Millon™ Adolescent Clinical Inventory (MACI™)

New Grossman Facet Scales zero in on critical issues.

Unlike many other instruments developed for adults and adapted for adolescents, the MACI assessment was specifically created to address the unique concerns, pressures and situations facing teens. This dedicated tool, recently enhanced by the addition of Grossman Facet Scales, helps assess personality patterns as well as self-reported concerns and clinical symptoms. Brief and easy to administer, the MACI test can assist practitioners in constructing treatment plans customized to individual needs and help them guide troubled youth toward healthier, more authentic lives.

How to Use This Test

The MACI test is well-suited for use in all teen treatment settings, including outpatient, inpatient, day treatment and residential treatment programs. Psychologists, psychiatrists, school psychologists, juvenile justice professionals and other mental health professionals find this versatile instrument essential in helping to:

• Conduct detailed evaluations to confirm diagnostic hypotheses
• Create individualized treatment plans
• Measure progress before, during and after treatment

Key Features

• To help you formulate more precise treatment plans, the new Grossman Facet Scales identify personality processes (e.g., self-image, mood temperament) that underlie overall scale elevations on the Personality Pattern scales. Each personality scale now has three facet scales, for which results are presented in the automated reports.
• Using an age-appropriate format, the MACI test helps measure a number of factors closely associated with adolescents, including Sexual Discomfort, Substance Abuse Proneness, Suicidal Tendency and Eating Dysfunctions.
• Taking 30 minutes or less to complete, the MACI test is designed to obtain the maximum amount of information with a minimal amount of the test-taker's effort--a feature that mental health professionals have found especially helpful in working with adolescents.

Quick Facts

About the Authors

Theodore Millon, PhD, DSc, was Founding Editor of the Journal of Personality Disorders and Inaugural President of the International Society for the Study of Personality Disorders.  He has held Full Professorial appointments at Harvard Medical School, the University of Illinois, and the University of Miami . Among his professional activities, he is the primary developer of the Millon inventories. A prolific author, Professor Millon has written or edited more than thirty books, including Disorders of Personality, soon to be published in its third edition, and the just published Personalized Clinical Assessment: A Clinician's Guide to the Millon Inventories. APA and APF have established the Theodore Millon Award for Mid-Career distinguished scholars in personality psychology. With the support of colleagues and Pearson, Professor Millon serves as Dean and Scientific Director of the Institute for Advanced Studies in Personology and Psychopathology.

Seth Grossman, PsyD, is a research coordinator and practicing psychologist at Florida International University's Counseling and Psychological Services Center, and Senior Consultant of Instructional Programs for the Institute for Advanced Studies in Personology and Psychopathology. His doctoral dissertation laid the groundwork for the theoretically anchored and contextually integrated 'Grossman Facet Scales' of the MCMI-III. Dr. Grossman has co-authored over 30 journal articles, book chapters, instruments, and textbooks over the past eight years, and is now frequently lecturing and conducting training workshops on personality assessment and intervention, both nationally and internationally. He recently co-authored an expansion and reworking of Dr. Millon's therapy model that is reflected in a new three-volume series on "Personalized Therapy" published by Wiley.

Scales

The MACI test contains 27 scales in three clinically relevant categories along with modifying indices that help identify test-taking attitudes as well as confused or random responding.

Modifying Indices
Scale X - Disclosure
Scale Y - Desirability
Scale Z - Debasement

Personality Patterns
1 - Introversive
2A - Inhibited
2B - Doleful
3 - Submissive
4 - Dramatizing
5 - Egotistic
6A - Unruly
6B - Forceful
7 - Conforming
8A - Oppositional
8B - Self-Demeaning
9 - Borderline Tendency

Expressed Concerns
A - Identity Diffusion
B - Self-Devaluation
C - Body Disapproval
D - Sexual Discomfort
E - Peer Insecurity
F - Social Insensitivity
G - Family Discord
H - Childhood Abuse

Clinical Syndromes
AA - Eating Dysfunctions
BB - Substance Abuse Proneness
CC - Delinquent Predisposition
DD - Impulsive Propensity
EE - Anxious Feelings
FF - Depressive Affect
GG - Suicidal Tendency

Personality Patterns and Corresponding Grossman Facet Scales

Scale 1 Introversive
Scale 1.1 Expressively Impassive
Scale 1.2 Temperamentally Apathetic
Scale 1.3 Interpersonally Unengaged

Scale 2A Inhibited
Scale 2A.1 Expressively Fretful
Scale 2A.2 Interpersonally Aversive
Scale 2A.3 Alienated Self-Image

Scale 2B Doleful
Scale 2B.1 Temperamentally Woeful
Scale 2B.2 Expressively Disconsolate
Scale 2B.3 Cognitively Pessimistic

Scale 3 Submissive
Scale 3.1 Interpersonally Docile
Scale 3.2 Temperamentally Pacific
Scale 3.3 Expressively Incompetent

Scale 4 Dramatizing
Scale 4.1 Interpersonally Attention-Seeking
Scale 4.2 Gregarious Self-Image
Scale 4.3 Cognitively Flighty

Scale 5 Egotistic
Scale 5.1 Admirable Self-Image
Scale 5.2 Cognitively Expansive
Scale 5.3 Interpersonally Exploitive

Scale 6A Unruly
Scale 6A.1 Expressively Impulsive
Scale 6A.2 Acting-Out Mechanism
Scale 6A.3 Interpersonally Irresponsible

Scale 6B Forceful
Scale 6B.1 Interpersonally Abrasive
Scale 6B.2 Expressively Precipitate
Scale 6B.3 Isolation Mechanism

Scale 7 Conforming
Scale 7.1 Expressively Disciplined
Scale 7.2 Interpersonally Respectful
Scale 7.3 Conscientious Self-Image

Scale 8A Oppositional
Scale 8A.1 Discontented Self-Image
Scale 8A.2 Expressively Resentful
Scale 8A.3 Interpersonally Contrary

Scale 8B Self-Demeaning
Scale 8B.1 Cognitively Diffident
Scale 8B.2 Undeserving Self-Image
Scale 8B.3 Temperamentally Dysphoric

Scale 9 Borderline Tendency
Scale 9.1 Temperamentally Labile
Scale 9.2 Cognitively Capricious
Scale 9.3 Uncertain Self-Image

Norms

The normative population of the MACI test consists exclusively of clinical adolescent patients, offering relevant comparisons. The sample includes 1,017 adolescents from outpatient, inpatient and residential treatment programs in 28 states and Canada. The delineation of four distinct norm groups further enhances the test's usefulness:

• Males 13–15 years old
• Females 13–15 years old
• Males 16–19 years old
• Females 16–19 years old

Report Options

Profile Report (Product Number 51486)
Provides base rate scores for all 27 scales and three modifying indices in an easy-to-read graph. This convenient report can help quickly identify clients who may require more intensive evaluation.

View a sample Profile Report.

Interpretive Report (Product Number 51485)
Based on individual test results, this report provides an in-depth analysis that brings critical concerns to light and includes treatment strategies specifically developed to address teen-related issues. In addition, diagnostic recommendations are aligned with DSM-IV classifications, helping to ensure the test's clinical utility and facilitate communication among practitioners. The report also includes a profile of base rate scores for the scales.

View a sample Interpretive Report.

Scoring Options

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.

Hand Scoring - Administer assessments on answer sheets and score them quickly yourself with an answer key.

- Allows you to score the assessments at your site.

Common Questions and Answers

Is the MACI test appropriate for use with normal individuals?
The normative sample consisted only of clinical patients. For normal personality assessment, the MAPI test should be used.

Will recording the wrong sex make a difference on the profile?
Yes. The MACI test has separate male and female norms.

Will recording the wrong birth date make a difference on the profile?
Yes. There are two age ranges in the normative group, 13-15 and 16-18. Each age range has its own set of male and female norms. If the client's age falls outside of the appropriate age range, the program will default to the norms for the age group that is closest to the client's recorded age (birth date).

Can the MACI test be invalid even if there are less than 10 omissions?
Yes. Check to see if the two validity items (114 and 126) are answered True. If this is the case, then the assessment is considered invalid regardless of the number of omitted responses.

Why is the MACI test invalid if the scores on Scales 1-8B are all less than 60 BR?
In this case, no clear personality pattern has emerged from the assessment data and therefore no interpretation can be made.

What are base rate scores?
Base rate scores are a kind of standardized score that differs from standardized scores that are reported for most personality and clinical inventories (e.g., T scores). Instead of standardizing all scales in the inventory to the same mean and standard deviation (e.g., a mean of 50 and standard deviation of 10) in the inventory's normative sample, base rate scores are scaled to reflect the differing prevalence rates of the characteristics measured by the inventory. Base rate scores are unique to the Millon inventories. See the MACI manual for a more complete description of the rationale and implementation of base rate scores.

What is the purpose of the Grossman facet scales?
The facet scales help pinpoint the specific personality processes (e.g., self-image, interpersonal relations) that underlie elevations on the Personality Patterns scales, thereby aiding in their interpretation. For each of these primary scales, three scales measuring 'facets' specified by Millon's theory as prominent structural or functional features of that personality pattern are reported. Thus, there are 36 facet scales tied to the 12 Personality Patterns scales.

How are Grossman facet scale results reported?
The profile report includes a graph of the most salient facet scale scores and a table of all 36 facet scale scores. The interpretive report includes the graph, the table, and a section with interpretive text about the scales. Printing facet scale results is optional for both reports.

What are the main differences between the MAPI and the MACI tests?
The MACI test was specifically designed to evaluate adolescents with clinical symptoms, and the normative population consists of adolescents in a variety of clinical settings. The MAPI test was designed to identify adolescent personality characteristics and was normed primarily on individuals in settings where clinical problems were not assumed.

The MACI test was published after the MAPI and is correlated with the more-recent version of the DSM, the DSM-IV®. The MAPI test is correlated with the DSM-III-R™.

The MACI test includes Clinical Syndromes scales. The MAPI test includes a Behavioral Correlates section.

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