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Services

Psychological Services

St.Amant provides psychological testing to help the Supported Living Program (SLP) establish whether an individual is eligible for supports and to assist Children’s Special Services in transition planning for Adult Services.

The current CSP standard is to arrange the first appointment within 6 weeks of receiving the application, but this may vary.

Other psychological diagnostic testing is available upon special request.

Application & Referral Process

A Community Service Worker or a Family Service Worker may apply for psychological testing. The CSP application form is available online.

The application also includes the Consent Form and the Readiness Checklist which must be completed and forwarded.

It is important to provide as much information as possible when applying for psychological testing, including information on  supports, past treatment, previous assessments or testing, background information, personal and environmental factors which may impact testing.

Please send any previous psychological testing reports with the application.

It is important for case managers making referrals to note and identify for the individual that the CSP consultant does not make the decision about eligibility, but only completes the assessment to assist the Supported Living Program (SLP) in determining eligibility.

The definition for eligibility is consistent with the DSM-IV-TR (Official Diagnostic Manual) definition for Mental Retardation (MR) and with that of the American Association of Intellectual and Developmental Disability (AAIDD – January 2008), that is:

  • An individual has a full scale IQ of 70-75 (to account for possible errors of measurement) or below, in other words, “significant impairment in intellectual functioning.”
  • There is significant impairment in adaptive functioning.
  • That the onset was prior to age 18 years.

In addition, the consultant outlines any conditions that may influence the validity of the results.

Wait-listing & Prioritization

Once an application is received, a letter is forwarded to advise whether the service will be initiated or if wait-listing is required. Wait-listing may be required if the demand for service is overwhelming at any particular point in time. Individuals considered high-risk are given priority.

Assessments that aim to assist the Supported Living Program in determining eligibility are completed for individuals aged 16 years and older. Youth referred for assessment will be placed on the wait-list until they have reached 16 years of age.

Testing Process

Once an application is approved, the CSP consultant will contact the referring CSW/FSW and schedule three appointments – two for testing and one for the review of the report.

Assessment Protocol

Weschler Adult Intelligence Scales (WAIS – IV) The WAIS-III is used as a measure of intelligence. There will be reference to three types of scores, FSIQ (Full Scale) and 4 Indexes: Verbal Comprehension Index, Working Memory Index, Perceptual Reasoning Index and Processing Speed Index. A fifth score, called the General Ability Index may also be referenced.

Comprehensive Test of Nonverbal Intelligence (CTONI, CTONI-2)The CTONI is used as another measure of non-verbal functioning. The CTONI can be especially useful in testing individuals who have difficulties in language or fine motor skills. There will be reference to 3 types of scores: Full Scale Index, Pictorial Scale Index and Geometric Scale Index.

Scale of Independent Behaviour Revised (SIB-R)The SIB-R is a measure used to evaluate adaptive functioning and functional independence. It provides an overview of an individual’s current strengths in the areas of motor, social, personal, and community living skills from the viewpoint of the individual being interviewed, as well as someone who knows the individual well.

Street Safety Skills Questionnaire (SSSQ)The SSSQ is a forced choice assessment of basic skills for safe and effective daily living which assess: Basic Concepts, Functional Signs, Domestic Tools, Health and Safety, Public Services, Time, Money and Measurement.

Interpretation of Results

Due to the complex nature of the assessment and test results, the CSP consultant arranges an appointment with the individual (and support network, if relevant) along with the CSW/FSW to review the assessment report. It is strongly suggested, but not mandatory, for the CSW/FSW to attend. However, the individual and support network need to attend in order to receive a report. The consultant will also be available to clarify and interpret findings upon request prior to file closure.

A summary of the test results and a general statement specifying whether the results are, or are not, consistent with the diagnosis of an intellectual disability is provided at the end of the report.

The CSP consultant will not provide specific IQ scores to anyone unless he / she is a Psychologist trained to interpret them. IQ ranges will be provided as per the recommendations of the Psychological Association (National and Provincial Associations). A clinical opinion on eligibility is not provided as it is not the mandate of the CSP to determine eligibility, but rather, to provide the testing, analysis, and conclusions based upon the assessment results.

A detailed CSP Policy “Reading & Understanding Psychological Assessment Reports” is available on written (or e-mail) request from the CSP Director.

For more information contact Central Intake at 204-258-7041 or intake@stamant.ca.