Prior to the feedback appointment, the parents/guardians should review the Evaluation Checklist (included in the testing information packet) to ensure that they have completed all necessary items. If all necessary items have not been completed, the final report may be delayed.

 

Fees for Testing Services

Comprehensive Evaluation Fee: $2,000.00


The evaluation fee covers the necessary testing appointments including the intake appointment, the testing blocks, report writing, and feedback appointment. There is a non-refundable deposit of $300.00 due at the time of scheduling. This deposit is applied towards the comprehensive evaluation fee, and the remainder of the fee will be due at the day of testing, If the full payment is not received by the first day of testing, the evaluation will be rescheduled or cancelled. 


Please note that our clinicians are out-of-network providers; therefore, we do not accept insurance. Documentation of services can be provided to parents/guardians if they choose to file with their insurance to seek reimbursement. Parents/guardians may want to inquire about their out-of-network benefits.  For reimbursement purposes, insurance companies may require a prior authorization. It is the responsibility of the parents/guardians to obtain the necessary information/paperwork for a prior authorization. 


Additional qEEG (brain map) is optional—see qEEG assessment description below.

 

OTHER ASSESSMENT SERVICES

PSYCHIATRIC ASSESSMENT

NCFWC practitioners offer psychiatric assessment and treatment services that involve a comprehensive diagnostic assessment, treatment planning recommendations, and evaluation and follow up for possible medication management of psychiatric symptoms. Psychiatric assessments are conducted by a board-certified MD psychiatrist or psychiatric nurse practitioner. An initial evaluation includes but is not limited to diagnosing and treating mood disorders, anxiety disorders, obsessive-compulsive disorder, attention-deficit/hyperactivity disorder, disruptive behavior disorders, and trauma-related disorders. Our practitioners use their medical expertise to assess the role of medical and genetic factors in psychiatric symptoms and will also make recommendations for lifestyle interventions or further laboratory testing when indicated.

Additional qEEG (brain map) is optional—see qEEG assessment description below.

QEEG ASSESSMENT

A QEEG, or quantitative electroencephalogram, is a method for assessing electrical activity in the brain. Sensors that can detect very small amplitudes of electrical activity are placed at 19 sites on the scalp. EEG is then recorded while the client sits quietly. A trained professional then visually inspects the recorded signals.


The brainwave data that are gathered are then statistically compared to a sophisticated and large normative database that provides scientifically objective information on how the brain should be functioning at the client’s age. This assessment procedure allows the professional to then determine whether a client’s brainwave patterns are significantly different from normal, and if so, how and where they differ. An initial QEEG is done prior to designing a training protocol and at points during treatment to assess progress.

A qEEG assessment can also be included with your psychiatric or testing assessment as an additional service. A qEEG measures the electrical activity in the brain, creating a ‘brain map,’ and helps to determine how symptoms are related to underlying neurological activity. The qEEG can tell us if particular areas of the brain are overactive or underactive and if the communication patterns between neuro-networks are healthy. This measurement can be useful for any client as we gather as much information as we can to make the most accurate assessment, but it may be particularly useful for clients with ADHD, depression, anxiety, or treatment resistant conditions. To add onto an initial psychological or psychiatric assessment, the additional cost is $500.

THERAPY ASSESSMENT

People often aren’t sure where to start with therapy. They hear buzz words about different kinds of therapy but don’t know what they mean. In addition, it can be hard to determine what is going on with a child or with oneself or even within a family such that is even harder to know where to begin. NCFWC offers initial therapy assessments to address these questions.


During these assessments, a clinical psychologist or therapist trained in clinical interviewing meets with the individual and/or with any significant family members. Clinical interviews and standardized questionnaires are used to arrive at a working definition of presenting issues to be addressed in therapy. We then provide an assessment summary and recommended next steps which can be used to inform a wellness plan at NCFWC or can be used to access appropriate services elsewhere. 

SPEECH AND LANGUAGE ASSESSMENT

We believe that speech-language evaluations can be vital in determining the origins of struggles children and adolescents experience at home, in school, and at play. 


During these assessments, the speech-language pathologist examines the following areas of concern:

  • Receptive language, the language he or she understands when spoken to

  • Expressive language, the language used by him or her for communication

  • Articulation, how he or she makes speech sounds

  • Pragmatics, otherwise known as social language

NUTRITION ASSESSMENT

Nashville Child and Family Wellness Center provides nutritional assessment services, which includes evaluating an individual’s or family’s food and nutrient intake, knowledge and beliefs surrounding food, physical activity, and nutrition quality of life.

The licensed dietitian nutritionist conducts nutrition assessments that provide information concerning:

  • Eating Disorders

  • Unintentional Weight Loss or Gain

  • Excessive or Inadequate Food Intake

  • Undesirable food choices

  • Imbalance of Nutrients

  • Poor Nutrition Quality of Life

  • Food and Nutrition-Related Knowledge Deficit

  • Harmful Beliefs / Attitudes About Food and Nutrition

  • Excessive Exercise

  • Physical Inactivity

  • Family struggles with children surrounding food

 

ASSESSMENT PACKAGES

COMPREHENSIVE ‘DELUXE’ ASSESSMENT PACKAGE

Standard Fee: $4,000

Nashville Child and Family Wellness Center is uniquely positioned to offer a Comprehensive Assessment Package for those wanting to leave no stone uncovered. After completion, clients are scheduled for a clinical feedback session where they receive a written report integrating all assessment and testing findings.  This provides a great opportunity for family members to ask questions of the entire treatment team, all in one meeting, without having to schedule multiple appointments. 

The Comprehensive Assessment Package includes the following:

  • Psychiatric interview by MD Psychiatrist

  • Psychosocial interview with client and key family members and/or teachers by trained Psychologists and Therapists

  • Two-dimensional and three-dimensional brain mapping with quantitative analysis by a board-certified QEEG technician

  • Nutrition assessment by a Registered Dietician

  • Full Cognitive, Academic, and Psychological Testing by a Clinical Psychologist

  • Labs and genetic testing are can also be incorporated using outside clinics who will carry their own charges.