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28 Cards in this Set

  • Front
  • Back

Why are you using assessments at all?

To bolster confidence in my diagnosis


Help make decisions about treatment approach


Have something to administer again for progress tracking

What would you do before any specific assessments?

SCID. Start general.

Remember to discuss working with the patients expectations - what's involved here?

-frustration, lack of engagement


-time spent


-money spent on assessment


-explain rationale


-explain impact of results


What's involved in the clinical interview

Chief complaint


Safety Assessment


Medication


Family/social history


Education/work history


Strengths

Intellectual/cognitive measures

MMSE-II if moderate/severe suspicioon


MOCA if mild impairment suspected

Things that should be true in assessment

  1. Linguistically understood
  2. Normed within that ethnic group
  3. If it's not used with that group, use caution in interpreting it
  4. use findings as hypotheses
  5. use multiple measures for convergent results
  6. consider feasibility of testing
  7. obtain collatoral info
  8. consider biases

HART

Brief IQ screen


Quick (5-10min)


TBI/Cog decline

WAIS-IV

Full Measure IQ


Gold standard


Excellent psychometrics


Long (2 hours), costly, not good for ESL

TONI

HART for people who are non-verbal or language free


for difficult-to-test populations

RBANS (why? length? why not)

Cognitive Impairment screener


Good for all cultures


long (30 minutes)

MMSE-2

Brief congitive screener


Most widely used


best psychometrics

Trail Making Task

Executive functioning screener


Attention

MMPI-2

Personality and psychopathology


Broad


Long


Complex

BDI

Depression Screener

GDS

Geriatric Depression Screener

BHS

Suicidal ideation screener - hopelessness is a better predictor than depression

PHQ-9

Short depression screener with SI item

YMRS

Young Mania Rating Scale


Severity of manic episodes

BAI

Brief Anxiety Screen


PANIC

STAI

state trate

YBOCS

ocd

PTSD Screener

CAPS, PCL

SUD screener

CAGE

Theme: Attention (Dx, Test, R/o)

Dx: ADHD, Bipolar, Scz


Test: WAIS, TMT, MOCA


R/O: Substance, TBI


helps figure out if client can CBT

Theme: Language (Test, diagnosis)

Test: WAIS, MMSE-II


Dx: language deficits, ESL


important for therapy

Memory (Test, Dx)

Test: WAIS, MMSE-II, RBANS


Dx: Dementia, Depression

EF (Test, Dx)

Tests: TMT, MOCA, WAIS


Dx: Scz, ADHD, Bipolar

Psychosis has problems with...

EF, Memory, Attn