Why screening reports do not replace clinical assessment

Screening reports can be helpful, but they have clear limits. They are based on submitted information and questionnaire responses. They can organise patterns, highlight possible areas for follow-up and support communication with a health professional.

Clinical assessment is broader. A clinician considers the person's history, current symptoms, developmental context, functional impact, risks, mental health, physical health, medications, substance use and other possible explanations. They may also gather collateral information, use standardised tools and apply professional judgement.

What screening cannot do

• Confirm ADHD, autism, depression, anxiety or any other diagnosis
• Prescribe medication
• Provide a treatment plan
• Act as a crisis or emergency service
• Replace a psychiatrist, psychologist, GP or allied health assessment
• Provide a workplace, university, NDIS or disability capacity assessment

This distinction protects the person using the report and the professionals receiving it. A screening report can make the next appointment clearer, but it should not be treated as a clinical conclusion.

If symptoms are severe, escalating or urgent, seek medical care directly rather than relying on a screening report.