Counselor's right to utilize assessment, appraisal, and tests, and diagnose has substantive implications for professional counseling, counselor education, the provision of evidence-based practice, and supporting client development across the life span. We identified documents detailing licensure rules and regulations for counselors’ use of these clinical tools within the contiguous United States, Washington, DC, Alaska, Hawaii, and inhabited U.S. territories. Proportion comparisons over time, Fisher's exact test, and related effect sizes were computed to identify changes over time, as well as trends associated with regional professional association. Our results indicated increased representation over time of privileges allowing for the use of assessment, appraisal, and tests, and diagnosis within counselors’ scope of practice and educational requirements, but modest representation of normal assessment use and allowable/nonallowable assessments and tests. Furthermore, we identified statistically significant differences in the regional representativeness of diagnostic privileges. Implications for counselor education and individual and association-level advocacy are discussed.

中文翻译：

---

咨询师随时间推移进行测试的权利的比较分析：对咨询行业倡导的影响

咨询师使用评估、鉴定、测试和诊断的权利对于专业咨询、咨询师教育、提供循证实践以及支持客户整个生命周期的发展具有实质性影响。我们确定了详细说明辅导员在美国本土、华盛顿特区、阿拉斯加、夏威夷和美国有人居住领土内使用这些临床工具的许可规则和规定的文件。计算随时间的比例比较、费舍尔精确检验和相关效应大小，以确定随时间的变化以及与区域专业协会相关的趋势。我们的结果表明，随着时间的推移，允许在辅导员的实践和教育要求范围内使用评估、评价、测试和诊断的特权代表性有所增加，但正常评估使用和允许/不允许的评估和测试的代表性则适度。此外，我们发现诊断特权的区域代表性存在统计上的显着差异。讨论了对辅导员教育以及个人和协会层面宣传的影响。