Millon® Adolescent Clinical Inventory
Overview: Designed specifically for teenagers, the MACI helps identify early signs of Axis I and Axis II disorders in adolescents.
Reading Level: 6th Grade
Other Languages: Spanish
Administration: Paper-and-pencil, CD, computer, or online administration
Completion Time: 20-25 minutes (160 true/false items)
Scoring Options: Q-global™ web based, Q Local™ Software, Manual Scoring, or Mail-in Scoring
Interpretive and Profile Reports
Publication Date: 1993
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 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 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
- 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 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 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.
The MACI 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.
Scale X - Disclosure
Scale Y - Desirability
Scale Z - Debasement
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
A - Identity Diffusion
B - Self-Devaluation
C - Body Disapproval
D - Sexual Discomfort
E - Peer Insecurity
F - Social Insensitivity
G - Family Discord
H - Childhood Abuse
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
The normative population of the MACI 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
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.
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.
Scoring and/or Reporting Options
Q-global™ Web-based Administration, Scoring, and Reporting – Enables you to quickly assess and efficiently organize examinee information, generate scores, and produce accurate comprehensive reports all via the Web.
Q Local™ Scoring and Reporting Desktop 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 Pearson for processing within 24–48 hours of receipt; results returned via regular mail.
Frequently asked questions follow. Click on a question to see the response.
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.
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.