Diagnostic Interviewer Agreement Name: _____________________________________________ Alliant Student ID Number: ____________________________ I agree to administer the Structured Clinical Interview for DSM to at least __________ (write in number) patients through _____________________ (month) of 2008. I agree to administer at least ___________ every month, except that I will not be available __________________ (date) through __________________ (date). I will notify Dr. Brown immediately if my availability changes. I agree to register for PSY6035 (research practicum), PSY7501 (taught by Dr. Brown), PSY8503 (therapy elective practicum with Dr. Brown) during each semester in which I serve as a DBT skills group leader for Dr. Brown. http://www2.alliant.edu/registrar/files/forms I agree to follow all of the following policies and procedures, and if any of them are unclear at any time, I will notify Dr. Brown immediately. I. GENERAL INSTRUCTIONS: There is no fee for a diagnostic assessment. Each session is video or audio recorded for supervision. Supervision will occur at least once per month. All assessment sessions are done in Daley Hall room 102-D during normal business hours. You can get keys from Judith Archuleta. You often will not be able to enter the room (even with your room key) when the outside doors are locked during off hours, holidays, and weekends. Check the voicemail off-campus: 858-635-4649, followed by the star button (*) Check the voicemail on-campus: the “MSG” button or 4800 The password is behind the do not disturb sign Press 7 to Play or Repeat messages II. Initial Phone Call: Check the wiki for times the interview room will be available http://brown.alliant.wikispaces.net/lab Reserve the room for your meeting time by it on the wiki. III. Diagnostic Interview: First, do the SCID for axis I disorders. Next, do the SCID for BPD. Provide ample breaks throughout Schedule a second meeting to complete the interview if the interview goes on for too long. Immediately after each session send an email to Dr. Brown with a brief description of what happened and whether the client reported current crises, or suicidal thinking or behavior. Immediately after the final interview send an email to Dr. Brown with all the diagnostic criteria ratings (by scanning it with the photocopy machine in Daley Hall room 106) Within four days after the final interview send an email to Dr. Brown with the final diagnosis summary sheet (scanned copy), and send a separate email with or short description of the pertinent clinical information that supports the diagnoses. IV. What to do in case of emergency or imminent danger: Don’t ask about suicidality beyond the pre-determined interview questions If necessary refer the person to 911 or the San Diego crisis line: 1-800-479-3339 Call Dr. Brown at (858) 635-4880, (858) 282-9885 (pager), or (858) 695-8073 (home) as soon as possible Student Signature: _______________________________________