Assessment “It is a capital mistake to theorize before one has... facts to suit theories instead of theories to suit facts.” ...

advertisement

Assessment

“It is a capital mistake to theorize before one has data. Insensibly one begins to twist facts to suit theories instead of theories to suit facts.” - Arthur Conan Doyle

But because theories are required before we can differentiate data from noise, data are not data unless we have theories.

Determine Purpose

Determine Focus

Gather Data

Generate Hypotheses

Test Hypotheses (Gather Data)

Assess Reliability of Data

Determine Data Clusters

Generate Diagnoses

Test Diagnoses Against Criteria

Resolve Diagnostic Uncertainty

Generate Formulation

Begin Service Planning

I.

II.

III.

IV.

Assessment Domains

(This is just an example. Relevant domains are determined by purpose and focus.)

Identifying Information

Presenting Problem

Psychiatric Symptoms/Behavior

V.

Psychiatric History

Medical History

VI.

VII.

Developmental/Family History

Educational History

VIII. Social/Relationship History

IX. Work/Military History

X.

XI.

XII.

Legal History

Client Strengths/Activities/Interests

Other Relevant Data

XIII. Mental Status Exam

XIV. Diagnostic Impressions

Turner’s Diagnostic Checklist

A.

1.

2.

3.

4.

5.

6.

7.

Overall mental status

Intelligence

Safety a.

In relations to the therapist b.

c.

In relation to others

In relation to self

Basic Value Set

Basic personality characteristics

Communication skills

Credibility

B.

8.

9.

Overall physical condition and status

Medication

10.

Significant role set a.

Roles b.

Adequacy of role performance c.

Comfort in role set

11.

Cultural, gender, racial, ethnic, and religious factors a.

b.

b.

Identity

Significance

12.

Significant others a.

Strength

Quality c.

Availability

13.

Significant social systems

14.

Significant impinging history

15.

Substance use or abuse

16.

Interpersonal network a.

b.

Strength

Quality c.

Availability

17.

Major strengths in a.

b.

c.

Persons

Significant Environments

Resources

18.

Major problem areas, if any in

Persons a.

b.

c.

Significant Environments

Resources

C.

19.

Perceived needs

20.

Clients wishes and expectations

21.

Perceived nature of service to be offered

22.

Required availability of help

23.

Present level of motivation

24.

Prognosis

25.

Overall level of certainty

Assessment Errors

Problems conceptualizing the assessment

Unclear purpose

Unclear focus

Problems gathering data

Incomplete data

Inaccurate data

Irrelevant data

Fact – inference confusion

Problems using data

Excess data gathering

Ignoring patterns

Finding nonexistent patterns

Human problems

Poor rapport

Inconsistent expectations

Over identification

Assessment – intervention confusion

Environmental problems

Lack of physical safety

Lack of psychological safety

Distractions

Download