Initial Intake/Interview and Diagnosis. Class Presentation Adeeb Saleh 6/11/07. Purpose of Intake. To gather information about the client that would allow the agency to understand what the underlying problem is, and to match up the client with the appropriate treatment and or/counselor.
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Initial Intake/Interview and Diagnosis
1. A list of the disorder’s essential features and a clinical sketch.
2. A summary of characteristics usually associated with the disorder.
3. Information on the typical onset and course of the disorder, the impairment caused, and potential complications.
4. Information on known predisposing factors and frequency of occurrence of the disorder.
5. Information on similar disorders to facilitate differential diagnosis.
6. Lastly it provides diagnostic criteria for the disorder
1. Subject Variance: the client may exhibit different conditions at different times.
2. Occasion Variance: Clients are at different stages of their conditions at different times
3. Information Variance: Different clinicians have different pieces and sources of information about their clients
4. Observation Variance: Clinicians view and notice different pieces of information and/or behavior as more or less important than another.
5. Criterion Variance: Clinicians may use different criteria for coming up with a diagnosis from the available data.
MacCluskie, K., & Ingersoll, R. (2001). Becoming a 21st Century Agency Counselor. Wadsworth/Thomson learning, Belmont, CA.
The authors of the book discuss and cover relevant material about the initial intake process, information gathering strategies, and the use of the Mental Status Exam to gather information for the purpose of diagnosis.
Seligman, L. (1986). Diagnosis and Treatment Planning in Counseling. Human Sciences Press, Inc. New York, NY.
The author of this book goes over many important aspects related to the initial intake process, as well as the process of diagnosis. The author covers issues related to the different types of clients that may be seen for an initial intake interview, as well as the many different settings an initial intake interview may take place. The author also discusses the importance of diagnosis, the use of the DSM, and things to consider when making a solid diagnosis.
The author discusses the issues and concerns related to using the medical/categorical method of diagnosing mental illness and the reasons to why clinicians should instead use a more dimensional approach. He explains that the medical approach overlooks many important factors related to a client’s problems and tends to pile all the factors into one diagnosis/disorder. A dimensional approach looks at many aspects of the person and takes into consideration more than just the symptoms, but the external factors as well.
Gallucci, G., Swartz, W., Florence, H. (2005). Impact of the wait for an initial appointment on the rate of kept appointments at a mental health center. Psychiatric Services, 56(3), pp. 344-346.
The authors of this article look into the relationship between waiting periods to have an initial intake appointment schedule and the rate of those appointments being kept by clients over time. The authors found that when waiting periods to get appointments were shortened, the rate of kept appointments would increase over time.