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Chapter 13 Using Assessment in Counseling

Chapter 13 Using Assessment in Counseling. Facts. Making a treatment decision is a form of diagnosis Formal Diagnosis expected by: Employers Licensing boards Insurance companies Informal diagnosis Referral. Examples of Diagnosis. Community counselor

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Chapter 13 Using Assessment in Counseling

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  1. Chapter 13Using Assessment in Counseling

  2. Facts • Making a treatment decision is a form of diagnosis • Formal Diagnosis expected by: • Employers • Licensing boards • Insurance companies • Informal diagnosis • Referral

  3. Examples of Diagnosis • Community counselor • When determine issue is developmental not pathological equals a diagnosis • School Counselor • Recommend student be tested by psychologist equals a diagnosis • Career Counselors • Determines client is “vocationally immature” equals a diagnosis

  4. Instruments Designed to Provide Diagnosis • Interview • Composite International Diagnostic Interview Schedule: Authorized Core Version 1.0 (CIDI-Core) • Assesses Axis I disorders and is approproate for those 18 and older • Takes between ½ hour and 1½ to complete • Can be administered by clinicians or trained lay interviewers • Diagnositic Interview Schedule (DIS) • Designed to diagnosis on all axes • Does not require clinical judgment • Must be administered exactly as given • Trainer must have participated in training program • Takes one hour to complete Both of these instruments have good interrater reliability

  5. Semi-Structured Interview • Psychiatric Research Interview for Substance and Mental Disorders (PRISM) • Assesses Axis I disorders, borderline, antisocial disorders • Trained clinicians • Amount of time varies with psychopathology • Structured Clinical Interviews for Axix I DSM-IV Disorders (SCID-I) • Assesses Axis I disorders • Only administered by clinicians • Takes about 1½ hours to administer Good to excellent interrater reliability

  6. Interviews for Children • Diagnostic Interview for Children (DISC-IV) • Assesses Axis I disorders • Diagnostic Interview for Children and Adolescents (DICA) • Assesses wide range of child and adolescent psychopathology Both can be adminstered by clinician and lay technician

  7. Treatment Planning Client Characteristics • Client demographics • Functional impairment – work, love, play, spirit • Subjective distress – work, love, play, spirit • Coping Style - strengths • Resistance – blind spots • Problem Complexity – theory • Social Support – work, love, play, spirit

  8. Treatment Planning Problems – Goals • What are the goals • How to recognize when accomplished • How to conceptualize getting there • Alternative conceptualizations • How to focus on all aspects • How to evaluate effectiveness

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