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20 Cards in this Set
- Front
- Back
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What is the purpose of an Intitial Intake/interview? |
1. to gather info about the client that would allow you to understand what the underlying problem is, and to match up the client with appropriate treatment and/or counsellor. 2. To assess and respond to urgency of the client's situation 3. To familiarize client with organisation and counselling process |
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Who conducts the initial intake process? |
Counsellor/professional with the appropriate training to do so. E.g. an intake worker or a counsellor |
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What characteristics must the assessor have? |
They must be flexible, resourceful and experienced |
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What info will be gathered? |
-Demographic info (age, race, gender, etc.) This is known as preliminary info. -the the person does the initial interview which gathers the info related to the problem at hand |
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What would the counsellor ask about (relating to the problem at hand)? |
Ask about: -presenting problem -how long it has been occurring -treatment history -family of origin -educational history -employment history -medical history -any relationship issues
genogram
collateral contacts |
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what is a genogram? |
1. A genogram is a family diagram, which can be thought of as an elaboration of the family tree. Genograms provide a way of mapping family patterns and relationships across at least three generations.
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what are 'collateral contacts'? |
A collateral contact is a source of information knowledgeable about a household's situation. The collateral contact typically either corroborates or supports information provided by household members. |
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How is the info gathered? |
-structured or unstructured interviews -data on many elements needed to complete client's history and background info -sections could include: client description/problem, relevant history, mental status, suicidal/homicidal ideations or plan, medical history, current medications, allergies, substance use/abuse, previous mental health treatment, diagnostic impressions and recommendations. |
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what are two important things to consider when conducting an intake interview? |
1. the length of time it takes to complete intake assessment depends on the client, available time and assessor.
2. the need for a positive and supportive environment for the client is very important (not too friendly and not too forward) |
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Why do we diagnose? |
1. it facilitate treatment planning 2. can help anticipate the nature and progress of the counselling process 3. communicate more effectively and professionally among mental health workers 4. promotes continuity of service 5. helps agencies classify clients they serve in order to determine needed services, demonstrate accountability and justify the agencies role in the community 6. medical aid coverage |
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In order to make an accurate diagnosis, what must counsellors gather? |
gather info on:
clients' presenting concerns backgrounds and history present situation
(intake process) |
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What is the Mental Status Exam? (MSE) |
1. The Mental Status Exam (MSE) is the psychological equivalent of a physical exam that describes the mental state and behaviors of the person being seen. It includes both objective observations of the clinician and subjective descriptions given by the patient. |
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What does the MSE focus on? |
-client's current signs/symptoms -affect -behaviour -cognition |
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The process of reaching a diagnosis can allow the clinician to rule out what? |
certain diagnoses due to a predisposing medical condition or recent substance abuse which could have caused the presenting problem |
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The DSM includes 6 general descriptions about a disorder. what are they? |
1. a list of the disorder's essential features and a clinical sketch 2. a summary of characteristics usually associated with the disorder 3. info on the typical onset and course of the disorder, the impairment caused, and potential complications 4. information on known predisposing factors and frequency of occurrence of the disorder 5. info on similar disorders to facilitate differential diagnosis 6. lastly it provides diagnostic criteria for the disorder |
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what are the aims of taking a psychiatric history? |
1. diagnostic 2. to gain a biopsychosocial understanding of the patients problem 3. therapeutic and psychoeducational |
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What six things would a psychiatric history take into account? |
1. identifying features (age, sex, housing arrangements) 2. history of presenting illness (precipitating events, risk assessment) 3. past history (psychiatric/medical) 4. family history (genetic background, family enviro) 5. social and personal history (developmental, occupational, relationship) 6. premorbid personality
They would use a MSE too |
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Assessing suicide is an essential part of a psychiatric interview. How is suicide assessed? |
-Ask directly at to whether the person has contemplated suicide
-have you thought that life is not worth living... etc. |
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What does the Mental State Examination assess? |
Various things. Appearance Mood Attitude toward examiner mood affect appropriateness speech perceptual disturbances thought form thought content alertness and level of consciousness orientation short term memory long term memory concentration general knowledge and intelligence judgement insight |
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what things does the mini mental exam test? |
-orientation -registration -attention and calculation -recall -language |
