Assessment

2017 ◽  
pp. 35-70
Author(s):  
Paul Harrison ◽  
Philip Cowen ◽  
Tom Burns ◽  
Mina Fazel
Keyword(s):  
Primary Care ◽  
Physical Examination ◽  
Therapeutic Relationship ◽  
Mental State ◽  
Assessment Methods ◽  
Assessment Process ◽  
Psychiatric Assessment ◽  
Psychiatric Interview ◽  
Detailed Review ◽  
State Examination

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.

Psychiatric assessment of older people

2020 ◽  
pp. 145-152
Author(s):  
Jonathan Huntley ◽  
Alan Thomas ◽  
Rob Stewart
Keyword(s):  
Physical Examination ◽  
Older People ◽  
Mental State ◽  
Psychiatric History ◽  
Psychiatric Assessment ◽  
Neurological Signs ◽  
Care Services ◽  
Health And Social Care ◽  
Holistic Assessment ◽  
State Examination

The venue for psychiatric assessment varies, but given the choice, there are substantial advantages in the first assessment being conducted at home. The aims of assessment are to do more than achieve a diagnosis, though this is crucial; the aim should also be to produce a holistic assessment of all needs, leading to the involvement of a range of appropriate professionals in health and social care services to address these needs and carry out their own specialist assessments. Information from informants will supplement that of the patient and enable completion of all the important domains in the psychiatric history. The mental state examination will include a special emphasis on cognitive assessment, and a brief physical examination looking for neurological signs is important.

Prevalenza dei disturbi affettivi (DSM-IIIR) nei pazienti di un reparto di medicina geriatrica. Uno studio epidemiologico con controlli della popolazione generale

1993 ◽  
Vol 2 (1) ◽  
pp. 47-52
Author(s):  
Cesare Turrina ◽  
Maria Steinmayr ◽  
Orazio Piasere ◽  
Orazio Siciliani
Keyword(s):  
Mental State ◽  
Specific Treatment ◽  
Adjustment Disorder ◽  
Depressive Mood ◽  
High Risk Group ◽  
Dysthymic Disorder ◽  
Medical Patients ◽  
Psychiatric Interview ◽  
Community Controls ◽  
State Examination

SummaryObjective - To investigate the rate of DSM-IIIR main affective disorders in a sample (52) of elderly medical patients consecutively admitted to a geriatric ward; to look for risk factors associated with depression; to compare the rate of depression with the one detected in community controls (117 subjects). Design - All consecutive patients admitted during January-February 1990 were assessed with a standardized psychiatric interview (Geriatric Mental State Examination) and with the Mini-Mental State Examination. Setting - The IV Geriatric Division (ward and day-hospital), Ospedale Civile Maggiore of Verona, which cares for elderly affected by medical illnesses. Main outcome measures - Depression was diagnosed according to the main DSM-IIIR categories for mood disorders. Results - Overall, an affective disorder was diagnose in 25% of the subjects (major depression 5,7%, dysthymic disorder 3,8%, n.o.s. depression 13,4%, adjustment disorder with depressive mood 1,9%). This rate was significantly higher when compared with the prevalence detected in community controls (25% vs. 11,1%). Older age, female sex, physical disability and distressing events were not associated with affective illness, while the lack of social support was significantly associated with depression. Conclusions - Elderly medical patients turned out to be an high risk group for depression, which deserves psychiatric screening and specific treatment.

Psychiatry

2012 ◽  
pp. 601-629
Author(s):  
Jonathan P. Wyatt ◽  
Robin N. Illingworth ◽  
Colin A. Graham ◽  
Kerstin Hogg ◽  
Michael J. Clancy ◽  
...  
Keyword(s):  
Mental State ◽  
Suicide Risk ◽  
Psychiatric Interview ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
State Examination ◽  
Psychiatric Problems

Approach to psychiatric problems 602 Glossary of psychiatric terms 603 The psychiatric interview 604 Mental state examination 606 The aggressive patient: background 608 Safe consultations with potentially violent patients 609 Managing aggression 610 Emergency sedation of a violent patient 611 Deliberate self-harm 612 Assessment of suicide risk ...

Psychiatric assessment

2013 ◽  
pp. 33-82
Keyword(s):  
Depressed Mood ◽  
Mental State ◽  
Psychiatric Patients ◽  
Clinical Interview ◽  
Anxiety Symptoms ◽  
Psychiatric Assessment ◽  
Case Summary ◽  
Self Harm ◽  
State Examination

The clinical interview Setting the scene Interviewing psychiatric patients Discussing management History Mental state examination Case summary Observations of appearance and behaviour Speech Abnormal mood Asking about depressed mood Asking about thoughts of self-harm Asking about elevated mood Anxiety symptoms Asking about anxiety symptoms Abnormal perceptions...

The Geriatric Mental State Examination As a Case-finding Instrument in the Community

1988 ◽  
Vol 152 (2) ◽  
pp. 205-208 ◽  
Author(s):  
C. Mcwilliam ◽  
J. R. M. Copeland ◽  
M. E. Dewey ◽  
N. Wood
Keyword(s):  
Mental State ◽  
Diagnostic System ◽  
Depressive Illness ◽  
Case Finding ◽  
Psychiatric Interview ◽  
Predictive Values ◽  
Low Prevalence ◽  
State Examination ◽  
Diagnostic Index ◽  
Effective Case

The Geriatric Mental State Examination (GMS), a standardised psychiatric interview, and its computerised diagnostic system, AGECAT, have been applied to a large (1070) sample of subjects aged over 65 in Liverpool. In a split-half study of this sample, diagnostic scales within the GMS and a diagnostic index derived from them were tested for efficacy in cases of organic and early organic illness (mostly various stages of dementia) and depressive illness. Results demonstrated high levels of sensitivity and specificity, and positive predictive values were within the expected range when applied to these disorders, given their low prevalence in the community. The GMS, when used in this way, is a flexible and effective case-finding instrument.

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