Question: How can I respond to this academically? (Part 1)- I appreciated your point about balancing accessibility with evidence-based assessment, especially in rural settings where funding pressures and clinician burnout are real concerns. Hays (2024) discusses how modifying tools without examining their reliability, validity, and standardisation risks introducing measurement error and weakening clinical decision-making. This aligns with the CCPA Standards of Practice, which require counsellors to use assessments with well-established psychometric foundations and to avoid instruments lacking evidence for ethical and professional reasons (Canadian Counselling and Psychotherapy Association [CCPA], 2021, p. 37). When clients feel frustrated, we should pivot our approach. As Hays (2024) notes, test engagement improves when clients understand why a tool is used and how results guide treatment. This is important when working in rural contexts, where rapport and trust are necessary. Grenon et al. (2025) supports this point as rural clients benefit most when assessment processes are collaborative, culturally relevant, and are paired with clear guidance. Tools like the DASS-21, particularly when administered flexibly or digitally, can still meet these needs while preserving psychometric strength. If the team chooses a modified questionnaire, what would they need to do to ensure they are following our ethical standards? Need Assignment Help?