CEST Assessment Tools

Coming Soon within the KipuEMR!

The TCU CEST Assessment Tools
for Evidence-Based Effectiveness.

By the Institute of Behavioral Research at Texas Christian University ​

The TCU CEST family of assessments consists of 4 self-report instruments for monitoring client needs and progress. They include: ​

  1. Treatment motivation scales
  2. Psychological functioning scales
  3. Social functioning scales
  4. Clinical engagement scales

Designed to be administered throughout treatment to inform planning of services and gauge client changes over time. ​


  1. TCU Treatment Needs and Motivation (TCU MOTForm)
    Includes 36 items from 5 scales representing Problem Recognition, Desire for Help, Treatment Readiness, Treatment Needs Index, and Pressures for Treatment Index.

  2. TCU Psychological Functioning (TCU PSYForm)
    Includes 33 items from 5 scales representing Depression, Anxiety, Self-Esteem, Decision Making, and Expectancy.

  3. TCU Social Functioning (TCU SOCForm)
    Includes 36 items from 4 scales representing Hostility, Risk-Taking, Social Support, and Social Desirability.

  4. TCU Treatment Engagement (TCU ENGForm)
    Includes 36 items from 4 scales representing Treatment Participation, Treatment Satisfaction, Counseling Rapport, and Peer Support. ​

CEST's Measurement Tools. TCU's CEST assessments provide measurement tools for monitoring client needs and functioning that are essential for evidence-based care planning. Recent adaptations using “automated data capture” technology enhance their clinical utility. These revised forms are comprehensive—focused on clients as well as staff training workshops and organizational dynamics—and offer the highest flexibility possible for customizing assessment systems. CEST is a time-tested, respected set of assessments to improve outcomes.  ​

About The IBR

The Institute of Behavioral Research (IBR) was established in 1962 by Saul B. Sells to conduct research on personality structure, personnel selection, social interactions, and organizational functioning. This work included pioneering research using first-generation computers for integrating personality theories through large-scale factor analysis, development of performance-based criterion selection strategies for airline pilots, and formulation of personal distance needs for humans during long-duration space missions. ​

In 1968, the IBR was invited to develop and conduct the first federally-funded national evaluation of the newly formed community-based system for treating heroin addiction in the U.S. This work helped define methodological standards for addiction treatment process and follow-up outcome studies in natural field settings, and the IBR has participated in all three major national treatment effectiveness studies funded by the National Institutes of Health. Conceptual frameworks emerging from this research for evaluating treatment dynamics, outcomes, and change—both at the individual client and organizational functioning levels—have yielded assessment and intervention resources as well as implementation strategies now being used internationally. ​

The IBR Mission

To evaluate and improve the effectiveness of programs for reducing drug abuse and related mental health as well as social problems. For many years, research staff at the IBR have given special attention to addictions and the evaluation of cognitive and behavioral interventions provided by community-based programs. Emphasis has been on the use of natural designs for studies in real-world settings and the use of advanced multivariate methodologies. Research interests in recent years have broadened to include related areas of significant public concern—especially addiction treatments for criminal justice populations, and adolescents, as well as the spread of HIV and related infections among drug users. Other major areas of interest include organizational functioning and process research for improving field-based implementation strategies of science-based innovations.