PA WEEK 2: Clinical Assess 1

Pregunta	Respuesta
Explain what 5 things clinical assessment achieves	- a diagnosis (or rules one out) - get baseline data on severity/frequency of symptoms - evaluates progress - evaluates treatment - detects any relapses
Factors that influence choice of good assessment techniques	They should be: - reliable and valid - brief and practical - psychometrically sounds for the client population
Factors that influence choice of assessment strategies	Choice depends on: - nature of the setting - time available for assessment - capacity of client to participate in the assessment (education, literacy, culture etc)
What are the types of problems Clinical Psych's commonly assess?	DSM-5 based problems - ie. depression, anxiety, psychotic - personality, childhood and eating disorders
What does it mean to apply the scientist-practitioner model to assessment?	To incorporate theory and research into assessment, formulation and treatment
What is the interactional approach to clinical assessment?	- assessment is not a linear process - it is an interaction between reason for assessment, frames of reference, raw data and the psychologist to interpret and case conceptualise to produce the report
What are 6 types of referral questions?	1. diagnosis 2. etiology 3. prognosis 4. differential treatment 5. degree of functional impairment 6. one's strengths and capacities
What are the phases of clinical assessment?	1. evaluation of the referral question 2. selection and implementation of methods 3. integration of data
What is evaluating the referral question?	translating requests into questions you can meaningfully answer by clinical methods
What should be considered when selecting & implementing methods?	- the problem - adequacy of available methods - applicability of method to individual's situation - collect data from multiple sources - check consistency of observations made
What are some methods of assessment?	the referral letter case notes reports from others test results behavioral obs client self-monitoring - diaries, asking
What is the goal of the intake interview?	to gather info on the presenting problem and their goals develop a prelim diagnosis gather background info on their life/ functioning/ history/ skills ** primary focus is referral information
Where does intake information come from?	referral source client history observations your interaction with client MSE other informants eg family
What are the most common forms of assessment used in clinical interviews?	1. Structured Interviews: covers all necessary areas in a logical sequence 3. Semi-structured: set qns but interviewer can ask follow-up qns 2. Unstructured Interviews: more natural flow, enhances rapport, more focused on what's relevant in the moment
What are the benefits of the Multiaxial Classification in the DSM?	1. it facilitates comprehensive bio-psycho-social evaluation 2. it's a good format for organising and communicating information
What are the differences between DSM-4 and DSM-5 Multiaxial Classification System?	DSM-4: had 5 dimensions/ axes; had a GAF scale DSM-5: collapses axes 1-3 into one; lists principal diagnosis; gives medical conditions if relevant to referral; uses WHODAS score of core functioning not GAF
Other than interviews, what are other common methods of gathering information for an assessment?	1. Clinician Rating Scales 2. self-report measures 3. behavioral assessment/ avoidance tests 4. self-monitoring measures
What are the features of structured clinical interviews?	1. Has standardised content, format, order 2. Fully constrained to the list of questions, no follow-ups allowed 3. This increases reliability
What are the advantages of structured interviews?	1. standardised and straightforward to administer 2. help you to get a diagnosis 3. better inter-rater reliability than not using them 4. ensures all criteria are covered 5. well suited for research
What are the disadvantages of structured interviews?	1. lengthy & time consuming 2. requires lots of training to administer 3. doesn't allow for experienced psychs to take short-cuts 4. rigid structure can impact rapport 5. validity can be questioned
What are some features of Clinician Rating Scales?	1. used to determine presence, severity and frequency of symptoms 2. may be broad or specific (specific are usually in a semi-structured interview)
What are some examples of information gathered through a self-report measure?	1. frequency, intensity and duration of symptoms 2. cognitions/ beliefs 3. avoidance/ escape behaviors 4. etiology and maintenance factors 5. features of the condition
What can avoidance tests / behavioral tests help to assess?	1. identify specific fear cues 2. intensity of fear 2. physical sensations experienced 4. anxious cognitions (beliefs, expectations) 5. anxious behaviors (escape, avoid, distract)

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	Creado por Emily Molyneux hace alrededor de 9 años