This multidimensional instrument helps to assess a broad range of relevant factors, from test-taker's attitude, to pain and function, to family issues.

Gain a Comprehensive View of Biopsychosocial Factors

The BHI 2 test can be used by psychologists, psychiatrists, anesthesiologists, neurologists, physical therapists, surgeons, rehabilitation specialists, and nurses to help:

• Measure the relationship among and impact of physical, environmental, and psychological factors on the patient's treatment
• Support evaluations for cases involving orthopedic, occupa tional, and auto injuries; workers compensation; and long-term disabilities
• Evaluate the patient's emotional readiness for surgery
• Facilitate physician-psychologist communication as well as communication within a multidisciplinary treatment team
• Assess the patient's readiness for vocational training or job placement
• Evaluate treatment effectiveness and monitor clinical outcomes

Key Features

• The objective information provided by the BHI 2 test can be used to help reduce treatment time, improve treatment planning, and improve the patient's quality of life.
• Requiring only 30–45 minutes to administer, the BHI 2 test helps measure numerous outcomes, including reduction of pain, improvement in function, and satisfaction with care.
• The Pain Complaints section uses a nationally standardized 0–10 pain scale, which assesses multiple dimensions of the pain experience, including level of pain in 10 body areas, pain tolerance, pain range, and peak pain.
• Within each scale, content areas help distinguish possible reasons for the patient's psychological or pyscho social problems. Presented in graphic format, this additional delineation helps further support the development of suitable treatment plans.
• The BHI 2 test includes 31 Critical Items that draw attention to a wide variety of risk factors including:
  • Addiction Concerns
  • Entitlement
  • Pain Fixation
  • Perceived Disability
  • Satisfaction with Care
  • Sleep Disorders
  • Suicidal Ideation
  • Violent Tendencies

Enhanced Interpretive Report

Provides a more extensive interpretation of the patient's test results, including in-depth scale category narratives. In addition to all the components of the Basic Interpretive Report, this report also includes sections on Somatic Complaints, Item Responses, and Diagnostic Probabilities. Basic Interpretive Report Provides a concise interpretation of test results, including a profile graph and scale summary. The report also includes brief scale category narratives including validity issues, Pain Complaints Item Responses, Content Areas, Critical Items, Omitted Items, Item Responses, Treatment Recom mendations, and a Patient Summary. Profile Report Provides a patient profile that includes a graphical representation of the patient's raw and T scores in comparison to both the patient and community norms, as well as the patient's rating and percentile. The report also includes a section on Validity Issues, Critical Items, Content Areas, Omitted Items, and Item Responses.

Basic Interpretive Report

Provides a concise interpretation of test results, including a profile graph and scale summary. The report also includes brief scale category narratives including validity issues, Pain Complaints Item Responses, Content Areas, Critical Items, Omitted Items, Item Responses, Treatment Recommendations, and a Patient Summary.

Profile Report

Provides a patient profile that includes a graphical representation of the patient's raw and T scores in comparison to both the patient and community norms, as well as the patient's rating and percentile. The report also includes a section on Validity Issues, Critical Items, Content Areas, Omitted Items, and Item Responses.

Reference Groups

The BHI 2 instrument provides context to the clinician's analysis of results by comparing the patient to individuals in a pain reference group who have a condition similar to the patient's condition. The 5 reference groups (listed below) are based on common diagnostic categories of injuries often seen in rehabilitation settings. They are reported within the Pain Complaints Item Responses and Diagnostic Probabilities sections of the report.

• Head Injury/Headache
• Neck Injury
• Upper Extremity Injury
• Back Injury
• Lower Extremity Injury

The Pain Complaints scale also uses a chronic pain reference group, while the Defensiveness scale uses reference groups to help detect symptom magnification (faking bad) and symptom minimization (faking good) as additional comparisons for clinical interpretation.