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Description
Flashcards by Emily Molyneux , updated more than 1 year ago
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Created by Emily Molyneux
about 9 years ago
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| Question | Answer |
| 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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