CUSTODY EVALUATIONS CONDUCTED AT P.B.S. MENTAL HEALTH ASSOCIATES, P.C.
Outlined below are the main policies and procedures that affect the conduct of
custody evaluations at PBS Mental Health Associates. Please note that we no longer perform these evaluations on a routine basis. If you have been ordered by the Court to undergo an evaluation
with us, we encourage you to review this document in its entirety and to ask any questions you may have about it,
either before or at the time of your first session. You can print a copy of this document by clicking here. Each adult has an individual appointment. During this
appointment Dr. Koffmann will go over more information about the custody evaluation process and will then ask questions
about personal history, current medical and psychological problems, and the children at issue in the dispute, as well as to
offer each adult the opportunity to propose a solution to the dispute, based on the best interests of the
children. Among the adults who meet individually with Dr. Koffmann will be each parent, any other adult residing in
either parent's household, and any serious romantic partner of either parent. One parent—and all of the adults
connected with him/her—will be seen at one time, while the other parent—and all of the adults connected with
him/her—will be seen at another time. If you have a history of significant medical or mental health
treatment, Dr. Koffmann may request your permission to contact previous treatment providers and to review your treatment
records. Parents are asked not to bring any children to this initial session. Every adult seen by Dr. Koffmann also completes a psychological
inventory, which is called the Minnesota Multiphasic Personality Inventory—2 (MMPI-2). This is a true-false test
that measures a number of personality variables, and most people need between 1¼ and 1½ hours to complete
it. The MMPI-2 is not a hard test—it's just long. We generally prefer that you complete the MMPI-2 on the
day of your individual interview, but it's all right to do it on another day, as long as it is completed before the family
session. Unfortunately, we must have you complete this measure in our office and cannot accept it if it has been
filled out elsewhere. After all of the meetings have been completed, Dr. Koffmann will
write a report. This report is almost always more than 20 pages long and includes the content of each session, as
well as to offer a brief interpretation of the MMPI-2 results. At the end of the report Dr. Koffmann will make some
recommendations about how to resolve the dispute. Our office will send this report to the Court, which will in turn
send copies to the attorneys for both sides. In most jurisdictions your attorney will then go over the report with
you in as much detail as you desire.
By way of brief summary, we begin with some comments about the purpose of custody
evaluations. We explain who does the evaluations and then comment on why
the procedure is so carefully scripted. We answer questions about whether your attorney sits in on the
sessions and if a recording made, after which we discuss how evaluators differ from
therapists. We then note that you may not request an evaluation on your own, and we explain
what we mean by the term "parent". In the section describing the sequence of sessions, we note
that it is unlikely you will see the other party in our office. We go on to explain what
happens in the first meeting with the evaluator and also make a few comments about the MMPI-2 test. We discuss the family session and then describe what happens
in the last session with the evaluator. We end this section with a description of the
evaluator's report. In order to make this all more concrete, we then offer an
example of a "typical" evaluation schedule. Following a few words about custody
re-evaluations, we detail our fee schedule and then note that health insurance
doesn't generally pay for custody evaluations. This is followed by a section in which we describe our policy
regarding cancellations and missed appointments. A very important section follows, in
which we explain why there is no confidentiality in the evaluation process. Because
custody disputes sometimes go on to a full hearing in court, we make several comments about how to arrange for the evaluator's testimony in court, after which we detail the associated charges for
court testimony. We end with information about whom to contact if you have further
questions.
Introductory comments. The purpose of a custody evaluation is to gather
information that may be helpful to the parents and to the Court in making a sensible decision about how to allocate the
time that each parent spends with the children. Children's custody is a very important matter, and the Court often
wishes to have an outside expert evaluate the family and offer some advice on how to proceed. Of course, we hope that
the parents will use the expert's report as the basis for a negotiated agreement before the case proceeds to a full hearing
in court. Such agreements between the parents almost always benefit the children more than any arrangement imposed by
the Court.
PBS Mental Health Associates has provided custody evaluations upon referral from
local courts since 1992, and our psychologist, Andrew Koffmann, PhD, has undertaken such evaluations since 1980.
In our practice we strive to follow a procedure that is consistent
across cases, as we believe that this helps us to treat each side in a fair and impartial manner. However, we
recognize that custody evaluations can be extraordinarily stressful for families, and we will do our best to accommodate
specific needs and requests, as long as this does not—either in fact or by appearance—jeopardize the fairness
of the evaluation. As you read through the material below, you will notice that we have established rather precise
and detailed rules for the conduct of custody evaluations. You may also notice that many of these rules are not the
same as those that we follow in this practice when we provide treatment services for our patients. We apologize for
this disparity. However, we trust you will understand that we are obliged to follow different rules for custody
evaluations, in comparison to treatment, because these activities differ significantly from one another. When we
operate in a legal environment, we must become, well, legalistic.
The custody evaluator has the task of insuring that the evaluation is equitable and comprehensive, but it
is also important that an environment be established in which the evaluator, parents, and children can speak comfortably
and honestly about the situation at hand. Therefore, we attempt to minimize distractions and to limit formality to the
smallest amount necessary to insure the integrity of the process. Obviously, this means that the attorneys may not be
present in any evaluation session, nor do we make videotapes or audio recordings of the sessions. Finally, we do not
permit individuals who are not part of the evaluation to sit in on any session.
In order for custody evaluators to function in a fair and helpful manner, it is important that they not
also act as therapists in the same case, because at some level therapists always advocate for their patients. Thus,
if an evaluator has previously served as a parent's or the children's therapist, this is likely to lead to a conflict of
interest. It is therefore our policy that the custody evaluator may never have served as therapist for either the
parents or the children in the dispute. Moreover, during the course of the evaluation the custody evaluator should
not offer substantive advice, as this may blur the line between evaluator and therapist.
Because we feel strongly about remaining impartial in custody evaluations, we do not undertake these
evaluations upon the direct request of one or both parties. Instead, we require a court order before beginning the
evaluation process.
A final general comment has to do with terminology. Most of the time the parties to a custody dispute
are the children's mother and father. However, sometimes the dispute is between one parent and other relatives or
between individuals who may not even be related to the children. For the sake of simplicity, in this document we refer
to the custody litigants as "parents," even though they might not actually be the parents of the children at
issue. When the Court refers us someone who is not the parent in a custody dispute, it is our policy that this person
be treated in exactly the same way as if he or she were the children's biological parent.
Outline of sessions. In this section we describe the session sequence in a typical
custody evaluation. We will make every effort to schedule parents in such a way that they do not run into one another
at our office, but on very rare occasions such chance meetings may occur.
Example. John and Mary are the divorced parents of two children, Nicole and
Jason. Following the divorce, Mary marries Alex, who has custody of his son, Billy. For this family, the
evaluation schedule is shown below. Also shown below is the payment due at each session, assuming that each
side pays only his or her own charges. Our fee schedule is explained in a later section.
| DATE | ACTIVITY | PAYMENT | |
| June 1 | Individual session and MMPI-2 for John | $ | 543.75 |
| June 8 | Individual sessions and MMPI-2s for Mary and Alex | 660.00 | |
| June 15 | Family session for Mary, Alex, Nicole, Jason, and Billy | 660.00 | |
| June 22 | Family session for John, Nicole, and Jason | 543.75 | |
| June 29 | Final session for John | -0- | |
| July 6 | Final session for Mary | -0- | |
| July 27 | Report sent to the Court | -0- | |
| Each parent's individual appointment | $ | 315.00 |
| Each additional adult appointment | 157.50 | |
| Each family session | 315.00 | |
| Each final session | 157.50 | |
| Each MMPI-2 (psychological test) | 75.00 | |
| Report generation fee (may be split between parents) | 450.00 | |
Some individuals referred for evaluation by the Butler County Court may be eligible
for reduced fees. However, this is a determination made by the Court and will be explicitly mentioned in the court
order.
For custody re-evaluations the following fee schedule applies:
| First two hours of re-evaluation session | $ | 315.00 |
| Each additional hour of re-evaluation session | 105.00 | |
| Each MMPI-2 (psychological test) | 75.00 | |
| Report generation fee (may be split between parents) | 300.00 | |
The charges for custody evaluations are virtually never covered by
health insurance. Of course, you are free to ask your insurance carrier to reimburse you for our fees, and we will
be happy to provide you with an itemized receipt for this purpose. However, regardless of health insurance coverage
we ask that you adhere to the payment schedule that was established at the time your appointments were
scheduled. Please be sure to bring the correct payment amount to each session. For your convenience, our
office accepts major credit cards. Unfortunately, Dr. Koffmann cannot meet with you if you fail to make a payment on
the established schedule. Please make sure that your attorney contacts our office at least two
months prior to the scheduled hearing date to determine whether Dr. Koffmann will be available to testify at that
time. On several occasions in the past judges have declined to reschedule a hearing when the requesting party failed
to give reasonable notice that Dr. Koffmann would be unavailable to testify. We generally ask for a retainer of $1000 for court testimony. This fee is
the responsibility of the party that requests Dr. Koffmann's testimony, and it must be paid in full at least two weeks prior
to the scheduled hearing date. If after the hearing we determine that your retainer has not been used up, we will
refund any unused portion. If there are additional charges (for example, because the hearing lasts longer
than anticipated), we will send you a bill for the residual amount. We are unable to confirm Dr. Koffmann's
availability to testify in court until the full retainer is received in our office. If the retainer is not received in
our office at least two weeks prior to the scheduled hearing date, it is very unlikely that Dr. Koffmann will be able to
testify at all. We want to let you know that Dr. Koffmann is available to meet with either
attorney prior to the hearing, as noted below in the schedule of charges.
Cancellations and missed appointments. Almost all court orders require that
custody evaluations be completed within 90 days of the first appointment. In order to meet this directive, we ask for
your full cooperation in the scheduling process, as well as to ask that you keep your scheduled appointments and that you
make required payments on time.
If you need to change a scheduled appointment, please make sure to do so within the first week after the telephone
call in which you agreed upon the schedule. If you need to cancel an appointment after this one-week grace period,
you will be responsible to pay a 25% service fee for all pending appointments on both sides that need to be
rescheduled. In any event, we ask that you give us at least 24 hours' notice of any cancelled appointment. If
you must cancel an appointment less than 24 hours prior to the scheduled time, we will be obliged to charge the
full fee for that missed appointment, in addition to the 25% service charge for all subsequent appointments that
have to be rescheduled. As well, if you arrive at an appointment without the required fee or all the persons who
were scheduled to participate in the session, you will not be seen on that day. We will treat this as a missed
appointment, and the charges noted above will be imposed. As you may imagine, we are obliged to keep the Court abreast
of the progress of your evaluation, and we have to let the Court know of any appointment changes as they are made.
No confidentiality. In general, when you speak with a mental health
professional, the content of your discussion remains private, but this is not the case for custody
evaluations! Because your custody evaluation was ordered by the Court, Dr. Koffmann is unable to keep private
anything you tell him in connection with the case. Virtually everything you say to Dr. Koffmann will be divulged to
the Court and to certain other parties, such as the parents' attorneys. As Dr. Koffmann will explain during your
first meeting with him, confidentiality will not apply over the course of this evaluation. The report sent to the
Court will contain most or all of the relevant information that the parties have provided, either orally during meetings
with Dr. Koffmann or in any other form, including written communications, medical records, and the like.
Court testimony. The majority of custody disputes settle before a full court hearing
becomes necessary. In the minority of cases that are not resolved between the parties, one of the parties may wish
to ask Dr. Koffmann to testify as a witness at the hearing. This is generally not a problem, but we want to make you
aware of several points.
| Normal preparation fee | $ | 210.00 |
| One hour meeting with an attorney | 105.00 | |
| Testimony in court, per hour | 315.00 | |
| Testimony in a deposition, per hour | 210.00 | |
| Waiting time before or during testimony, per hour | 105.00 | |
Concerns or complaints. We recognize that these
evaluations often cause people to feel very uncomfortable, and we want you to know that we will do what we can to make this
difficult experience as easy as possible for you. If you have any questions at all about the process, time frames, the
nature of the final report, or any other matter, please feel free to ask Dr. Koffmann or the administrative staff person in
our practice who handles your scheduling. As well, if you are unhappy about our custody evaluation procedure or
believe that you have not been treated fairly, please speak with Dr. Koffmann or the administrative staff person. If
we cannot resolve any conflicts, you are of course free to speak with the Court about the matter.
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