Reports & Outcomes

Assessment Report Recommendations: What I Learned About the Ones That Get Used

· By Ian Vardy, CEO, Soma Health

The recommendations section is the part of an assessment report readers act on — and the psychologists I talk to say it's the part most often skimmed when it's generic. Here's what clinicians, and the teachers who read their reports, taught me about which recommendations actually get used.

Every psychologist I've talked to describes the same quiet irony: they pour hours into a rigorous assessment report, and the one section a teacher or parent will actually act on — the recommendations — is the one that most often gets skimmed. From those conversations, and from what the people who read these reports say they need, a clear pattern keeps surfacing: the recommendations that get used are specific, traceable to a finding, ranked by priority, and concrete enough to start on Monday morning.

I'm not a clinician, and I'd never tell a psychologist how to practice. What I can do is listen — I've spent the past year talking with the people who write these reports and the referrers who read them — and pass along what they told me about why the most important section so often gets lost.

An open notebook with handwriting beside a fountain pen

The recommendations are the part a reader takes away and acts on — which is why the psychologists I spoke with wish they didn't arrive at the tired end of the write-up.

Why do assessment report recommendations get ignored?

The clinicians I've spoken with had a theory, and the research backs them up: mostly, it's because generic recommendations are too vague to use. A 2023 study on the generic nature of recommendations in psychoeducational reports found that recommendations often lack practical guidance on how they'd actually be carried out in a classroom — and that teachers strongly prefer specific, detailed suggestions, and are far more likely to implement academic ones than vaguer behavioural ones.

The frustration runs deeper than length. A qualitative study of teachers' experiences with the assessment process captured it in a phrase teachers themselves used: "don't do more, do different." And a 2026 scoping review of school-based report-writing practices concluded that, despite decades of research on what to include, the real-world usefulness of assessment reports is still limited — readers struggle to turn them into action.

So the psychologists aren't leaving recommendations out. The people I talked to were clear: the recommendations are there — they're just written in a way that reads as advice a teacher already knows.

What do the readers say makes a recommendation land?

When I asked around, the same four things came up — from the psychologists who write them and the teachers who use them:

  • Specific. "Provide extended time on written tasks, up to 50% more" lands where "consider accommodations" doesn't. Name the thing, the setting, and the amount.
  • Traceable to a finding. Readers told me they trust a recommendation more when they can see the result it grew from.
  • Prioritized. A ranked list of five that flags the two that matter most gets acted on. An unranked list of twenty gets shelved.
  • Doable now. Written so the reader knows who does what, and could start this week without a translation step.

The through-line I heard: fewer, sharper recommendations beat a comprehensive dump. Not my opinion — theirs.

How do the strongest reports tie a recommendation to a finding?

The psychologists whose reports get praised tend to make the link visible. If the assessment surfaced a specific weakness, the recommendation that addresses it points back to that result — so a reader can follow the thread from evidence to suggestion. They told me it does double duty: it makes the recommendation more useful and more defensible, because it now reads as a conclusion the report earned rather than a boilerplate line.

It's the same discipline I've heard described around turning raw scores into a narrative and around what makes a report defensible: every claim followable back to its evidence. Recommendations are just where that discipline pays off in the real world, because they're the part someone picks up and runs with.

Two professionals reviewing a clipboard together

A recommendation only counts once a teacher or parent can act on it — the readers I spoke with were unanimous on that.

What do teachers and parents say they need from a recommendation?

The people holding the report at 8 a.m. were the most direct of anyone I talked to. What they asked for, again and again:

  • Cut the jargon. If a classroom teacher can't act on it without a glossary, it doesn't get used.
  • Say who does what. A recommendation with a clear owner moves; one addressed to no one stalls.
  • Anchor it to a setting. "During independent reading" or "for multi-step math" tells them exactly where it applies.
  • Keep the list short and ranked. Depth on the top few beats a shallow twenty.

I've collected more of what these referrers say in the questions referrers ask of assessment reports — they have strong, useful opinions, and they're worth listening to.

Does saving time on the write-up make the recommendations better?

I think it can, indirectly — and here's the honest version of why. The psychologists I talk to say the recommendations deserve their sharpest thinking, but they usually arrive at hour twelve of a write-up, when everything is already overdue. School psychologists in particular are stretched thin: the National Association of School Psychologists recommends one school psychologist for every 500 students, while the current US ratio sits around 1,071 to 1. And a survey of health-service psychologists found most reported working "at full capacity" (41%) or "over-extended" (39%), with non-billable clinical activities among the top sources of stress.

None of that is a knock on the work — it's the reason the last section so often gets the tired paragraph. Software can't and shouldn't write anyone's recommendations; that judgment belongs to the person who interpreted the findings. What it can do is take the mechanical weight off the rest of the report — the retyping, the reformatting, the blank page — so the recommendations arrive with something left in the tank. That's the idea behind what we're building at Soma: a first draft in your structure that you review, edit, and finalize.

I'm grateful to the psychologists and teachers who've told me, plainly, what makes a recommendation useful. I'll never write one myself — but the more clearly I understand which section carries the real-world weight, the better we can protect the hours it deserves.

— Ian

Ian Vardy
Ian Vardy
Founder & CEO, Soma Health

Ian is building Soma — AI tools that give clinicians their time back by drafting documentation, so therapists and psychologists can focus on their clients. He writes about clinical reporting, AI, and running a clinician-first software company.

See how Soma drafts reports →