An Internet Resource for Forensic Investigation
of Child Sexual Abuse Cases


Psychological Assessment of Alleged Child Sexual Abuse Victims

Nancy A. McGarrah, Ph. D.

Third Tool: Assessment Measures

    Guidelines:
  1. Obtain an estimate of cognitive/language functioning. This doesn't have to be a long-form IQ test, but could include a brief indicator of the child's ability to understand and respond to questions. The child's cognitive and language functioning has clinical significance (e.g. school placement issues) as well as forensic relevance (proof that the child is competent to understand and answer interview questions). Some examples of cognitive level or language development tests include:
    • Kaufman Brief Intelligence Test (K-BIT) (Kaufman, 1990)
    • Kaufman Infant and Preschool Scale (Kaufman, 1979)
    • Boehm Test of Basic Concepts (Boehm, 1984)
    • Cognitive Abilities Test, Form 5 (Thorndike & Hagen, 1995)
    • Cognitive Diagnostic Battery (Kay, 1982)
    • McCarthy Screening Test (McCarthy, 1978)
    • Peabody Picture Vocabulary Test-III (Dunn, 1997)
  2. Assess degree of psychological impact. Useful are depression inventories, trauma inventories, dissociation inventories, behavioral rating scales, and personality inventories. (Warning: be aware of professional licenses required to interpret many of these measures). Projective tests are useful in assessing clinical issues related to treatment needs, but are the most vulnerable to forensic challenge in court. Although not an inclusive list, the following are some of the tests and inventories used by many psychologists in abuse assessments:
    • The Child Behavior Checklist (Achenbach, 1992)
    • AAMR Adaptive Behavior Scale-School, Second Edition (Nihira, Leland, & Lambert, 1993)
    • Behavior Assessment System for Children (Reynolds & Kamphaus, 1992)
    • Burks' Behavior Rating Scales (Burks, 1977)
    • Behavior Rating Profile: Second Edition (Brown & Hammill, 1990)
    • The Child Sexual Behavior Inventory (Friedrich, 1997)
    • The Trauma Symptom Checklist for Children (Briere, 1996)
    • The Child Depression Inventory (Kovacs, 1992)
    • Reynolds Adolescent Depression Scale (RADS) (Reynolds, 1989)
    • The Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) (Hathaway & McKinley, 1992)
    • Children's Impact of Traumatic Events Scale-Revised (CITES-R) (Wolf et. al., 1987)
    • Children's Apperception Test (CAT) (Bellack, 1993)
    • Roberts Apperception Test for Children (RATC) (McArthur and Roberts, 1990)
    • The Picture Story Telling Test (Caruso, 1988)
  3. Other issues in Assessment:
    1. Assess child's understanding of truth/lie
    2. Use of forensic drawings
    3. Use of anatomically detailed dolls (psychological and/or other evaluators should first carefully examine guidelines from: www.apsac.org)
    Hints:
  1. Research shows sexually abused children are 6-8 times more likely to include genitalia in drawings.
  2. Dolls can be ordered from several sources, such as WPS: 1-800-648-8857

Contacting Psychological Test Publishers On-Line

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