From Engagement to Disengagement in a Psychiatric Assessment Process

The psychiatric interview is at the heart of psychiatry, since it provides the cornerstone of diagnostic assessment as well as being central to establishing a therapeutic relationship. This chapter, ‘Assessment’, describes the goals, principles, and practice of psychiatric interviewing. There is a detailed review of the various components of a full psychiatric assessment (the history, mental state examination, physical examination and investigations), as well as descriptions of how the assessment process is tailored to suit different situations (e.g. in emergency departments, in primary care, or in the community). The chapter proceeds to discuss how the information collected during the assessment is recorded and communicated. The chapter ends with a description of the major standardized assessment methods and ratings scales used in psychiatry.

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Comprehensive Psychiatric Assessment Process

Psychiatric Consultation in Long-Term Care ◽

10.1017/9781316687024.003 ◽

2017 ◽

pp. 19-42

Keyword(s):

Assessment Process ◽

Psychiatric Assessment

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The Goldwater Rule: a bastion of a bygone era?

History of Psychiatry ◽

10.1177/0957154x211062513 ◽

2021 ◽

pp. 0957154X2110625

Author(s):

Aoibheann McLoughlin

Keyword(s):

Presidential Election ◽

American Psychiatric Association ◽

Assessment Process ◽

Psychiatric Practice ◽

Ethical Code ◽

Psychiatric Assessment ◽

Political Landscape ◽

The Usa ◽

Psychiatric Discourse ◽

Psychiatric Profession

In tandem with the changing political landscape in recent years, interest in the Goldwater Rule has re-emerged within psychiatric discourse. Initiated in 1973, the Goldwater Rule is an ethical code specific to psychiatry created by the American Psychiatric Association in response to events surrounding the USA presidential election of 1964, in which the integrity of the psychiatric profession was challenged. Current detractors view the rule as an antiquated entity which obfuscates psychiatric pragmatism and progression. Proponents underscore its role in maintaining both respectful objectivity and diagnostic integrity within the psychiatric assessment process. This essay aims to explore the origin of the rule, and critique its applicability to modern-day psychiatric practice.

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Forensic psychiatric assessment process and outcome in state patients in KwaZulu-Natal, South Africa

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v24i0.1142 ◽

2018 ◽

Vol 24 ◽

Author(s):

Ahlem Houidi ◽

Saeeda Paruk ◽

Benn Sartorius

Keyword(s):

South Africa ◽

Forensic Psychiatry ◽

Assessment Process ◽

Psychiatric Assessment ◽

Observation Process ◽

Kwazulu Natal ◽

Process And Outcome ◽

Not Criminally Responsible ◽

Forensic Psychiatric ◽

Forensic Psychiatric Assessment

Background: Individuals who were charged with a serious offence may be referred by courts for forensic psychiatric assessment. The court may declare them as state patients if they are found unfit to stand trial or not criminally responsible because of mental illness or defect.In forensic psychiatry practice, there may be challenges in the forensic psychiatric observation process, and discrepancies may occur between the clinician report and the court’s decision.Objectives: To describe elements of the forensic psychiatric observation and discuss the legal correlates associated with the admission of state patients.Method: A retrospective study of the forensic psychiatric observation records of 91 newly admitted state patients at a forensic unit in KwaZulu-Natal over a 3-year period.Results: A total of 71 state patients (78.02%) were found not fit to stand trial and 10 patients (10.99%) were not criminally responsible. Nine patients (9.89%) were fit to stand trial and criminally responsible but still declared state patients and 13 state patients (14.29%) did not commit a serious offence. There was correlation for diagnosis between the assessing and the treating psychiatrists.Conclusion: The findings of the forensic observation were not always considered by the courts. Individuals found fit to stand trial, those found criminally responsible and those who did not commit serious crimes were declared state patients.

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Developing an Effective Framework for the Augmentative and Alternative Communication Evaluation Process

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac23.2.91 ◽

2014 ◽

Vol 23 (2) ◽

pp. 91-98 ◽

Cited By ~ 1

Author(s):

Celeste R. Helling ◽

Jamila Minga

Keyword(s):

Augmentative And Alternative Communication ◽

Evaluation Process ◽

Assessment Process ◽

Diagnostic Tools ◽

Alternative Communication ◽

Complex Communication Needs ◽

Expressive Communication ◽

Communication Evaluation ◽

Communication Needs

A comprehensive augmentative and alternative communication (AAC) evaluation is critical to providing a viable means of expressive communication for nonverbal people with complex communication needs. Although a number of diagnostic tools are available to assist AAC practitioners with the assessment process, there is a need to tailor the evaluation process to the specific communication needs of the AAC user. The purpose of this paper is to provide a basis for developing an effective and clinically driven framework for approaching a user-tailored AAC evaluation process.

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Assessment 360°: A Panoramic Framework for Assessing English Language Learners

Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations ◽

10.1044/cds17.2.37 ◽

2010 ◽

Vol 17 (2) ◽

pp. 37-56 ◽

Cited By ~ 9

Author(s):

Nancy Lewis ◽

Nancy Castilleja ◽

Barbara J. Moore ◽

Barbara Rodriguez

Keyword(s):

English Language Learners ◽

Language Learners ◽

English Language ◽

Linguistically Diverse ◽

Assessment Process ◽

Assessment Practices ◽

Her Family ◽

Diverse Student ◽

Many Sources

This issue describes the Assessment 360° process, which takes a panoramic approach to the language assessment process with school-age English Language Learners (ELLs). The Assessment 360° process guides clinicians to obtain information from many sources when gathering information about the child and his or her family. To illustrate the process, a bilingual fourth grade student whose native language (L1) is Spanish and who has been referred for a comprehensive language evaluation is presented. This case study features the assessment issues typically encountered by speech-language pathologists and introduces assessment through a panoramic lens. Recommendations specific to the case study are presented along with clinical implications for assessment practices with culturally and linguistically diverse student populations.

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Speech-Language Assessment Considerations for American Indian and Alaska Native Children Who Are Dual Language Learners

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp2.sig14.29 ◽

2017 ◽

Vol 2 (14) ◽

pp. 29-40 ◽

Cited By ~ 2

Author(s):

Christine Vining ◽

Edgarita Long ◽

Ella Inglebret ◽

Megan Brendal

Keyword(s):

American Indian ◽

Language Learners ◽

Alaska Native ◽

Dual Language ◽

Linguistic Diversity ◽

Critical Role ◽

Language Assessment ◽

Assessment Process ◽

Dual Language Learners ◽

Native Communities

The overrepresentation of American Indian and Alaska Native (AI/AN) children in special education, including children who are dual language learners (DLLs), is a major concern. Speech-language pathologists (SLPs) can play a critical role in reducing this overrepresentation. Using a holistic assessment process that is responsive to the communication patterns of home and community contexts provides a framework for distinguishing actual language disorders from differences associated with cultural and linguistic diversity. This article presents current trends in Native communities that may impact the speech-language assessment process, including a shift from indigenous languages to English and/or Native language revitalization efforts. It also provides a framework for guiding assessment in a manner that considers cultural and linguistic factors in speech-language assessment for AI/AN children who are DLLs.

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