Module 5 Flashcards
It is a fundamental assessment and intervention procedure that mental and behavioral health professionals learn and apply throughout their careers.
Clinical interview
It focus on the interviewer’s own frame of mind rather than any particular set of techniques.
General Skills
The general skills are:
Quieting yourself
Being Self-aware
Developing positive working relationship
Specific Behaviors
Eye contact
Body Language
Vocal qualities
Verbal tracking
does not mean the interviewer shouldn’t talk much but simply the interviewer’s own mind should not interrupt or drown out the voice of the client.
Quieting yourself
the interviewer’s ability to know how he or she tends to affect others interpersonally and how much others tend to relate to him or her.
Being Self-aware
attentive listening, appropriate apathy, genuine respect and cultural sensitivity play significant roles.
Developing positive working relationship
general rules for interviewer: face the client, appear attentive, minimize restlessness, display appropriate facial expression
Body Language
skilled interviewers have mastered subtleties. They use pitch tone volume and fluctuation.
Vocal qualities
able to repeat key words and phrases back to their clients to assure the clients that they have been accurately heard.
Verbal tracking
It refers to the positive comfortable relationship between interviewers and clients.
rapport
It is what an interviewer does with clients. These are the tools in the interviewer’s toolbox, including questions, responses and other forms of action.
Technique
the interviewer is looking for specific answers about your work history. prompts closed answer. This form of interviewing works with fact-based questions and in its simplest form is a ‘yes’ or ‘no’ question.
Directive style
there are often ‘no wrong answer’
non-directive questions
The purpose of ________n is to make sure the interviewer has an accurate understanding of the client’s comments.
clarification
Interviewers use __________________ when they notice discrepancies or inconsistencies in clients comments. It can be similar to clarifications but they focus on apparently contradictory information provided by clients.
confrontation
It is used simply to assure clients that they are being accurately heard. When interviewers ______________ they typically restate the content of the clients comments using similar language.
paraphrase
It echoes the clients emotions. These are intended to make clients feel that their emotions are recognized even if their comments did not explicitly labels their feelings
Reflection of feeling
It usually involves tying together various topics that may have been discussed, connecting statements that may have been made at different points and identifying themes that have recurred during the interview.
Summarizing
Pragmatics of the Interview
Note taking
Audio and Video Recordings
The Interview Room
Confidentiality
Types of Interview
Intake Interviews
Diagnostic Interview
Mental Status Exam
Crisis Interviews
It is essentially done to determine whether to “intake” the client to the setting where the interview is taking place. It determines whether the client needs treatment, if so, what form of treatment is needed (inpatient outpatient specialized provider etc.) and whether the current facility can provide the treatment or the client should refer to a more suitable facility.
Intake interviews
Its purpose is to diagnose or to produce diagnosis.
Diagnostic Interview
It is a predetermined, planned sequence of questions that an interviewer asks a client. It is constructed for particular purpose usually diagnostic.
Structured Interview
It involves no predetermined or planned questions. In this interview, interviewers improvise: they determine their questions on the spot seeking information that they decide relevant during the course of the interview
Unstructured Interview
The most prominent structured interview has been the more wide ranging _____________________________. It was created by some of the leading authors of recent edition of DSM and it is essentially a comprehensive list of questions that directly ask about specific symptoms of the many disorders included in DSM.
Structured Clinical Interview for DSM 5 Disorders (SCID)
Outline of clinical interviews
Introduction
Opening
Body
Closing
Termination
This stage begins at first contact. Client expectations, role induction, first impressions, and initial rapport-building are central issues and activities.
Introduction
The introduction stage of a clinical interview includes:
confidentiality
therapist theoretical orientation
role induction
It provides an initial focus. Most mental health practitioners begin clinical assessments by asking something like, “What concerns bring you to counseling today?” This question guides clients toward describing their presenting problem
Opening
The interview purpose governs what happens during this stage. It focuses on information gathering. Clinicians actively question clients about distressing symptoms, including their frequency, duration, intensity, and quality.
Body
Tasks and activities linked to this stage include (1) providing support and reassurance for clients, (2) returning to role induction and client expectations, (3) summarizing crucial themes and issues, (4) providing an early case formulation or mental disorder diagnosis, (5) instilling hope, and, as needed, (6) focusing on future homework, future sessions, and scheduling
Closing
It involves ending the session and parting ways. This stage requires excellent time management skills; it also requires intentional sensitivity and responsiveness to how clients might react to endings in general or leaving the therapy office in particular.
Termination
It is employed most often in medical settings Its primary purpose is to quickly assess how the client is functioning at the time of evaluation. This does not delve into the client’s personal history nor is it designed to determine a DSM diagnosis definitively. Instead its yield is usually a brief paragraph that captures the psychological and cognitive processes of the individual “right now” like a psychological snapshot
Mental Status Exam
They are designed not only to assess a problem demanding urgent attention (most often clients actively considering suicide or other act of harm toward self or others) but also to provide immediate and effective intervention for that problem.
Crisis Interviews
