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Understanding Assessment Interviews in Mental Health Practice

Explore the definition, purpose, and techniques of assessment interviews in mental health, including referral processes and communication strategies. Learn about different types of interviews and their importance in client evaluation. Enhance your skills in creating hypotheses and building rapport with patients.

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Understanding Assessment Interviews in Mental Health Practice

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Presentation Transcript

  1. What does an assessment interview give us?

  2. Assessment Interview • Definition and purpose • An evaluation of strengths and weaknesses • Conceptualization of the problem and etiological factors • Some presecribed interventions • An understanding of the client • An ongoing process depending on stage or reaction

  3. What role does a referral have within our interview?

  4. Referral • It is source for us to know what we are seeking. • Sometimes it is an inapporpriate referral, requiring us to clarify with the referring source. • Is the patient capable of murder?

  5. What influences how we address the referral question?

  6. Our theoretical framework • Therefore, not completely standardized. • You are aiming to describe the patient and behavior to the reffering sources (even if is the patient him/herself) • Create hypotheses as you go.

  7. The interview • General characteristics of interviews • An interaction with specific parameters and goals • Will take many forms • Fact finding • Emotional release • Supportive • But not a normal conversation • More purposeful but can approximate the natural flow of a casual conversation.

  8. Interviewing essentials and techniques • Growing knowledge of relationships • Physical arrangements and how this varies • Your office • Note taking • Rapport • A comfortable atmosphere and mutual understanding • Rapport is not a popularity or approval vote

  9. Communication • Natural conversation • Language • Clarify meaning • Use of questions – p151 • Silence • Impact of clinician – interns • Clinician’s values • Patient’s frame of reference • Regarding therapy

  10. The clinician’s frame of reference • Be prepared • Varieties of interviews • Intake-admission interview • Why has the patient come to the clinic • Can we be helpful • Educate the patient on the system and process • Case-history interview • Create a broad background and context in which we will see our patient. • P 158 and 156

  11. Mental status examination interview • To assess cognitive, emotional or behavioral problems p 159 • Crisis interview • To provide an immediate resource • Deflect the potential disaster • Diagnostic interview • Evaluating for a DSM IV DX • Unstructured and structured p164

  12. Reliability and validity of interviews • Reliability p168 • Validity p170

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