What does an assessment interview give us?
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
What role does a referral have within our interview?
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?
What influences how we address the referral question?
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.
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.
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
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
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
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
Reliability and validity of interviews • Reliability p168 • Validity p170