Pricing is found at the bottom of this page.
A brief diagnostic tool well-suited for initial intake and outcomes measurement.
The BBHI 2 test was developed specifically to help medical professionals assess the important mind/body connection for their patients. Derived from the well-researched, widely used BHI™ (Battery for Health Improvement) test, the shorter BBHI 2 instrument helps practitioners quickly evaluate for a number of psychomedical factors commonly seen in medical patients, such as pain, somatic, and functional complaints – as well as traditional psychological concerns such as depression, anxiety and patient defensiveness.
The information provided by the BBHI 2 test can help practitioners obtain a quick yet comprehensive overview of the patient to help in treatment planning and in determining whether the patient may need a more in-depth evaluation by a psychologist.
 Online Tutorial - quickly gain an understanding of how to use the BBHI 2 test to efficiently assess for pain, function, depression, and other biopsychosocial issues. Click here
|
The BBHI 2 test can be used in a wide variety of settings, including:
- As part of the initial evaluation
- Throughout the course of treatment to track patient progress
- Before and after:
Surgery
Diagnostic injections
Multidisciplinary pain program
Medication trials
Rehabilitation programs
Chiropractic adjustments
Physical therapy - To help medical evaluators provide reliable, objective information regarding:
Cases involving occupational and auto injuries
Social security and disability evaluations
Workers' compensation cases
The BBHI 2 assessment provides objective information and practical treatment strategies to physicians who treat patients in a variety of settings.
Taking only 7–10 minutes to administer, the BBHI 2 test:
- Provides a single instrument to help measure a variety of pain-related issues, including level of pain, functionality, and emotional distress.
- 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.
- Efficiently assess patients to develop appropriate treatment plans and determine whether further psychological evaluation is needed.
- Includes validity checks. The Defensiveness Scale can help detect tendencies to minimize or magnify distress, while the inclusion of a validity item helps detect random responding.
- Helps practitioners meet assessment guidelines proposed by organizations such as the Counsel for the Accreditation of Rehabilitation Facilities (CARF) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
Administer To | Individuals 18–65 years old |
| Reading Level | 6th grade |
Completion Time | 7–10 minutes (63 multiple-choice items) |
Formats | Paper-and-pencil, audiocassette, or computer administration |
Report Options | Standard or Extended |
Scoring Options | Q™ Local Software
Mail-in Scoring Service
Fax-in Service
PAD (Patient Assessment Device) Hand-held Electronic Device
|
Scales | 1 validity scale, 3 physical scales, 2 affective scales |
Pain Reference Groups: | Head Injury/Headache
Neck Injury
Upper Extremity Injury
Back Injury
Lower Extremity Injury
Fake Good
Fake Bad |
Norms | Census matched community sample, physical rehabilitation/pain patient sample |
Daniel Bruns, PsyD, and John Mark Disorbio, EdD, have collaborated on psychological test development since 1985. In addition to co-authoring the BBHI™ 2 test, they are also the authors of the BHI™ 2 (Battery for Health Improvement 2) test and the BHI™ (Battery for Health Improvement) test. Both live and practice in Colorado.
Daniel Bruns, PsyD
Daniel Bruns' practice, Health Psychology Associates, is affiliated with the Ramazzini Center, a multidisciplinary facility providing a range of rehabilitation services for injured patients. In his 20 years of clinical practice, Dr. Bruns has come to specialize in the psychological assessment and treatment of medical patients. As a result, he has taught graduate classes and workshops and has made numerous presentations to international, national, and regional professional societies on psychological testing, psychopathology, somatoform disorders, and the assessment and treatment of pain. As a member of three task forces for the Colorado Division of Workers' Compensation, (Psychiatric Disability, Chronic Pain, and Complex Regional Pain Syndrome), he helped to develop evidence-based guidelines to regulate the treatment of injured workers in Colorado. In the past, he has worked on the Chronic Illness Team at the Wellness Center of North Colorado Medical Center. He is also the webmaster of www.healthpsych.com. Dr. Bruns received his MA and PsyD degrees in counseling psychology from the University of Northern Colorado in Greeley.
John Mark Disorbio, EdD
Currently Dr. Disorbio works as a psychologist at Integrated Therapies, an interdisciplinary outpatient clinic for evaluating and treating patients with delayed recovery from chronic pain that he co-founded with Julia Copeland, PT, in 1985. In addition, he is a consultant to major companies throughout the U.S. and serves on the board of the National Pain Foundation. Having spent the majority of his educational and clinical career in the diagnosis and treatment of patients with psychological factors related to medical conditions, he is a frequent presenter at national and international conferences and has published research articles in numerous journals. An active member of the Biofeedback Society for 20 years, he also has extensive training in biofeedback and self-regulation techniques. Dr. Disorbio received his MA degree in counseling psychology from the University of Northern Colorado. He has been licensed as a psychologist in the state of Colorado since 1987.
Validity Scale
Physical Symptom Scales
- Somatic Complaints
- Pain Complaints
- Functional Complaints
Affective Scales
Character Scales
- Borderline
- Symptom Dependency
- Chronic Maladjustment
- Substance Abuse
- Perseverance
Psychosocial Scales
- Family Dysfunction
- Survivor of Violence
- Doctor Dissatisfaction
- Job Dissatisfaction
Normed on a community sample of 725 individuals and a sample of 527 physical rehabilitation and chronic pain patients. The report compares the patient to both norm groups and uses the average physical rehabilitation/pain patient as a benchmark for interpretations and recommendations.
To provide further context for assessing the patient's results, the BBHI 2 instrument also compares the patient, where appropriate, to 7 other reference groups in the reports:
- Head injury/Headache
- Neck injury
- Upper extremity injury
- Back injury
- Lower extremity injury
- Fake Good
- Fake Bad
These reports present concise narrative statements about the patient's responses, including a profile graph and Clinical Summary. There reports also feature Treatment Recommendations and a Patient Summary.
The Critical Items section highlights red flag indicators of clinical concerns:
- Suicide Ideation
- Pain Fixation
- Chemical Dependency
- Sleep Disorder
- Perceived Disability
- Compensation Focus
- Home Life Problems
- Satisfaction with Care
- Doctor Dissatisfaction
- Psychosis
- Vegetative Depression
- Anxiety/Panic
- PTSD/Dissociation
- Death Anxiety
- Random Responding
The Pain Complaint Item Responses capture your patient's 0–10 pain ratings, similar to a VAS scale and also compares the patient's reports to one of several possible reference groups.
The Extended Report includes amore in-depth Clinical Summary section, as well as Diagnostic Probabilities.
The Progress Report enables the clinician to monitor the patient's progress over time through repeat administrations.
View a sample Standard Report.
View a sample annotated Standard Report.
View a sample Progress Report.
Q™ Local Software - Enables you to score assessments, report results, and store and export data on your computer.
Mail-in Scoring Service - Specially designed answer sheets are mailed to us for processing within 24–48 hours of receipt and returned via regular mail.
Fax-in Service - Specially designed answer sheets are faxed to us for processing within 1-2 hours of receipt and returned via fax.
PAD (Patient Assessment Device) Hand-held Electronic Device - Administer the test on a portable, hand-held device. The PAD is placed on a docking station connected to a printer and a results report is printed immediately.
- Allows you to score the assessments at your site.