Administering the Millon Inventories via telepractice

Millon^® Inventories include MCMI^®-IV, MCMI^®-III, MACI^®-II, MACI^®, M-PACI^®, MBMD^®, MAPI^®, MCCI^®, and MIPS^®

The telepractice information in this document is intended to support professionals in making informed, well-reasoned decisions around remote assessment. This information is not intended to be comprehensive regarding all considerations for assessment via telepractice. It should not be interpreted as a requirement or recommendation to conduct assessment via telepractice.

Professionals should remain mindful to:

Follow professional best practice recommendations and respective ethical codes
Follow telepractice regulations and legal requirements from federal, provincial and local authorities, licensing boards, professional liability insurance providers, and payors
Develop competence with assessment via telepractice through activities such as practicing, studying, consulting with other professionals, and engaging in professional development.

Professionals should use their clinical judgment to determine if assessment via telepractice is appropriate for a particular examinee, referral question, and situation. There are circumstances where assessment via telepractice is not feasible and/or is contraindicated. Documentation of all considerations, procedures, and conclusions remains a professional responsibility.

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Special recommendations for administering the Millon Inventories via telepractice

Administering any of the Millon Inventories in a telepractice context can be accomplished utilizing the On-Screen Administration (OSA) or Remote On-screen Administration (R-OSA) function of Q-global® , Pearson’s secure online testing and scoring platform. Details regarding the system and how it is used are provided on the Q-global product page.

Conducting a valid assessment in a telepractice modality requires an understanding of the interplay of a number of complex issues. When administering any of the Millon Personality Assessments it is important to follow the practice guidelines of the American Psychological Association (APA) regarding telepsychology, found here.

In addition to the general information on our telepractice overview page, and the APA guidelines noted above, professionals should address five themes (Eichstadt et al. 2013) when planning for administering the Millon Inventories via telepractice.

1. Audio/visual environment

If you require video viewing during the administration, make sure the full face of the examinee is in view.
If you require audio interaction during the administration, make sure the audio is working as expected. Test the audio prior to the administration either through the examinee’s speakers or headset and ensure a high-quality audio environment is present,
Make sure the examinee's environment is free from distractions.

2. Examiner Considerations

Practice the mechanics and workflow of assigning, starting, and completing the assessment using the On-Screen Administration capabilities of Q-global (or Remote On-Screen if being used) before you go through this process with an examinee so that you are familiar with the administration procedures.
If you are asking the examinee to complete the assessment during a telepractice session while you are observing virtually, please note the audio/visual environment information above, and ensure that the session is set up appropriately to elicit a valid response from the examinee. Be sure to also ensure that the test taking session mimics an in-person session as closely as possible.

3. Examinee Considerations

As noted on the general telepractice page, please ensure that a remote assessment administration is appropriate for the client and for the purpose of the assessment.
Ensure that the examinee has a working email address and internet connection to access the test.
Ensure that examinee is able and prepared to appropriately engage in the testing session and that they are well rested, can adequately attend to the test, and are ready to fully participate in the test session.
There may be some administrations where an examinee headset is not appropriate or feasible. In these instances, make sure you have a web camera with an embedded microphone or a standalone microphone with the volume turned up to a comfortable level.

4. Test/test materials

Ask the examinee to close all other applications on the computer, laptop, or other device for faster administration performance.
Monitor the test session and the examinee's interaction with the test materials to ensure confidentiality and test session integrity as appropriate.
The examiner is responsible for ensuring test item security is maintained, as outlined in the Terms and Conditions for test use. The examiner should address test security requirements with the examinee (and facilitator, if applicable) during the informed consent process. The examiner should make it clear that the video should not be captured, photos should not be taken, and stimuli should not be copied or recorded, as this is a copyright violation. The examinee must agree that they will not record (audio or visual) or take photos or screenshots of any portion of the test materials or testing session, and not permit anyone to observe the testing session or be in the testing room (except for a facilitator, when necessary).

5. Other/miscellaneous

If you are administering the test using the On-Screen Administration (OSA or R-OSA) function of Q-global while the client is in a remote location, it may be advisable that a trained facilitator or support person (para-professional) is onsite with the client to assist with logging in and starting the assessment if the examinee's computer is controlling the session (R-OSA), or to ensure that the appropriate client response is captured if the assessment is being administered via screen sharing/video-conferencing capabilities.
The facilitator should also be trained in and able to provide emergency assistance should it be required during the test session for any reason, including if the examinee should show any indication of personal distress during the assessment.
Always state in your report that the test was administered via telepractice, and briefly describe the method of telepractice used. For example, " The MCMI-IV was administered by remote on-screen administration through the Q-global system, and the examiner's assistant monitored the administration using a live video connection."
Make a clinical judgment, similar to a face-to-face session, whether or not the integrity of the test administration has been maintained. Report your clinical decision(s) in your report and comment on the factors that led to this decision and your reporting or lack of reporting of the scores. For example, "The remote testing environment appeared free of distractions, adequate rapport was established with the examinee via video and s/he appeared appropriately engaged in the task throughout the session. No significant technological problems were noted during administration, and the results are considered to be valid."

Selected research to date

Please refer to the following studies regarding the appropriateness of administering forced-choice assessments via computer or other electronic means.

Chuah et al (2006). Personality Assessment: Does the Medium Matter? No. Journal of Research in Personality, 40-4, 339-376.
Butcher, J., Perry, J., & Hahn, J. (2004). Computers in clinical assessment: Historical developments, present status, and future challenges. Journal of Clinical Psychology, 60, 331-345.
Pinsoneault, Terry B. (1996) Equivalency of computer-assisted and paper-and-pencil administered version of the Minnesota Multiphasic Personality Inventory-2. Computers in Human Behavior, 12-2, 291-300.
Russell M. et al (2003). Computer-Based Testing and Validity: A Look Back and into the Future. Technology and Assessment Study Collaborative, Boston College
Studies supporting the equivalency of test scores when picture stimuli are displayed to the examinee in a printed manual versus a digital display on a computer screen (in-person administration):
Daniel, M. H., Wahlstrom, D., & Zhou, X. (2014). Equivalence of Q-interactive and paper administrations of language tasks: Selected CELF-5 tests. Q-interactive Technical Report 7. Bloomington, MN: Pearson.
Daniel, M. H. (2012a). Equivalence of Q-interactive administered cognitive tasks: WAIS– IV. Q-interactive Technical Report 1. Bloomington, MN: Pearson.
Daniel, M. H. (2012b). Equivalence of Q-interactive administered cognitive tasks: WISC– IV. Q-interactive Technical Report 2. Bloomington, MN: Pearson.

Conclusion

Provided that you have thoroughly considered and addressed all the factors and specific considerations listed above, the examiner should be prepared to comment about the reliable and valid delivery of the test via remote delivery. Document in your report that the administration was completed by telepractice.

You may use the Millon Inventories via telepractice without additional permission from Pearson in the following published context:

Millon Inventory On-Screen Administration (OSA) or Remote On-Screen Administration (ROSA) via Q-global [tests with OSA/ROSA options] 3/18/2020

Any other use of the Millon Inventories via telepractice requires prior permission from Pearson.

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Administering the Millon Inventories via telepractice

Millon^® Inventories include MCMI^®-IV, MCMI^®-III, MACI^®-II, MACI^®, M-PACI^®, MBMD^®, MAPI^®, MCCI^®, and MIPS^®

Special recommendations for administering the Millon Inventories via telepractice

Selected research to date

Conclusion

A customer reflects on using Q-global digital stimulus books and manuals:

ASSESSMENTS

CLINICAL LEGAL POLICIES

HELP & SUPPORT

ABOUT PEARSON

Professional assessments

Digital administration/scoring

More digital solutions

Resources by topic

Training

Field research

Webinars & blogs

Ordering

Manage orders

Contact us

Administering the Millon Inventories via telepractice

Millon® Inventories include MCMI®-IV, MCMI®-III, MACI®-II, MACI®, M-PACI®, MBMD®, MAPI®, MCCI®, and MIPS®

Special recommendations for administering the Millon Inventories via telepractice

Selected research to date

Conclusion

A customer reflects on using Q-global digital stimulus books and manuals:

ASSESSMENTS

CLINICAL LEGAL POLICIES

HELP & SUPPORT

ABOUT PEARSON

Millon^® Inventories include MCMI^®-IV, MCMI^®-III, MACI^®-II, MACI^®, M-PACI^®, MBMD^®, MAPI^®, MCCI^®, and MIPS^®