CHYS 2P35 - Clinical Interview Assessment

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Questions and Answers

Which of the following is NOT a typical component of an unstructured interview?

Reasons for being in treatment

Symptoms

Health status

Predetermined questions (correct)

What type of interview is characterized by a standardized set of questions with predetermined wording and order?

Unstructured interview

Diagnostic interview

Clinical interview

Structured interview (correct)

In the case of Alexa, what assessment tool did the psychologist use to determine if Alexa met the criteria for social anxiety disorder?

The Anxiety and Related Disorders Interview Schedule for DSM-5 (correct)

A behavioral observation

A projective test

A self-report questionnaire

What is the primary goal of an evidence-based assessment in child and adolescent mental health?

To develop a comprehensive understanding of the child's strengths and weaknesses (B) Signup and view all the answers

The text mentions "good detective work" in relation to assessment. What does this metaphor suggest about conducting a thorough assessment?

The assessor must be observant and gather clues from various sources. (C) Signup and view all the answers

Why is the biopsychosocial model relevant to assessment and treatment planning?

It recognizes the interplay of biological, psychological, and social factors in a child's difficulties. (D) Signup and view all the answers

What is the purpose of Alexa's thought records in the case study?

To gain a deeper understanding of her own thoughts and feelings (D) Signup and view all the answers

What is the primary reason for referral in Savannah's case?

Depression (A) Signup and view all the answers

Which of the following is NOT a potential cause for Savannah's depression, based on the information provided?

History of substance abuse (C) Signup and view all the answers

The text states assessment tends to be ongoing. Which of the following best exemplifies this concept?

Repeat assessments are conducted throughout treatment to monitor progress. (D) Signup and view all the answers

What is the purpose of 'etiology' in the context of assessing Savannah's situation?

To understand the root causes of her symptoms (D) Signup and view all the answers

What is the most appropriate modality of treatment for Savannah, considering the information provided?

Individual therapy (A) Signup and view all the answers

What is adaptive functioning?

The ability to perform everyday tasks and skills. (D) Signup and view all the answers

Which of the following is a key aspect of making an assessment meaningful in the context of Savannah's case?

Creating a treatment plan based on individualized needs (C) Signup and view all the answers

Which of the following is NOT an example of adaptive functioning?

Intelligence quotient (IQ) (B) Signup and view all the answers

How is adaptive functioning typically assessed?

Through standardized tests like the Vineland-3 (D) Signup and view all the answers

What is the significance of rapport and buy-in when working with Savannah?

It helps build trust, leading to open communication and better treatment outcomes. (D) Signup and view all the answers

What is a key difference between psychological tests and behavioral assessments?

Psychological tests measure cognitive functioning, while behavioral assessments measure behavior. (D) Signup and view all the answers

What is the purpose of semi-structured interview questions when assessing Savannah?

To gather detailed information about her symptoms and experiences. (D) Signup and view all the answers

What information is NOT collected during a behavioral assessment?

The individual's thoughts and feelings about the target behavior (D) Signup and view all the answers

Which of the following factors is LEAST likely to be considered when developing a treatment plan for Savannah?

Her current social media usage (B) Signup and view all the answers

Which of the following is NOT a common use of intelligence testing?

Assessment of social skills and adaptive functioning (B) Signup and view all the answers

What is considered a 'FIRST' step in conducting assessments for behavioral challenges?

Understanding the youth's perspective on the challenge (D) Signup and view all the answers

What does 'operationalize' mean in the context of behavioral observation?

To define the behavior specifically in terms of what can be observed and measured (B) Signup and view all the answers

What is the antecedent in the clinical case of Jesse?

Presentation of a task (B) Signup and view all the answers

Which of the following is NOT a component of behavioral assessments?

Mental status exam (C) Signup and view all the answers

Why is behavioral observation important for assessing a client's behavior?

It avoids interference with the client's natural behavior (C) Signup and view all the answers

What is the primary goal of self-monitoring in behavioral assessments?

To allow the client to take ownership of their treatment (A) Signup and view all the answers

What is a potential outcome of behavioral assessments?

Developing a plan of care to address specific needs (D) Signup and view all the answers

What is the main purpose of the Mini Mental State Examination (MMSE)?

To provide a brief screening for neurocognitive issues (A) Signup and view all the answers

What is an example of 'neurocognitive difficulty' that might lead to a MMSE?

Difficulty concentrating (D) Signup and view all the answers

When is the Mental Status Exam usually conducted?

At the beginning of treatment (B) Signup and view all the answers

Study Notes

CHYS 2P35 - Assessment - Lecture 3 Notes

Clinical Interview Structures: Vary in structure, structured interviews use standardized questions with predetermined wording. Unstructured interviews use open-ended questions.
Structured Clinical Interview: Developed to assess DSM-5 symptoms. Examples include Anxiety and Related Disorders Interview Schedule for DSM-5.
Clinical Interview Definition: A series of questions, administered face-to-face or via telehealth, to assess a client's reasons for treatment, symptoms, health status, family background, and life history.
Unstructured Interview: Involves open-ended questions for gathering information.
Evidence-Based Assessment: Assessment procedures should follow guidelines to support this.
Assessment Considerations: Multiple problems may be present before a referral is made. Thorough assessment is necessary, and a treatment plan is developed through the process. Assessment is an ongoing process, with the model being revisited as needed.

Case of Alexa

Alexa: 10 years old describing anxiety-related symptoms that interfere with personal activities.
Assessment: Anxiety and Related Disorder Interview Schedule (DSM-5) used; Thought records used to observe self-behavior; Assessments directly related to therapy (Cognitive Behavioral Therapy), which progresses through treatment.
Assessment Goal: Determine if social anxiety is present.

Case of Savannah

Savannah: 14 years old, Grade 9, exhibiting depression, school refusal, stomach pains, wanting to be with mother often, quiet, isolated behavior and poor sleep.
Reason for Referral: Depression and recent symptoms during mother's hospitalization.
Assessment: Need for diagnosis of a psychological disorder or multiple disorders.
Clinical Assessment: Systematic problem-solving to understand symptom causes and relationships to family, school, and other environments. Looks at etiology, treatment, and potential outcomes.
Etiology Considerations: Root causes of childhood disorders, looking at variables and origins.

Semi-Structured Interview Questions

Depressed Mood: Questions include "Do you feel sad?" and "Do you get moody?"
Loss of Interest: Questions include "Have you lost interest in doing things, like your hobbies?" and "Is there anything you look forward to doing?"

Assessment Details

Clinical Description: Details unique behaviors, thoughts, and feelings that make up psychological issues; looks at factors like intensity, frequency, and severity.
Multimodal Assessment: Behavior observation and clinical interviews to gather information for assessment used for several factors, including treatment planning.

Adaptive Functioning

Examples of Adaptive Functions: Communication, social skills, motor skills, self-care, and skills that contribute to independence (evaluated based on age/developmental level).
Standardized Tests: Vineland-3 used to assess adaptive functioning.

Cognitive Assessments

Adaptive Functioning: Functional skills an individual performs daily.
Intelligence Training: Includes overall cognitive evaluation, diagnoses of learning disabilities and giftedness, and prediction of future academic achievement and intellectual disability.

Behavioral Assessment

Behavioral Assessment: Records actions rather than responses to ratings scales, looking at triggers, setting events, consequences. Uses objective recording of behaviors.
Antecedents and Consequences: Behavior precedes and follows events; Behavioral Interviewing process evaluates behavior and frequency.

Behavioral Assessments - Target Behaviors

Target Behaviors: Behaviors of concern that are targeted for change by the client and clinicians.
Behavioral Observational Data: Allows watching behaviors in a client's natural environment.
Self-Monitoring: Individualizing experiments for the client to observe, to imply rewards post-treatment.

Mental Status Exam

Definition: A method of assessing a client's functioning objectively.
Assessed Areas: Appearance and attitudes, behaviors, mood/affect, speech, thought processes, content of thoughts, perception, cognition, insight, and judgment.
Mini-Mental State Exam (MMSE): A structured screening tool to assess neurological functioning, such as neurocognitive impairments, including memory tasks.

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Description

Explore the key concepts of clinical interview structures in this assessment focused on CHYS 2P35. Learn the differences between structured and unstructured interviews, and understand evidence-based assessment protocols. This quiz will help reinforce your understanding of assessing DSM-5 symptoms and developing effective treatment plans.