Lecture #6 - Interviews & Other Assessments - Part 1 PDF

Lecture 6 – Interviews & Other Assessments – Part 1 Saad Yaaqeib, PhD. Associate Professor (Adjunct) – Zayed University Licensed Counseling Psychologist 1 Overview  Structured Interviews  Semi-Structured Interviews  Unstr...

Lecture 6 – Interviews & Other Assessments – Part 1 Saad Yaaqeib, PhD. Associate Professor (Adjunct) – Zayed University Licensed Counseling Psychologist 1 Overview  Structured Interviews  Semi-Structured Interviews  Unstructured Interviews  Unstructured Interviews: Steps  Mental State Exam (MSE)  Collateral Information  Self-monitoring 2 Structured Interviews These interviews are supported by commercial materials, check the website below Examples Definition:  Composite International Diagnostic  Highly systematic interviews, following an Interview (CIDI): Broadly used exact set of questions without deviation. worldwide for epidemiological studies,  Primarily used to assess specific covering a range of psychiatric diagnostic criteria for mental health diagnoses.  Structured Clinical Interview for disorders. DSM-5 (SCID-5): Tailored to DSM-5 criteria, used for diagnosis confirmation. Benefits:  Structured Interview for PTSD (SIP):  Enhances reliability by minimizing Specifically designed for assessing counselor bias in questioning. post-traumatic stress disorder  Reduces ambiguity symptoms.  Standardized format allows greater inter-  Substance Use Disorders Diagnostic rater reliability Schedule (SUDDS-5): Focuses on 3 diagnosing substance use and dependence issues. Structured Interviews https://www.appi.org/products/structured-clinical-interview-for-dsm-5-scid-5 Semi-Structured Interviews Examples Definition:  SCID-5 Modules: Modular format  Interviews with a predetermined question framework, allows counselors to choose specific but allows for flexibility to adapt to the client’s sections based on the client’s responses. symptoms or diagnoses, adapting as  Counselors can ask additional questions for clarification needed. or explore specific areas in depth.  Often explores a client’s biological, psychological, and  Kiddie Schedule for Affective social history, covering a range of factors influencing Disorders and Schizophrenia (K- mental health. SADS): For children and adolescents,  Emphasis on understanding how personal history and context contribute to current issues. assesses mood and psychotic disorders. (remember this from last Benefits: class!) it is also considered an interview.  Balances structure and flexibility, allowing for both  Semi-structured Clinical Interview for thoroughness and adaptability. Children and Adolescents (SCICA):  Particularly useful for clients with complex backgrounds Focuses on younger populations, 5 or when building rapport is essential. covering emotional and behavioral disorders. Unstructured Interviews Definition:  Unscripted and highly flexible interviews, with the counselor creating questions based on the client’s answers and needs. But, what should I ask about?  No standardized questions, though general domains are typically covered. Follow the structure of unstructured Attention: Interviews (explained in the next few  Counselors need a deep knowledge base and slides). the ability to guide discussions effectively.  Allows for comprehensive exploration of relevant areas but requires careful attention to 6 ensure all necessary topics are covered.  Structure of Unstructured Interviews General Domains of Unstructured Interviews: 1. Identifying Information 2. Presenting Problem 3. Family History 5. Developmental 4. Relationship History 6. Educational History History 9. Previous Therapy 7. Employment History 8. Medical History Experience 7 Structure of Unstructured Interviews General Domains of Unstructured Interviews:  1. Identifying Information Collects basic details to identify and contact the client. Includes: Name, address, phone number, age, gender, date of birth, workplace, relationship status, and referral source.  2. Presenting Problem Focuses on the primary issues or concerns the client wishes to address. Helps direct the interview to the most pressing topics affecting the client.  3. Family History Gathers information about the client's family background and relationships. Covers details on parents, siblings, family structure during childhood/adolescence, and quality of familial 8 relationships (both past and present). Structure of Unstructured Interviews General Domains of Unstructured Interviews (continued):  4. Relationship History Examines the client’s current living situation, relationship status, and social support. Includes details about marital or nonmarital relationships, any children, and the strength of the client’s social network.  5. Developmental History Looks at significant life events during the client’s developmental years. Important for understanding influences on current issues or behavior patterns.  6. Educational History Reviews the client’s educational background, schools attended, highest level achieved, and any professional or vocational training. 9 Provides context for the client’s career and intellectual development. Structure of Unstructured Interviews General Domains of Unstructured Interviews (continued):  7. Employment History Assesses current and past employment, including job performance, tenure, and any military service. Includes information on occupational injuries, job losses, or leaves of absence that may impact mental health.  8. Medical History Encompasses previous and current medical issues, significant illnesses, injuries, and any medications. Includes details on hospitalizations and disabilities that could affect psychological well-being.  9. Previous Psychiatric or Counseling Experiences Why is this so important? Details any prior counseling or psychiatric treatment, both inpatient and outpatient. 10 Includes history of psychiatric medications and responses to past treatments.  Structure of Unstructured Interviews Why do we investigate all that? As counselors, remember we will mostly be dealing with functioning individuals who are undergoing maladjustment or distress. Therefore, the most integral component to therapy is the patient’s social context, not just what they are complaining about.  Structure of Unstructured Interviews Why do we investigate all that? As a counselor, you build upon the client’s own efforts in solving their issues. Therefore, exploring different domains allows the counselor to identify the client’s strengths, support systems, and resilience factors. These positive elements are essential for building a balanced treatment approach that leverages existing efforts/resources.  Structure of Unstructured Interviews Why do we investigate all that? Patterns. Looking at multiple contexts (e.g. educational, social, employment) allows you to spot patterns across domains, such as recurring difficulties in relationships or consistent employment issues, can indicate larger behavioral or psychological patterns that need to be addressed. Identifying consistent triggers in the client’s life helps to build more effective coping strategies.  Activity #1 – Pedicases.org http://pedicases.org/top ics/index.html 14 Interview Example 1 http://pedicases.org/interviewing/vig4.html 15 Interview Example 2 http://pedicases.org/interviewing/vig5.html 16 Questions? 17