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Flashcards in Assessment Deck (18):
1

Schizo Presentation

Young men age 18
Women in 30s

2

CAGE Questionnaire

Cut down
Annoyed by criticism
Guilty
Eye opener in AM

1 "yes" is + CAGE

Not diagnostic, just a screening.

3

SLAP Assessment

Assesses suicidal risk:
Social Support
Lethal
Access to means
Plan and previous attempt

Neglects family history of suicide. An important assessment aspect

4

IS PATH WARM

Suicide risk assessment:

Ideation
Substance: usually increased (disinhibition)
Purpose for living seems lost
Anxiety with agitation and inability to sleep, or sleeping excessively
Trapped feeling; no way out
Hopelessness
Withdrawing from friends and loved ones
Anger with rage
Reckless in behaviors, almost without thought
Mood changes, usually dramatic shifts

5

SIGEMCAPS

Sleep
Interest deficit (anhedonia)
Guilt
Energy deficit
Concentration deficit
Appetite Disorder, weight change
Psychomotor retardation
Suicidality

6

DIGFAST

Bipolar Screen:

Distractibility
Indiscretion (excessive involvement in pleasurable activities)
Grandiosity
Flight of ideas
Activities increase
Sleep deficit
Talkativeness

7

All Borderline Subjects Are Tough Troubled Characters

Components of mental status exam:
Appearance
Behavior
Speech
Affect
Thought processes
Thought Content
Cognitive Examination

8

What is in the cognitive examination of the MSE?

Memory questions: Recall short sentences, name last 3 presidents, name 10 animals in 10 seconds.

Interpret 2 to 3 proverbs; assess abstract vs. concrete interpretations

Demonstrate and ask for return demonstration of simple repetitive motor tasks (flipping hands).

9

SLUMS

St. Louis University Mental Status:

-11 items
-27-30 considered normal in a person with a high school education.
-21-26: Mild neurocognitive disorder
- ≤ 20: Indicative of dementia

10

Connor's Parent and Teacher Questionnaire

-Assesses both parents and teachers observations of the child with ADHD

11

Vanderbilt

ADHD assessment tool, no cost and easily available

12

Hamilton Depression Rating Scale

> 23: Very severe depression
19-22: Severe
14-18: Moderate
8-13: Mild
≤ 7: No depression

13

Hamilton Anxiety Rating Scale

14 items scored 0 to 4:

Mild:

14

PHQ-9

Developed for a primary care population.
9-items scored 0-4 points each:
≤ 4: Minimal depression
5-9: mild depression
10-14: Moderate (consider pharmacotherapy)
15-19: Moderate to Severe
20-27: Severe

15

Sheenan Disability Scale

Measure of quality of life
QOL should be a part of the assessment

16

Beck Depression Inventory

Copyrighted:
≤ 9: Not depressed
10-18: Mild-moderate depression
19-29: Moderate-severe depression
≥ 30: Severe depression

17

Gottesman, Laursen, Bertelsen, and Morten, 2010

Demonstrates heritability of schizophrenia and bipolar disorder. Rates of children with disorder increase with each affected parent: 0 parents

18

Folstein MMSE scoring scale

18-24 mild to moderate dementia
17 if education > 9th grade