Clinical Use of the DSM Categorical Diagnostic System During the Mental Health Intake Session

2015 ◽  
Vol 76 (07) ◽  
pp. e862-e869 ◽  
Author(s):  
Ora Nakash ◽  
Maayan Nagar ◽  
Yaniv Kanat-Maymon
Keyword(s):  
Mental Health ◽  
Diagnostic System ◽  
Clinical Use ◽  
Intake Session

Emotional and Mental Wellbeing

2020 ◽  
pp. 153-172
Author(s):  
Elaine Chase ◽  
Jennifer Allsopp
Keyword(s):  
Mental Health ◽  
Criminal Justice ◽  
Young People ◽  
Health Services ◽  
Health Outcomes ◽  
Mental Wellbeing ◽  
Surveillance Systems ◽  
Clinical Use ◽  
Immigration Control ◽  
Presenting Symptoms

This chapter assesses the central importance of health, and in particular mental health, to a sense of wellbeing. It considers the factors that negatively impact mental wellbeing of migrant young people not so much in terms of presenting symptoms and biomedical responses, but largely as products of systems and structures that are incompatible with their lives and aspirations. The chapter highlights not only how poor health outcomes are often products of immigration and social care structures, but also how health services are no longer safe, neutral spaces. Instead, in the contemporary hostile environment, health services can act as additional arms of immigration control and surveillance systems. The chapter then discusses the controversial logic in the clinical use of anti-depressants and other drugs to manage conditions that are essentially socially and politically constructed, as well as the incursion of the criminal justice system into the arena of addiction and behavioural disorders.

scholarly journals Suicide in DSM-5: Current Evidence for the Proposed Suicide Behavior Disorder and Other Possible Improvements

2021 ◽  
Vol 11 ◽  
Author(s):  
Kara B. Fehling ◽  
Edward A. Selby
Keyword(s):  
Mental Health ◽  
Suicide Rate ◽  
Diagnostic System ◽  
Behavior Disorder ◽  
Current Evidence ◽  
Mental Health Clinicians ◽  
Dsm 5 ◽  
Suicide Behavior ◽  
Clinical Benefits ◽  
Increasing Trends

Suicide continues to be one of the greatest challenges faced by mental health clinicians and researchers, an issue made worse by increasing trends in the global suicide rate. Suicide behavior disorder (SBD) was introduced in DSM-5 as a disorder for further consideration and potential acceptance into the diagnostic system. There are numerous positive developments that would arise from the addition of a suicide-related diagnosis. Utilizing the 2009 guidelines established by Kendler and colleagues, the present review examines the evidence for SBD's validity and discusses the diagnosis' potential clinical benefits and limitations. Altogether, growing evidence indicates that SBD has preliminary validity and benefit. SBD presents with several significant limitations, however, and possible alternative additions to future DSMs are highlighted.

scholarly journals It's not that bad: the views of consumers and carers about routine outcome measurement in mental health

2009 ◽  
Vol 33 (1) ◽  
pp. 93 ◽  
Author(s):  
Jennifer Black ◽  
Tania Lewis ◽  
Pamela McIntosh ◽  
Tom Callaly ◽  
Tim Coombs ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Outcome Measurement ◽  
Clinical Use ◽  
Self Assessment ◽  
Routine Outcome Measurement ◽  
The Past ◽  
Assessment Measure ◽  
Promotional Materials ◽  
Mandatory Use

The mandatory use of routine outcome measurement (ROM) has been introduced into all public sector mental health services in Australia over the past 6 years. Qualitative processes were used to engage consumers and carers in suggesting how the measures can be used in clinical practice. The project involved an audit by survey, followed by a range of interactive workshops designed to elicit the views of consumers, carers and clinicians, as well as to involve all parties in dialogue about ROM. In addition, there was engagement of consumers and carers in the training of clinicians in the clinical use of ROM, and in the production of promotional materials aimed at informing consumers and carers about ROM. When consumers and carers have had an opportunity to be involved in ROM they have found it a useful experience, and those who had not been involved can see the potential. Consumers and carers indicated that they believe the greatest opportunity arising from the suite of measures is the use of the consumer self-assessment measure the Behaviour and Symptom Identification Scale (BASIS-32).

scholarly journals BurnoutWords - Detecting Burnout for a Clinical Setting

2021 ◽  
Author(s):  
Sukanya Nath ◽  
Mascha Kurpicz-Briki
Keyword(s):  
Mental Health ◽  
Language Processing ◽  
Workplace Stress ◽  
Support Vector ◽  
Svm Classifier ◽  
Free Text ◽  
Clinical Use ◽  
Real Patient ◽  
Global Pandemic ◽  
Clinical Methods

Burnout, a syndrome conceptualized as resulting from major workplace stress that has not been successfully managed, is a major problem of today's society, in particular in crisis times such as a global pandemic situation. Burnout detection is hard, because the symptoms often overlap with other diseases and syndromes. Typical clinical approaches are using inventories to assess burnout for their patients, even though free-text approaches are considered promising. In research of natural language processing (NLP) applied to mental health, often data from social media is used and not real patient data, which leads to some limitations for the application in clinical use cases. In this paper, we fill the gap and provide a dataset using extracts from interviews with burnout patients containing 216 records. We train a support vector machine (SVM) classifier to detect burnout in text snippets with an accuracy of around 80%, which is clearly higher than the random baseline of our setup. This provides the foundation for a next generation of clinical methods based on NLP.

Can There Be a Recovery-Oriented Diagnostic Practice?

2018 ◽  
Vol 59 (3) ◽  
pp. 319-338 ◽  
Author(s):  
Anthony J. Pavlo ◽  
Elizabeth H. Flanagan ◽  
Larry M. Leitner ◽  
Larry Davidson
Keyword(s):  
Mental Health ◽  
Meaning Making ◽  
Diagnostic System ◽  
Health Conditions ◽  
Practice Research ◽  
Health Practice ◽  
The Public ◽  
Diagnostic Practices ◽  
Diagnostic Practice ◽  
Public Imagination

Despite the prevalence of the DSM in mental health practice, research, and the public imagination, it remains the target of criticism. With the publication of another volume in the DSM series, we have seen increased dialogue regarding the necessity of viable alternatives that do not succumb to the pitfalls of a descriptive diagnostic system. In this article, we explore a framework for a recovery-oriented and person-centered diagnostic practice along with an example based in Experiential Constructivism. We discuss 10 principles of a recovery-oriented approach founded on our requirements that diagnosis should be collaborative, future-oriented, and facilitative of meaning making. We argue for diagnosis that goes beyond labeling people’s mental health conditions, enhances provider–consumer relationships, and supports recovery-oriented practices. We then provide one example of this approach from a study that explored client and therapist understandings of DSM and Experiential Constructivist diagnoses. We conclude by briefly discussing the implications of developing and applying new diagnostic practices in mental health care, specifically the practices that would also need to be in place to sustain any alternative diagnostic approach to the DSM.

An illness narrative or a social injustice narrative?

2018 ◽  
pp. 75-86
Author(s):  
Maya Lavie-Ajayi ◽  
Ora Nakash
Keyword(s):  
Mental Health ◽  
The Political ◽  
Social Injustice ◽  
Illness Narrative ◽  
Diverse Populations ◽  
Mental Health Clinics ◽  
Health Clinics ◽  
Intake Interview ◽  
Culturally Diverse Populations ◽  
Intake Session

This chapter discusses the difficulty faced by therapists when, instead of a story of emotional problems, they are presented in the course of a professional consultation with a narrative about social injustice. The chapter includes a detailed analysis of a single intake session and subsequent post-intake interviews, taken from a large study on intakes in mental health clinics with culturally diverse populations in Israel. The client–subject of this chapter presented herself to a mental health facility, claiming a state of crisis due to the downgrading of her employment status, which she attributed to systematic corporate injustice. During the intake interview, there were a number of disagreements between the client and the therapist. While the client sought to relate a narrative of injustice, the therapist insisted on identifying an illness narrative. This chapter argues that the battle of narratives is a political battle, and highlights the political power wielded by therapists in defining diagnoses and treatment recommendations.

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