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21 Cards in this Set
- Front
- Back
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What should assessment procedures include? (4)
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1. A Clinical Interview
2. Mental Status Exam 3. Collateral Information 4. Psychological Testing |
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Clinical Interview (adults) (4)
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1. Presenting Problem
2. Personal hx (includes Psychiatric) 3. Family Background 4. Current Functioning |
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What does the Mental Status Exam provide?
(2) |
provides insight on:
1. Psychiatric functioning 2. Current Sxs |
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Where are the other places to get Collateral Information (6)
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FLEM TM
Input about the pt from: 1. Family Members 2. Mental Health Records 3. Medical Records 4. Legal Records 5. Employers 6. Teachers and related |
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Clinical Interview (children) consists of:
3 (abc) |
1. Hx from parents
a. presenting prob b. hx of present illness c. developmental hx 2. Interview of Child (better reporters of sujective anxiety) 3. Family Eval |
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An Adult Clinical Interview consists of:
(4) |
1. Hx of presenting problem (description, onset, intensity and duration, antecedents & consequences, previous treatments & efforts)
2. Personal Hx (childhood dev, academic perfomance, work hx social hx, intimate rel, med & psych hx, D&A hx, legal hx) 3. Family Background (cultural/religious, upbringing, family constellation, rel w/ parents, SES, & occupation) 4. Current Functioning (social rel, fam rel, work functioning, financial stability, spiritual, leisure) |
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MENTAL STATUS EXAM reviews the major systems of psych functioning which include:
(7) |
I MAGITS
1. Sensorium/orientation/consciousness (oriented to place/time/person) 2. General appearance and behavior (grooming, posture, expression, eye contact, speech, interation) 3. Mood and affect (M-dominant emotions. A-range, intesity, lability, appropriateness) 4. Attention, concentration, memory (A-ability to select[digit span], C-ability to maintain, M-recall) 5. Intellectual functioning 6. Insight and judgment 7. Thought content, process, and perception (e.g., delusions or suicidal ideation) |
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Name the Purposes (6) and most common instruments
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1. Personaliy Functioning (MMPI-2,MCMI-III)
2. Intelligence (WAIS-III, WISC-IV, Snaford-Binet, Raven's Progessive Matrices) 3. Achievement (WRAT3, WIAT) 4. Neuropsychological status (Wechler Memory Scale) 5. symptoms (SCL-90) 6. Functioning (BDI, BAI) |
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Types of instruments (2)
& Methods of assessment (2) |
Types:
1. Objective (scored test) 2. Subjective (rater judgment) Methods of assignment 1. Direct (self-report tools) 2. Indirect (projectives) |
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norm-referenced vs criterion-referenced scores
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1. norm ref - how does a person perform in reference to others
2. criterion ref - how much content has the person mastered |
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Validity
Reliability |
Does the test measure what it says it measures?
obtained scores differing true scores (error) |
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MMPI scoring & validity scales
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T-scores considered signif below 40 & above 65.
L=Lie scale (high=faking good; Low=frank and relaxed) F=infrequently endorse items (high =uncoventional thinking/dissatisfaction K=openness (high=guarded) |
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MMPI 10 clinical Scales
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1)HS = Hypochondriasis (immature, egocentric, pessimistic)
2)D = Depression 3)HY = Hysteria 4)PD = Psychopathic deviate (similar to oppositional defiant) 5)MF = Masculinity/Femininity 6)PA = Paranoia 7)PT = Psychasthenia (fears, anxieties OC,) w/ 2 good measure for distress 8)SC = Schizophrenia (alienation, delusions) 9)MA = Hypomania 10)SI = Social Introversion (lack confidence, limited social skills) |
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Who is the WAIS appropriate for?
What three scores does it calculate? What are the four factor indices that it caluculates? What is the mean and SD? What is the mean and SD of subtests? |
Intelligence Scale
- 16 to 89 years of age - VIQ (verbal-crystallized), PIQ (Performance-fluid), and FSIQ (full scale - overall iq) - Verbal Comprehension, Perceptual Org, Working Memory, Processing Speed - Mean is 100 and SD is 15 - Subtests mean is 10 and SD is 3 note: edu, culture & SES affect VIQ. D&A & schizo affect PIQ |
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MCMI-III
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self-report measure of personality- scales parallel DSM
Use only on people w/ disturbances in the mid-range |
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Who is the WISC-IV appropriate for and name the scale and indexes?
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-6-0 to 16-11
-FSIQ (full scale iq) -VCI (Verbal comprehension index- crystallized - similarities,vocab & comprehension) -PRI (Perceptual Reasoning - fluid - block dsign, picture concepts, matrix reasoning) -WMI (Working Memory - digit span, letter-number sequencing) -PSI - Processing Speed - coding symbol search |
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What sociocultural and psychological factors can affect VIQ and PIQ?
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People who are higher SES and highly educated have higher VIQ than PIQ
People who are lower SES show the reverse pattern Verbal subtests are culturally loaded and affect ESL individuals Performance subtests are not good for people with poor motor functioning |
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Should feedback for an assessment include a diagnosis?
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-unless contraindicated
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What does the term prevalence in epidemiology mean?
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specific condition observed at a point in time (i.e. 1 year or lifetime prevalence)
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1 year prevalence for mental disorders in adults
-Percentage of mental d.o.? -Percentage of addiction alone and addiction with comorbidity? -Percentage with a serious mental illness? What part of that has a severe and persistent? |
20-25% (about one in five had a mental d.o. during a year)
6% - have an addiction alone 3% - mental and addiction 5.4% = have a serious mental illness with half having a severe and persistent 16% - anxiety d.o. |
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1 year prevalence for mental disorders for children
- what is the percentage for mental d.o. -Percentage with a serious mental disturbance? |
- about 20%
- 5 - 9% -not as well documented |
