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Interviewing Skills. Format of Role Play. 30 to 40 minute interview Interviewer Initiates questioning Collects information through semi-structured questions and prompts for more information Terminates session Interviewee Provides information on questions posed

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interviewing skills

Interviewing Skills

Interviewing Skills

format of role play
Format of Role Play
  • 30 to 40 minute interview
  • Interviewer
    • Initiates questioning
    • Collects information through semi-structured questions and prompts for more information
    • Terminates session
  • Interviewee
    • Provides information on questions posed
    • Determines pace of interview
    • Prepares for background information
  • Role of interviewer or interviewee will be chosen randomly.

Interviewing Skills

grading
Grading
  • On thoroughness of preparation
  • On flexibility
  • On rapport – connection to interviewee
  • On notes used to prepare for the session (please make a photocopy of either your typed or clearly handwritten notes)
  • Performance: 15%, Notes: 5% (a transcript will not be required)
  • You will not be graded on your acting ability, ability to shock, or humour

Interviewing Skills

recommended chapter
Recommended Chapter
  • Photocopy of chapter 2 from Hersen, M., & Van Hesselt, V. B. (Eds.). (1998). Basic Interviewing: A Practical Guide for Counselors and Clinicians. New Jersey: Lawrence Erlbaum Associates.

Reserves Desk: RC 480.7 B37 1998

  • Use as a guideline for asking questions, generating prompts, and dealing with silences.

Interviewing Skills

role of interview
Role of interview
  • First step in getting to know a client
  • May lead to further assessment or treatment
  • assume that it will be a treatment relationship
  • A way to establish rapport
  • A chance to explain further sessions (not necessary for the assignment)

Interviewing Skills

diagnostic interview
Diagnostic Interview
  • Presenting problem
  • Symptoms
  • Associated (neuropsychological) deficits
  • Background history

Interviewing Skills

client characteristics
Client characteristics
  • For the assignment, assume the client is:
  • Nonviolent
  • Moderately to fluently verbal
  • Compliant
  • Hoping for further help (may or may not be self- referred)

Interviewing Skills

client variables
Client Variables
  • Clients can vary in:
  • Education
  • Insight into problem
  • Opportunity to access services (income, living situation)
  • Referral source (self, doctor, parent, child, spouse)

Interviewing Skills

client variables9
Client Variables
  • Assume this is the clients first visit to a practitioner for their presenting problem
  • They should not be assumed to know their diagnosis (in reality, they probably won’t)
  • Can start with a vague complaint if you like and the interviewer can push with questions – e.g. I feel nervous, I can’t concentrate

Interviewing Skills

interviewee
Interviewee
  • Sources to use for preparation of simulation:
  • DSM – don’t choose every single one of the criteria (pick and choose, but make sure to include defining criteria)
  • Internet – case studies, basic articles
  • Personal contacts
  • Texts for case studies, presenting symptoms

Interviewing Skills

structure of interview
Structure of Interview
  • Greeting and making client comfortable (small talk okay)
  • Opening question – from chapter, examples
  • Ignore section in chapter on Ground Rules (we are not doing therapy after the interview)
  • Assessing the presenting problem – how?

Interviewing Skills

structure of interview12
Structure of Interview
  • No note taking necessary for simulation (unless you want to follow up on a particular point – brief note)
  • Assessment of clients’ understanding of problem – how?

Interviewing Skills

structure of interview13
Structure of Interview
  • Explain the purpose
  • Questions to ask – see later slides
  • Determine if the client has further questions
  • Termination of interview – how?

Interviewing Skills

pointers for the interviewer
Pointers for the Interviewer
  • Sensitivity – knowing when to push for more information and when not to
  • Silence is okay
  • Confidentiality
    • explain limits (suicide/ homicide – duty to report)
    • should be mentioned a few minutes in, not at end.

Interviewing Skills

pointers for the interviewer15
Pointers for the Interviewer
  • Be curious – don’t be afraid to ask difficult questions when called for
  • Be aware of cultural differences
  • Prompting is good if you need more information
    • Tell me more about that
    • Give me an example of that
    • Others?

Interviewing Skills

sensitive information
Sensitive Information
  • How to ask difficult questions about:
    • Sexual history
    • Abuse
    • Drug use or abuse
  • If clients don’t volunteer information, don’t ask flat out.
  • Some things may come out in further sessions (for the assignment, how can you ask these questions?)

Interviewing Skills

general questions
General Questions

Both the interviewer and interviewee should minimally prepare for the following questions:

  • To what extent are symptoms triggered by the environment, rooted in history, or related to physiology (nurture and nature)?
  • Does the client gain from their symptoms?
  • What coping skills does the client have?

Interviewing Skills

general questions18
General Questions
  • To what extent are symptoms triggered by the environment, rooted in history, or related to physiology (nurture and nature)?
  • Does the client gain from their symptoms?
  • What coping skills does the client have?

Interviewing Skills

how and what do we ask about
How and what do we ask about:
  • Psychiatric History
  • Medications
  • Medical History
  • Developmental History
  • Family history
  • Recreational History
  • Relationships – significant others, friends
  • Educational and work history
  • Sexual history (if relevant)

Interviewing Skills

information duty to report
Information: Duty to report
  • Abuse History (if part of case)
  • History of suicide or homicide (if necessary)

Interviewing Skills

ending the interview
Ending the interview
  • Approaches to ending?

Interviewing Skills

guidelines
Guidelines
  • Interviewer
  • Be prepared to ask questions in any of these domains
  • Be flexible – you will not know what the client is preparing (naturalistic interview)
  • Don’t overscript your questions
  • At end, you will be asked to guess what the diagnosis is (you won’t be graded, so it is okay to be wrong)

Interviewing Skills

guidelines23
Guidelines
  • Interviewee
  • Research the disorder and decide what presenting problems you will show
  • Prepare some information in relevant questioning domains but not necessarily all of them
  • Assume you don’t meet criteria for comorbid problems (don’t make the case too complex)

Interviewing Skills

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