ASSESSMENT - INTEGRATION AND CLINICAL-DECISION MAKING Flashcards
All assessments are conducted to address a _______.
Question
What “tasks” are necessary whether a psychologist is providing an Assessment-Focused services an Intervention-Focused Assessment service. (4)
- Examine all the assessment information
- Consider both consistencies and contradictions in the information
- Generate a hypothesis
- Formulate conclusions or clinical recommendations
What are some things that Integration requires
Providing a descriptive account of the clients current psychological functioning, and sometimes a diagnosis using the DSM-5
During Integration, some clients might receive more than one diagnosis, what must a psychologist do in this case?
The psychologist has to indicate how these diagnoses are related to each other and to the persons overall psychosocial functioning
The psychological Assessment of children and youth often involves what (in adults we don’t do it as much)
Collecting Data from Multiple Informants (parents, teachers, etc)
De Los Reyes et al. found that there are two factors that effect the degree of agreement across raters (information sources like a parent vs teacher), what are they?
- Situational Context (ex.home vs school)
- Symptom Type (internalizing vs externalizing behaviour)
In the context of psychological tests, the ___________ ___________ data allow the psychologist to evaluate the extent to which the other scale scores are likely to accurately reflect the clients personality and psychosocial functioning
Validity Score Data
What is useful when a patient has complex or numerous clinical problems, as it allows the psychologist to make informed decisions about the timing, sequence, duration, and specific focus of interventions
A Detailed Case Formulation
What is a Case Formulation?
A description of the patient (using assessment data) that provides info on his/her life situation, current problems, and a set of hypotheses linking psychosocial factors with the patients clinical condition
What is a major challenge in case formulation?
DETECT PATTERNS in the data gathered during an assessment
What are “Theoretical Orientations”
An organized set of assumptions
How do Psychoanalysts and Behaviour therapists differ in what they emphasize in observations
psychoanalysts emphasized personality factors and behaviour therapists focus on situational influences.
Jacqueline Persons has devoted lots of time into developing an approach to case formulation that psychologists can use.
What does her case formulation emphasize?
identifying the patients overt problems and long-standing beliefs (schemas) that when activated by life events, cause the overt problems
What is Retrospective Recall
using data that relies on people to remember events that happened to them (counting on someone’s memory is not accurate)
Other than relying on just memory for assessment, what are some other places we can get information about a patient?
medical, school or police records. any archival information