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Standardized evaluation in clinical practice / edited by Michael B. First.

LIBRA RC469 .S68 2003
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Format:
Book
Contributor:
First, Michael B., 1956-
Series:
Review of psychiatry series ; 22, 2.
Review of psychiatry ; v. 22, no. 2
Language:
English
Subjects (All):
Psychological tests.
Behavioral assessment.
Psychodiagnostics.
Mental Disorders--diagnosis.
Diagnosis, Differential.
Process Assessment, Health Care.
Risk Factors.
Severity of Illness Index.
Suicide, Attempted--psychology.
Medical Subjects:
Mental Disorders--diagnosis.
Diagnosis, Differential.
Process Assessment, Health Care.
Risk Factors.
Severity of Illness Index.
Suicide, Attempted--psychology.
Physical Description:
xxiv, 167 pages : illustrations ; 23 cm.
Edition:
First edition.
Place of Publication:
Washington, DC : American Psychiatric Pub., [2003]
Summary:
Augmenting the broad information contained in the APA's Handbook of Psychiatric Measures, this in-depth guide examines the real-world issues involved in implementing measures in actual clinical settings. In just five chapters, its 12 distinguished contributors focus on both the uses and limitations of structured diagnostic interviews in clinical practice and on specific measures for assessing two crucially important factors in clinical practice: suicide risk and global functioning. Standardized Evaluation in Clinical Practice is a groundbreaking guide that details the pros and cons of using structured interviews and rating scales in clinical settings to ensure reliable and valid assessment of diagnoses, symptoms, and outcomes.
Contents:
Chapter 1 Is There a Place for Research Diagnostic Methods in Clinic Settings? / Monica Ramirez Basco, Ph.D. 1
The Importance of Diagnoses in Psychiatry 1
Problems With Psychiatric Diagnoses 2
Assumptions Inherent in the Diagnostic Classification System 13
Remedies 15
Use of Structured Diagnostic Methods 17
Determining Where to Direct Efforts to Increase Diagnostic Precision 19
Implementing a Structured Diagnostic System 21
Chapter 2 Integrating the Assessment Methods of Researchers Into Routine Clinical Practice: The Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) Project / Mark Zimmerman, M.D. 29
Methods of the MIDAS Project 32
Overview of Results From the MIDAS Project 33
Clinical Need for a Diagnostic Screening Instrument 52
Examination of Nosologic Issues 60
Generalizability of Treatment Research 62
Unanswered Questions 63
Chapter 3 Use of Structured Diagnostic Interviews in Clinical Child Psychiatric Practice / Christopher P. Lucas, M.D., M.P.H. 75
Problems With Clinical Interviewing 76
Semistructured Diagnostic Interviews 78
Fully Structured Diagnostic Interviews 78
Relative Advantages of Semistructured and Structured Diagnostic Interviews 80
The Diagnostic Interview Schedule for Children 81
Validity of Computerized Self-Assessments 90
Impact of Computerized Assessment on Clinical Services 92
Chapter 4 Risk Factors for Suicidal Behavior: The Utility and Limitations of Research Instruments / Maria A. Oquendo, M.D., Batsheva Halberstam, B.A., J. John Mann, M.D. 103
Definitions of Suicidal Behavior 104
Clinical Risk Factors for Suicidal Behavior 106
Neurobiological Factors in the Assessment of Suicidal Behavior 107
Clinical Assessment of Suicide Risk 109
Research Assessment of Suicide Risk 110
Research Versus Clinical Assessments of Suicide Risk 111
Research Tools in the Assessment of Suicide Risk 112
Appendix 4-1. Conte Center for the Neuroscience of Mental Disorders/New York State Psychiatric Institute at Columbia University/Suicide History 124
Chapter 5 Nationwide Implementation of Global Assessment of Functioning as an Indicator of Patient Severity and Service Outcomes / William W. Van Stone, M.D., Kathy L. Henderson, M.D., Rudolf H. Moos, Ph.D., Robert Rosenheck, M.D., Mary Schohn, Ph.D. 131
Implementing Use of the GAF Throughout the Veterans Health Administration 132
Staff Involvement and Training in One VA Network 135
National GAF Training by Satellite Broadcast 140
Preliminary Analysis of GAF Outcomes 141
The GAF, Mental Health Service Use, and Patients' Symptom and Functioning Outcomes 146.
Notes:
Includes bibliographical references and index.
ISBN:
1585621145
OCLC:
51278446

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