Week 4 - Clinical Interview

Question 1

What is the purpose of psychological assessment interviews?

Answer 1

Diagnose and guide treatments

Question 2

Structured interviews + pros and cons

Answer 2

• Standardised questions, systematic rating of responses
• Pros: reliable, comprehensive
• Cons: lacks therapeutic relationship, cultural limitations

Question 3

Structured Interview Example - AUDIT

Answer 3

Alcohol Use Disorders Identification Test
- 10 questions, by WHO

Question 4

Semi-Structured Interview + pros and cons

Answer 4

• still standardised but more flexible in follow-up questions, order and rating responses
• pros: open questions, behavioural observations
• cons: memory, length and cost

Question 5

Semi-Structured Interview Example - MSE

Answer 5

Mental Status Examination
- client’s current mental, cognitive and behavioural condition. 12 areas of assessment

Question 6

Unstructured Interview + pros and cons

Answer 6

• Flexible, funnel analogy
• Pros: rapport, detailed responses
• Cons: low reliability due to lack of standardisation

Question 7

The Meihana Model

Answer 7

By Pitama et al. (2007)
1. Whanau - family support
2. Tinana - access to physical assessment
3. Hinengaro - bias in mental health practice
4. Wairua - attachment and connection
5. Taiao - physical environment
6. Iwi Katoa - societal structures
These can be influenced by the. four winds: colonisation, racism, migration and marginalisation.

Question 8

SIGECAPS

Answer 8

SIGECAPS is a structured diagnostic screening interview.
- Sleep
- Interest
- Guilt
- Energy level
- Concentration
- Appetite
- Pyschomotor
- Suicidal thoughts, intentions or behaviour