Clinical Evaluations and Assessments

I provide structured clinical evaluations for legal, court-involved, occupational, regulatory, and personal documentation needs. Evaluations are time-limited, clinically focused, and include a written report with findings, diagnostic impressions when supported, and practical recommendations.

Attorney and Court Referrals

Assessments for justice-involved clients, court-related matters, probation or parole referrals, and attorney-referred clients needing objective mental health or substance use evaluation.

See assessment options

Mental Health and Substance Use

Dual-diagnosis evaluations addressing concerns such as trauma, PTSD, substance use, anger, depression, anxiety, adjustment concerns, and co-occurring disorders.

See assessment options

Employment and Occupational

Independent clinical evaluations for employer, occupational health, EAP, return-to-duty, or fitness-for-duty referral questions when clinically appropriate.

See assessment options

FAA Special Issuance

Clinical evaluations for airmen who may need documentation related to FAA medical certification or Special Issuance Authorization.

See FAA details

ESA Documentation

Clinical emotional support animal evaluations and documentation completed under Fair Housing Act and HUD documentation standards.

See ESA details

Self-Referred Evaluations

Professionally written clinical evaluations for personal, legal, occupational, or documentation purposes without a third-party referral.

See assessment options

What the Report Includes

  • Assessment methods used
  • Relevant clinical observations
  • Measures administered, when appropriate
  • Score interpretation and clinical meaning
  • Diagnostic impressions when supported
  • Practical recommendations tailored to the referral question

How Evaluations Work

  • Secure, HIPAA-compliant telehealth
  • Review of referral documents and records
  • Structured clinical interview
  • Collateral interviews when authorized and appropriate
  • Standardized measures selected for the referral question
  • Written report delivered according to signed releases

Details

Evaluation Information

Select a section below for details about referral types, scope of practice, the assessment process, instruments, FAA evaluations, ESA documentation, confidentiality, fees, and scheduling.

Who I Conduct Evaluations For

Court-Ordered and Justice-Involved Evaluations

I have decades of experience working with justice-involved clients and extensive expertise in court-ordered and corrections-referred assessments. These include evaluations required by circuit courts, municipal courts, and other judicial bodies, as well as probation and parole. Evaluations may address substance use, mental health, dual diagnosis, trauma, anger, or grief, and will result in a formal written report submitted to the referring entity, where appropriate, and the client.

Mental Health and Substance Use Evaluations

For individuals seeking or requiring a comprehensive clinical evaluation of mental health symptoms, substance use, or co-occurring disorders. Often, these are assessments completed for clients who are involved in the court process or who are referred by their attorney. Others are self-referred or referred by a treatment provider, a doctor, an employer, or another entity.

Employer and Occupational Referral Evaluations

For individuals referred by employers, occupational health programs, or employee assistance programs requiring an independent clinical evaluation as a condition of employment, return to duty, or fitness-for-duty determination. You do not need to send me a referral; you may contact me directly and provide proof of the assessment's completion to your employer.

Self-Referred Independent Evaluations

For individuals seeking a thorough, professionally written clinical evaluation for personal, legal, or documentation purposes without a third-party referral.

Federal Aviation Administration (FAA) Special Issuance

For airmen requiring a clinical evaluation as part of the FAA medical certification or Special Issuance Authorization process. See the FAA section below.

Emotional Support Animal (ESA) Documentation

For individuals requiring a proper clinical ESA evaluation and letter meeting Fair Housing Act and HUD standards. See the ESA section below.

Scope of Practice and Assessment Limitations

I am a Licensed Professional Counselor (LPC), Certified Substance Abuse Counselor (CSAC), and Independent Clinical Supervisor (ICS), licensed by the Wisconsin Department of Safety and Professional Services (DSPS).

I am not a licensed psychologist. There are specific categories of psychological testing that are restricted by law and professional standards to licensed psychologists, and I do not administer those instruments.

Level A instruments are standardized instruments that require no formal training beyond basic test administration. I am qualified to administer these.

Level B instruments are instruments requiring formal training, graduate-level coursework, and/or specific certification. I am qualified to administer these based on my training, credentials, and experience.

Level C instruments are instruments restricted to licensed psychologists or those with a doctoral-level credential in psychology. I do not administer Level C instruments and this evaluation will not include them.

Neuropsychological testing, full psychological batteries, and other assessments restricted to licensed psychologists by scope of practice are outside the scope of my assessment and evaluation practices.

If the nature of your referral requires Level C testing or psychological testing beyond my scope of practice, I will inform you and the referring entity and, where appropriate, provide a referral to a licensed psychologist.

The Assessment Process

Each evaluation follows a structured clinical process tailored to the purpose of the referral.

Pre-appointment Preparation

This is a review of referral documents, records, and collateral materials submitted prior to the appointment. For more complex referrals, including FAA evaluations, this phase may be extensive.

Clinical Interview

The interview is conducted via a secure, HIPAA-compliant telehealth platform. It is generally a single session of 60 to 120 minutes, but may consist of multiple sessions, depending on the complexity of the case and the nature of the referral question.

Psychometric Testing and Scoring

I use standardized, evidence-based instruments appropriate to the referral question and consistent with my scope of practice.

Diagnostic Formulation

I formulate diagnoses consistent with DSM-5-TR criteria, based on a review of records, interviews, psychometric findings, and the overall clinical data collected.

Report Preparation

I prepare a formal written report that documents findings, diagnostic impressions, and recommendations, and I deliver it to the client and the requesting entity within the agreed-upon timeframe.

Coordination

Where appropriate, I coordinate with courts, probation agents, the FAA, employers, or other requesting entities.

Assessment Instruments

Evaluations may include one or more standardized, evidence-based instruments selected based on the referral's nature and purpose. Instrument selection is individualized to the referral question and clinical presentation. Not all instruments are administered in every evaluation. This is not an exhaustive list.

Substance Use

  • Michigan Alcoholism Screening Test (MAST)
  • Drug Abuse Screening Test (DAST)
  • Alcohol Use Disorders Identification Test (AUDIT)
  • Cannabis Use Disorder Identification Test (CUDIT)
  • Addiction Severity Index (ASI)
  • ASAM Criteria - American Society of Addiction Medicine level of care framework

Mood and Anxiety

  • Beck Depression Inventory (BDI)
  • Beck Anxiety Inventory (BAI)
  • Hamilton Depression Rating Scale (HAM-D)
  • Hamilton Anxiety Rating Scale (HAM-A)
  • Mood Disorders Questionnaire (MDQ)
  • Liebowitz Social Anxiety Scale (LSAS)
  • Social Interaction Anxiety Scale (SIAS)

Trauma and PTSD

  • Life Events Checklist for DSM-5 (LEC-5)
  • Trauma History Questionnaire (THQ)
  • Stressful Life Events Screening Questionnaire (SLESQ)
  • PTSD Checklist for DSM-5 (PCL-5)
  • UCLA PTSD Reaction Index (UCLA PTSD RI)
  • STRESS Clinician Administered PTSD Scale for DSM-5 (CAPS-5)

Anger

  • State-Trait Anger Expression Inventory-2 (STAXI-2)
  • Dimensions of Anger Reactions (DAR-5)
  • Clinical Anger Scale (CAS)

Adult Autism (ASD) and ADHD

  • Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R)
  • Adult Autism Symptom Checklist (ASRS)
  • ASRS v1.1 (Adult ADHD Self-Report Scale)
  • Wender Utah Rating Scale (WURS)
  • Weiss Functional Impairment Rating Scale (WFIRS)

Please note: I do not regularly assess ADHD or ASD as standalone assessments and will refer to a neuropsychologist for formal testing for medication or other purposes. The ASD and ADHD assessment tools listed here are completed, where appropriate, to gather a more comprehensive scope of problems affecting the clients I am assessing and/or evaluating, and to determine how those problems contribute to overall impairment of function across a variety of dyads and domains.

Federal Aviation Administration (FAA) Special Issuance Evaluations

Airmen seeking FAA medical certification or a Special Issuance Authorization who have a history of mental health treatment or substance use may be required to undergo a clinical evaluation as part of the certification process.

Regulatory Framework

FAA medical standards for airmen are governed by Title 14 of the Code of Federal Regulations (CFR), Part 67. Mental health and substance use standards are specifically addressed under:

  • 14 CFR Sections 67.107, 67.207, and 67.307 - First, Second, and Third Class medical certificates, respectively, which identify substance dependence as a disqualifying condition, except where there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance for not less than the preceding two years.
  • 14 CFR Section 67.401 - Authorization for Special Issuance of a medical certificate, allowing an airman to hold a medical certificate despite a disqualifying history, provided specific conditions are met, including ongoing monitoring, regular follow-up evaluations, and recovery program participation.

What the FAA Evaluation Process Involves

FAA evaluations are more complex than standard evaluations and involve substantially more pre-appointment preparation and post-appointment follow-up.

  • Request and review of your FAA airman file and submitted medical records before the appointment.
  • Structured clinical interview addressing history, treatment, recovery, and current functioning.
  • Psychometric evaluation using instruments appropriate to the FAA referral question.
  • A written report prepared to FAA standards, documenting findings, diagnostic impressions, and clinical opinion regarding recovery and fitness for flying.
  • Coordination with your Aviation Medical Examiner (AME) as appropriate.
  • A non-refundable retainer is required to initiate file review and confirm your appointment.

Please contact me directly to discuss FAA evaluation fees, as the final fee is determined by case complexity, volume of records, and report requirements.

A Note for Airmen

The FAA's regulatory definitions of substance dependence and substance abuse differ significantly from the clinical definitions used in the DSM-5-TR. Navigating that gap requires an evaluator with direct, practical experience at the intersection of clinical practice and FAA regulatory requirements.

Emotional Support Animal (ESA) Evaluations

ESA documentation is not a registration, a certificate, or an online letter. It is a clinically grounded written determination issued by a licensed mental health professional following a proper evaluation. Online registries and websites offering instant ESA letters without a genuine clinical evaluation do not meet Fair Housing Act or HUD standards, and a letter that cannot withstand scrutiny from a housing provider does not protect you. A proper clinical evaluation does.

The Legal Framework

The legal foundation for ESA housing accommodations is rooted in the Fair Housing Act, 42 U.S.C. Sections 3601-3619, and HUD Notice FHEO-2020-01, which governs what documentation an individual seeking an ESA accommodation may need to provide. Under HUD guidance, internet-obtained documentation without a genuine clinical relationship is insufficient to reliably establish that an individual has a non-observable disability or a disability-related need for an assistance animal.

Under 42 U.S.C. Section 3602(h), disability is defined as a physical or mental impairment that substantially limits one or more major life activities, a record of having such an impairment, and/or being regarded as having such an impairment. The reasonable accommodation requirement is codified at 42 U.S.C. Section 3604(f)(3)(B), which requires housing providers to make reasonable accommodations when necessary to afford a person with a disability an equal opportunity to use and enjoy a dwelling.

What My ESA Evaluation Includes

  • A clinical interview addressing your mental health history, current symptoms, and functional impairment in daily life activities.
  • Review of relevant records where applicable.
  • Clinical determination of whether your condition meets the FHA and ADA definition of disability.
  • Assessment of whether an ESA provides disability-related support that mitigates your symptoms or functional limitations.
  • A professionally written ESA letter on letterhead documenting the clinical basis for the determination in terms consistent with HUD documentation standards.

The letter will identify the established clinician-client relationship, confirm licensure in Wisconsin, address the disability-related need for the animal, and include a current evaluation, as most housing providers require documentation issued within the preceding 12 months.

A Note on Air Travel

The regulatory landscape changed materially in 2021 when the U.S. Department of Transportation issued a final rule removing emotional support animals from the category of service animals under the Air Carrier Access Act. Airlines are no longer required to accommodate ESAs as service animals. ESA documentation does not currently provide air travel accommodation rights under federal law. Individuals traveling with ESAs should review individual airline pet policies directly.

A Note on Landlord Forms

Some landlords use their own forms and state that a full evaluation is unnecessary, indicating that a signature from a licensed mental health professional is sufficient. My ethical obligations and legal responsibilities as a licensed psychotherapist require that I conduct a thorough clinical assessment before signing any legally binding documentation that verifies disability status and establishes the necessity of an emotional support animal. My signature on any such document, whether a landlord's form or a formal ESA letter, constitutes a professional clinical attestation.

Confidentiality, Fees, and Scheduling

Confidentiality in Evaluation Context

Evaluations differ from therapy in one important respect: the requesting entity may receive a copy of the written report. Before your evaluation, you will be asked to sign a release authorizing the report to be shared with the court, probation agent, FAA, employer, or other requesting party. The scope of what is disclosed will be explained to you prior to your appointment.

Standard confidentiality protections under Wisconsin law and HIPAA apply to all evaluation records, subject to the terms of any releases you sign and applicable mandatory reporting obligations.

Fees and Scheduling

Evaluation and assessment services are generally private pay. Most court-ordered, probation-referred, and regulatory evaluations are not covered by insurance. You are encouraged to verify your coverage before scheduling.

FAA Special Issuance evaluation fees are determined by case complexity, volume of records, and report requirements. This will be discussed before your appointment is confirmed. A non-refundable retainer is required to initiate the evaluation.

All fees are reviewed and agreed upon before your appointment is confirmed. Payment is due at the time of service. For complete fee information, including therapy rates and accepted insurance, please visit the Fees and Insurance page.

Ready to Schedule an Assessment?

To request a fee schedule, ask questions about the evaluation process, or schedule an appointment, reach out however feels most comfortable to you. Please do not include detailed clinical information in messages or contact forms.

If calling or texting feels easier, I'm available anytime at (920) 204-6590.