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NPE > Assessment > Flashcards

Assessment Flashcards

1
Q

DASS - anxiety cut off scores

A

Normal: 0-7
Mild: 8-9
Moderate: 10-14
Severe: 15-19
Extremely severe: 20+

8-10-15-20

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2
Q

DASS - depression cut off scores

A

Normal: 0-9
Mild: 10-13
Moderate: 14-20
Severe: 21-27
Extremely severe: 28+

10-14-21-28

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3
Q

DASS - stress cut off scores

A

Normal: 0-14
Mild: 15-18
Moderate: 19-25
Severe: 26-33
Extremely severe: 34+

15-19-26-34

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4
Q

K10 - cut off scores

A

10-19: likely to be well
20-24: likely to have MILD mental disorder
25-29: likely to have MODERATE mental disorder
30-50: likely to have SEVERE mental disorder

10-20-25-30

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5
Q

SDQ - Strengths and Difficulties Questionnaire

A
  1. Emotional symptoms
  2. Conduct problems
  3. Hyperactivity/ Inattention
  4. Peer relationships problems
  5. Prosocial behaviour

1+2+3+4 —> total difficulties

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6
Q

SDQ cut off score

A

Parents version:
- may be significant problems: 14-16
- substantial risk: 17-40

  • emotional: 4 —— 5-10
  • conduct: 3 —— 4-10
  • hyperactivity: 6 ——7-10
  • peer: 3 —— 4-10
  • prosocial: 5 —— 0-4

Self completed
- 16-19 —— 20-40

  • emotional: 6 —— 7-10
  • conduct: 4 —— 5-10
  • hyperactivity: 6 —— 7-10
  • peer: 4-5 —— 6-10
  • prosocial: 5 —— 0-4
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7
Q

WAIS WISC age

A

Wais - 16 to 90:11

Wisc - 6 to 16:11

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8
Q

Weschlers overview

A

Predictors of both academic and functioning in occupation

Best for making short term predictions

Assessing strengths and weaknesses

Mean score 100
Standard deviation 15
Bell curve

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9
Q

FSIQ and GAI

A

FSIQ: Less important when difference between index scores are 23 or higher

GAI:
- WAIS: verbal comprehension and perceptual reasoning
- WISC: verbal, visual and fluid reasoning
Eliminate working memory and processing speed as they are most sensitive

Calculating difference between FSIQ and GAI - determine brain, age, situation sensitive subtest could be lowering performance

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10
Q

Weschlers stages of analysis

A

Level 1: FSIQ, percentile rank, classification
Level 2: index scores, cluster groupings
Level 3: substest variability
Level 4: qualitative/ process analysis
Level 5: analyse intrasubtest variability

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11
Q

Weschlers level 2 interpetation

A

Indexes only be interpreted when there is less than 5 point subscale difference within the index.

If difference higher than this - DO NOT interpret, but investigate - look at other combinations of subtests

Strengths and weaknesses
Anything falling outside range - causing impairment

Significant difference between indexes

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12
Q

Weschlers clusters

A

Fluid reasoning: matrix reasoning + figure weights

Visual processing: blocks designs + visual puzzles

Verbal reasoning: similarities + comprehension

Lexical knowledge: vocab + similarities

General information: comprehension + information

Long term memory: vocabulary + information

Short term memory: letter number sequencing + digit span

Visual motor speed: block design, symbol search

Problem solving without visual motor speed: matrix reasoning, visual puzzle, picture completion, figure weights

Non verbal fluid reasoning: matrix reasoning, picture concepts

Quantitative reasoning: figure weights, arithmetic

General information: comprehension, information

Long term memory: information, vocab

Auditory working memory: digit span, number letter sequencing

Cognitive proficiency: digit span, picture span, symbol search, coding

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13
Q

Weschlers subtest variability

A

Clinical judgement guided by theory - specific for each case eg challenges with speed, motivation, short term memory?

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14
Q

Weschlers qualitative analysis

A

High/ low scores?
Unusual responses?

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15
Q

Weschlers intrasubtest variablity

A

Abnormal patterns
Eg person missed first item, pass other items - may suggest attentional deficit or memory loss related to retrieval difficulties

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16
Q

Crystallised vs fluid intelligence

A

Crystallised: acquired
Fluid: ability

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17
Q

Weschlers range

A

<70: extremely low
70-80: very low
80-90: low
90-110: average
110-120: high average
120-130: superior
130+: very superior

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18
Q

Verbal comprehension

A

WAIS: vocab, similarities, information
WISC: similarities, vocab

Low scores: difficulties with spoken language

Influenced by cultural factors
Professional occupation likely to have higher scores

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19
Q

Perceptual reasoning

A

WAIS: block design, matrix reasoning, visual puzzle
WISC (Visual spatial): block design, visual puzzles

Less affected by educational background

Low scores: challenges with following spatial directions, finding objects in house

Picture completion WAIS supplementary - identify missing part in the picture

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20
Q

Fluid reasoning

A

WISC only: Matrix reasoning, figure weight, picture concepts (supplemental), arithmetic (supplemental)

Less affected by cultural background

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21
Q

Working memory

A

WAIS: digit span, arithmetic
WISC: digit span, picture span

Low score: poor concentration, may also be difficulties w executive functioning

Not a diagnostic predictor for ADHD

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22
Q

Processing speed

A

WAIS: coding, symbol search
WISC: coding, symbol search

Planing and organising
Sensitive to dementia, traumatic brain injuries, adhd, learning disabilities

Those w high iq tend to have this as lowest, and verbal reasoning as highest

Cancellation- supplemental

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23
Q

FSIQ include

A

WAIS (10): Block Design, Similarities, Digit Span, Matrix Reasoning, Vocab, Arithmetic, Symbol Search, Visual Puzzle, Information, Coding

WISC (7): Block Design, Similarities, Digit Span, Matrix Reasoning, Vocab, Coding, Figure Weights

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24
Q

PAI general

A

Self report
344 items
How true a statement is - 4 point scale
18-89
PAI-A for adolescents 12-18

4 validity scales
11 clinical scales
5 treatment scales
2 interpersonal scales

Low reading level (grade 4)
Less than an hour

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25
Q

PAI interpretation steps

A

4

  • profile distortion (test validity)
  • determine appropriate reference comparision
  • interpret individual scales
  • interpret profile configurations

5

  • Test validity
  • Analysis if Critical Items - potential of crisis situation
  • Full Scale - general population vs clinical sample - T > 2SD
  • Subscale - more meaning eg ANX-T
  • Configural - combining to make a meaningful clinical results (only experienced does this)
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26
Q

PAI Validity

A

INCONSISTENCY (ICN)
10 pairs of items with similar content
63 < T < 73: proceed with caution
T > 72: Invalid - STOP interpreting

INFREQUENCY (INF)
8 items (to be similarly rated)
59 < T < 76: interpretation w caution
T > 75: problematic, interpret with caution

NEGATIVE IMPRESSION (NIM)
83 < T < 92: negative distortion
T > 91: malingering (pretend), careless - clinical judgement whether to continue
— MAL index - 2-5 potential
> 4 strong likelihood of malingering
— RDF - similar to MAL, T > 59 purposeful malingering

POSITIVE IMPRESSIONS (PIM)
56 < T < 68: denying problems, defensive
T > 67: proceed with caution, under responding problems
— DEF 69 - purposefully defensive
— CDF 69 - reflect how they want to be portrayed rather than how they truly function

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27
Q

PAI clinical - SOMATIC COMPLAINTS SOM

A

Concern of physical health
- presence of real medical problems
- individual’s experience with their medical problems

T 69: poor health

T 86: preoccupied w health concerns
T 94: delusion

SOM-S: general complaints
SOM-C: headache, fatigue, gastro - T 69
SOM-H: health concerns - T 69 believe health concerns are complex and difficult to treat

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28
Q

PAI Clinical - Anxiety ANX

A

Worry, tension
Anxiety disorder, depression w anxiety

T 69: impact daily functioning
T 89: impairment

Cognitive anxiety ANX-C: T 69 overly concerns
Affective anxiety ANX-A: T 69 stress, worry, hard to calm down - most related to GAD
Physiological anxiety ANX-P: T 69 physical symptoms and somatic (SOM should be elevated w this)

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29
Q

PAI Clinical Anxiety related ARD

A

Examine 3 scales separately rather than together

OCD - ARD-O: T 65: impair functioning, T 74: disruptive behaviour

Phobias ARD-P: T 69: fear and avoidance

Traumatic stress ARD-T: T 64: trauma in the past - T 75: trauma is primary focus of concern

ARD commonly elevated along with DEP and BOR
Overall scale - motivation for treatment
The higher the more likely to refuse treatment

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30
Q

PAI Clinical Depression DEP

A

T 69: significant
T 79+: likelihood of MDD

Cognitive DEP-C: thinking of worthless, helpless T 69 unable to meet demands of life, self esteem, self efficacy

Affective DEP-A: T 69 distressed, gloomy, losing interest

Physiological DEP-P: appetite, sleep, motivation, energy level T 69

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31
Q

PAI Clinical Mania MAN

A

T 64: irritability, grandiosity, restless, acting rashly
T 74: likelihood of manic or hypomanic episode

Acitvity level MAN-A: increase speed T 64: disorganised, T 74: confusing others

Grandiosity MAN-G: T 70: grandiose, narcissistic

Irritability MAN-I: T 70: disagreement, non-cooperative

NOT often elevated with others
Can be elevated w BOR
Elevated - not hopeful for psych treatment

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32
Q

PAI Clinical - PAR paranoia

A

T 69: suspicious, hostility, monitoring threats around
T 83: paranoid delusions

Hypervigilance PAR-H: guardness T 70 preoccupied w potential threat - likelihood of paranoid personality

Persecution PAR-P: being treated unfairly T 69: believe others making efforts to get in the way

Resentment PAR-R: bitterness T 70 hold grudges, distribute personal failure on others
Exam DOM and AGG for how the person would respond, aggressive or passive aggressive

Elevated mean hard to form and maintain therapeutic alliance

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33
Q

PAI Clinical Schizophrenia SCZ

A

Subscale rather than overall
T 69: blizzard/ odd thinking, impair attention and concentration

Psychotic Experience SCZ-P: positive symptoms of scz, T 70: perception and beliefs that may be delusional - actively experiencing psychotic episode

Social Detachment SCZ-S: T 69 tend to isolate themselves, lack of interests in relationships

Thought disorder SCZ-T: T 69: confusion, loose association

SCZ elevated w Paranoid, BOR, Alcohol and Drug problems

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34
Q

PAI Clinical Borderline features BOR

A

T 69: rapid swings of mood, easily feel hurt or betrayed
T 90: likely to meet criteria for borderline personality disorder

Affective Instability BOR-A: T 69: sudden, uncomfortable shifts of emotions, rapid changes to anger or negative feelings

Identity Problems BOR-I: T 69: uncertain about who they are, rely on help for making decisions

Negative Relationships BOR-N: T 69: stormy relationships, problem attachment, disappointed due to high expectations
T 80: easily offended, extremely sensitive

Self harm BOR-S: NOT suicidal tendency - T 69: act impulsively - T 85: reckless and dangerous behaviours

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35
Q

PAI Clinical Antisocial features ANT

A

T 69: impulsive and dangerous to themselves and others
T 82: likely to meet criteria for antisocial personality disorder

ANT-A: personal traits, history behaviours - T 69: rules breaking behaviour in the past, difficulties w authorities

Egocentricity ANT-E: T 69: little regards for those around, exploit others, rarely feel remorseful

Stimulus seeking ANT-S: T 69: potential threat to themselves and others, craving, risky,

Most commonly elevated w alcohol and drug

Little motivation to change, hard for therapy

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36
Q

PAI Clinical ALCOHOL ACL

A

T 69: struggle w alcohol abuse , likely to have problems w personal relationships and health

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37
Q

PAI Clinical Drug DRG

A

T 69: qualify for drug abuse, likely to have problems w interpersonal, job performance and health concerns

38
Q

PAI Treatment Aggression AGG

A

T 70: angry, hostile, fully prepared to exhibit anger
T 82: anger management problem impacting relationships and job

Attitudes AGG-A: traits and beliefs and ability to control anger T 70: losing temper easily - if behaviour is not elevated, likely to be suppressing or passive aggressive

Physical aggression AGG-P: T 70: destroying property and violence towards others

High AGG: resistant, explosive in therapy
Low AGG: passive, submissive, assertiveness training required

39
Q

PAI Treatment Suicidal Ideation SUI

A

Warning signs only
Even when Low, but DEP, STR, NON are high, still potential of suicidal ideation

T 69: active ideation, MUST be followed up

Potential relationships w DEP-C, BOR-S, DRG

40
Q

PAI Treatment Stress STR

A

T 69: too much to handle
T 84: more probe to psychopharmacology

The higher and more likely to get help

High score = likely to respond well with problem solving strategies, and learning coping skills

41
Q

PAI Treatment Nonsupport NON

A

T 69: limited support offered
T 87: no support

More likely to seek help and treatment
Therapy to be caring and supportive

42
Q

PAI Treatment rejection RXR

A

T 59: not easy to admit problems, no need for change
Difficult to engage in therapy

43
Q

PAI Interpersonal Dominance DOM

A

T < 35: lack self confidence
T < 45: passive, assert, uncomfortable being the centre of attention

T > 59: confident
T > 69: overbearing, dominating, intolerant to disagreement

Can predict potential power struggle w therapist

44
Q

PAI Interpersonal WARTH WRM

A

T < 35: uninterested in forming deep connections
T < 45: distant in relationships

T < 60: flexible in relationships
T < 70: warm, empathetic, value deep relationships

T > 69: overly concerned being liked and accepted, too caring, too giving, avoiding conflicts

45
Q

PAI ADDITIONAL CLUSTER

A

Self-concept: MAN-G, DEP-C, BOR-I: individuals thinking and feeling about themselves and how stable this is

Interpersonal style: DOM, WARM: 4 different styles

Environmental perception: NON STR: how individual perceive their environment, 4 different styles

Potential for dangerousness: SUI, AGG

46
Q

PAI cutscore

A

Validity:
- INC: 64 — 73
- INF: 60
- NIM: 73 - MAL 3+, RDF 60
- PIM: 57 - DEF 6+, DCF 66

Clinical
- MAN, MAN-A 55
- BOR-A, BOR-I, BOR-N 70
- AGG, AGG-A/E/S: all 70
- The rest 60T

70T is 96th percentile

47
Q

DASS general

A

21 or 42
NOT diagnostic tool
Rating period: last week
Progress in therapy
Gaps for Aboriginal
NOT recommended for below 14 years

Anxiety scale - others anxiety (trembling, panicky, loss of control, worries about performance, breathing difficulties)

Stress scale - GAD ( touchy, easy to upset, nerve, fidgety, unable to relax, irritable)

Depression - Mood disorders (pessimistic, gloomy, unable to feel satisfied, slow, lack of initiative)

48
Q

K10 General

A

Distress
Score 10-50
NOT diagnostic tool - just screener
Non specific psych distress eg nervousness, agitation, fatigue, depression
1-5 scale none to all the time
Rating period: last 4 weeks

49
Q

SDQ General

A

4-17 years
Further assessment or treatment, evaluating treatment outcome
25 questions
5 scales

Only one w supplement
Also have follow-up questions

Version for preschool teachers and parents 2-4
Self report for 4-17

Acceptable use with Aboriginal - peer problem need caution

50
Q

WPPSI

A

2 - 6:7

15 subtests - Five primary index (like WISC)

24-62 mins

51
Q

Stanford-Binet SB5

A

2 - 85+

Fluid reasoning
Knowledge
Quantitative reasoning
Visual spatial processing
Working memory

10 subtests make FSIQ

Verbal (5) and nonverbal (5)

Abbreviated Battery IQ - when time limited - estimate overall function level and can be used as screening tool - 15-20 mins

Full scale: 45-60 mins

52
Q

Wechsler Abbreviated Scale of Intelligent WASI-II

A

Brief measure
6 - 90:11

Clinical and educational and research setting for estimate IQ when comprehensive test is not necessary, to determine if full test is warranted, or as re-test measure.

Vocab and Similarities = Verbal Comprehension
Block design and Matrix Reasoning = perceptual reasoning

30 mins for 4
15 mins for 2

NOT designed for diagnosis or education support decisions

53
Q

WJ-III cog

A

Cattell-Horn-Carroll therory

GIA score

2 - 90

40 mins - 2 hours

54
Q

Raven’s progressive matrice RSPM

A

Nonverbal estimation of fluid reasoning
Can be used for culturally diverse populations or nonverabal children

4 - 90

55
Q

WIAT - individual achievement test

A

9 subtests - 4 composites:
- Reading
- Maths
- Written language
- Oral language

Specific learning disorder, strengths and weaknesses for intervention and education services

4-85 years

4-11 years: 45-90 mins
12+: 90-120 mins

56
Q

ABAS-3 adaptive behaviour assessment system

A

Adaptive behaviour for daily functioning
Strengths and weaknesses and measure effectiveness of treatment
Any age

15-20 mins each form

Parents: 0-5
Teacher: 2-5
Parent: 5-21
Teacher: 5-21
Adult: 16-89

General adaptive composite GAC
- conceptual (communication, functional academics, self direction)
- social (leisure and social skills)
- practical (community, home living skills, health and safety, selfcare)
- motor (only for 0-5)
- work (optional)

57
Q

Wechsler Memory Scale WMS-III

A

16 - 90

Logical memory
Verbal Paired associcated
Visual reproduction
4 new tests
- Brief cognitive status exam
- Designs
- Spatial addition
- Symbol span

5 norm-reference index scores:
- auditory
- visual
- visual working (only for 16-69)
- immediate
- delayed memory
Brief cognitive status exam BCSE (cognitive screen)

60 mins

58
Q

WRAML - wide range of memory and learning

A

Memory deficits eg dementia, developmental disabilities

5-90

3 core indexes:
- verbal
- visual
- attention concentration
—> general memory index

Optional:
- working memory
- delayed
- recognition
Screening memory for in-depth assessment

Used in school, rehabilitation, vocational training, hospitals, private practice, in research

1 hour

59
Q

Self directed search SDS

A

Career - identify career interest and match w suitable occupations

15+

6 categories:
- realistic R
- investigative I
- artistic A
- social S
- enterprising E
- conventional C

5 sections:
- occupation daydreams - list up to 5 occupation
- activities (66 items like dislike)
- competencies (66 items yes no)
- occupations (84 items yes no)
- self estimates of abilities and skills (12 items 1-7 low to high)

3 most rated letter for result eg SEC

30-40 mins

60
Q

Strong interest inventory SII

A

Aid career decision making - career development, exploration and employee engagement, leadership, executive coaching, employment reintegration

260 occupational scales OSS based on the US

Personal style scales PSS
- work style
- learning environment
- leadership style
- risk taking
- team orientation

5 scales:
- General Occupation themes (GOTs) - Hollands 6 personality Realistic, Investigative, Artistic, Social, Enterprising, Conventional.
- Basic Interest scales (BIS): specific area such as art, science, athletics, social science, sales, office management

Administrative indices for test error and unusual profiles

61
Q

16PF

A

Self report
Vocational and occupation preferences

Warmth
Reasoning
Emotional stability
Dominance
Liveliness
Rule consciousness
Social boldness
Sensitivity
Vigliance
Abstractedness
Privateness
Apprehension
Openness to change
Self-reliance
Perfectionism
Tension

5 global factors
- extraversion
- anxiety
- tough-mindedness
- independence
- self-control

16+

25-50 mins

62
Q

NEO-PI-R

A

5 factor model:
- neuroticism
- extraversion
- openness to experience
- agreeableness
- conscienciousness

5 domain scores
6 facet scores for each domain

17+
Version for 12+

30-40 mins

63
Q

Beck depression inventory BDI

A

Severity of depression

21 items represent symptoms of depression

13+

5-10 mins

4 point rating 0-3

Total: 0-63

American adult:
0-13: minimal
14-19: mild
20-28: moderate
29-63: severe

0-14-20-29

64
Q

Global assessment of functioning GAF

A

Axis V of DSM-IV-TR

Psychological symptoms severity
Social functioning
Occupational impairment

No longer include in DSM-5
WHODAS 2.0 is used instead

Score 1-100 - the higher the healthier

65
Q

State trait anxiety inventory STAI

A

Most commonly used for anxiety

Trait A - tendency to respond
State A - immediate threat, stimuli, temporary conditions

10 mins - sixth grade reading level

2 20 items self report

State: right now, at this moment
4 point scale - 1 not at all to 4 very much so

Trait: generally feel
4 point scale - frequency of feelings 1 almost never ti 4 almost always

66
Q

WHODAS 2.0 - disability assessment

A

Generic assessment for health and disability used across multiple diseases
2 versions - short and long

Both clinical and general population

Applicable across culture for adults

Direct link to ICF (international classification of functioning disability and health)

6 domain:
- cognition
- mobility
- self care
- getting along
- life activities: leisure, work, domestic relationships
- participation

67
Q

WHO-QOL (quality of life)

A

Perception of position in life
For adults
6 domains
- physical
- psych
- level of independence
- social relationships
- environment
- spiritual

Self report - 30 mins

68
Q

Outcome rating scale ORS

A

Client functioning, therapy outcomes, progress

Used in clinical, counselling, community settings.

13+

  • Individual
  • Interpersonal
  • Social
  • Overall wellbeing

Over previous week
1 min to complete

High scores = high level of functioning
Cut off for adolescent 28

69
Q

MMPI personality

A

Psychopathology, commonly used in psychiatric setting

9 validity
10 clinical
15 content
9 restructured clinical
20 supplementary

567 items total true false

Clinical scale includes: content subscales, content scales, component scales, combination of all 3

18+

MMPI-A for 14+

60-90 mins

70
Q

PHQ9 patient health

A

Screening for mental health disorders: depression, anxiety, alcohol, somatoform, eating disorders

Self admis - severity of depression
Inform and monitor treatment

Over the last 2 weeks, how often…
4 point 0-3 not at all, nearly everyday

2-3 mins
Can be used to DIAGNOSE depression

5-9 mild
10-14 moderate
15-19 moderately severe
29-27 severe

5-10-15-29

71
Q

CBCL - child behaviour checklist

A

Adaptive behaviour and functioning

6-18

Parent - teacher - youth (11+) forms

Internalising: anxious, depressed, withdrawal, somatic complaints
Externalising: rule breaking, aggressive
Social, thought, attention

Competency and adaptive functioning

15 mins

72
Q

SCID - structured clinical interview for DSM

A

Close to DSM decision trees

Open-ended questions
Skip structure

Clinical judgement needed, only for trained clinician

Most comprehensive structured interview

Assessment of clinical disorders
Assessment of personality disorders
Focused structured interviews

73
Q

High risk

A

Follow up within 24 hours
Close monitoring

74
Q

Medium risk

A

Re-assessment within 1 week
Contingency plan should be made

75
Q

Low risk

A

Review at least monthly

After discharge from in-patient unit - re-assess within 1 week

76
Q

Low assessment confidence

A

Re-assess in 24 hours

Impulsivity
Drug and alcohol
Impending court cases, child custody battles
Inability to complete assessment or collateral information

77
Q

Risk assessment considerations

A

Engagement in support network
Be mindful of countertransference
Discuss consent - breaching consent
Getting emergency contact details

First 28 days after discharge is critical - remain high risk for 3-6 months

If someone is intoxicated - invalid risk assessment - cannot be assessed until sober

78
Q

Brief psychiatric assessment

A

Psych symptoms eg depression
Psych history
Coping skills, capacity, supports

Risk assessment include comprehensive mental health assessment eg depression, schiz, bipolar, anxiety, personality, drug use

Note details risk assessment, management plans and observation on medical records

79
Q

Increased risk factors

A

Aboriginal 2.8 times as many deaths

Demographic:
- male
- 25-44
- older people
- living in rural area
- minority group
- sexual identity conflicts
- immigrants, refugees
- homelessness

Higher risk:
- history if suicide
- mental illness
- abuse
- domestic violence
- alcohol
- victims of trauma
- serious physical illness
- prison, police

Current
- at risk mental state
- interpersonal crisis
- major loss or trauma
- alcohol intoxication
- drug withdrawal
- chronic pain illness
- financial difficulties, unemployment
- family breakdown
- lack support
- cultural conflicts
- difficulties accessing help eg language barrier

80
Q

Element of suicide risk assessment

A

Distress, psychic pain
Meaning, motivation
At risk mental states eg body language
History of suicide
Current suicide thoughts
Intent, lethality
Presence of suicide plan
Access to means and knowledge
Safety of others
Coping potential or capacity
Self harm behaviour

81
Q

Assessing degree of intervention

A

Diagnosis
Severity of illness
Impulsivity
Insight
Safety of current situation
Willingness to engage in treatment
Protective factors

82
Q

Safety plan

A

Warning signs
Coping strategies
Contacting people
Contacting health care professional (business hours)
Following agencies or services 24/7

83
Q

History taking approach

A
  1. Explain the purpose and rationale for assessment, getting consent
  2. Identify the range if concerns
  3. Prioritise and select issues
  4. Understand the present behaviour
  5. Identifying antecedents
  6. Identifying consequences
  7. Identifying secondary gains - what is reinforcing the behaviours
  8. Exploring previous solutions
  9. Identify coping skills, individual and environmental strengths and resources
  10. Explore perception of concern
  11. Ascertaining the intensity of concern
84
Q

MSE general

A

Observation

General appearance
Feeling
Perception
Thinking
Orientation
Insight
Speech

Observe:
- Mood
- Physical appearance
- Facial expression
- Body posture
- Language

Ask:
- Inner thoughts
- Feelings
- Suicidal risk and delusions

MMSE - structure 11 items assessing:
- orientation
- registration
- attention
- calculation
- language
Score above 25 is normal
Under is potential cognitive impairment

85
Q

MSE cognitive functioning

A

Consciousness and attentiveness
Orientation to person, place and time
Attention, need for redirection, distractibility
Concentration
Memory
Knowledge
Intelligence
Capacity for abstract thinking

86
Q

MSE perception

A

Hallucination
Depersonalisation
Derealisation

87
Q

MSE Thinking

A

Speech
Thought content (what is said)
Though form (how is it said)
Suicidal and homicidal ideation
Insight
Judgement - problem solving

88
Q

MSE feeling

A

Affect (visible emotional state)
Mood (subjective emotional state)

89
Q

MSE Behaviour

A

Appearance
Psychomotor agitation or retardation
Degree of cooperation

90
Q

ABC STAMP LICKER

A

A appearence
B behaviour
C cooperation

S speech
T thought
A affect
M mood
P perception

L level of consciousness
I insight and judgement
C cognitive functioning
K knowledge
E ending (suicidal)
R reliability of information

NPE (5 decks)

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