Week 2 Flashcards
What is interviewing used for
Understand mental health status
Screen for specific psychological conditions
build rapport with patient
What are structured interviews
Use standardized diagnostic instruments
Interview questions are strictly followed with no flexibillity
High structured instruments have greater validity and reliability
What are semi structured interviews
Involved the use of standardized diagnostic instruments
Instruments are flexible and can include interviewer-generated questions
Semi structured instruments have less validity/relability compared to structured instruments
What are unstructured interviews
Highly flexible
Interacation between clinician and patient is casual and free-flowing
New questions are generates based on flow of conversations
Low validy realibity scores
Conversations centers on changes in cognitive structures and processes over time
Why might conducting interviews with older adults be challenging
Refuse participation in research
Provide short superficial responses
What are senesory chalenges to remeber
Auditory hearing and visual impariments are common
Hearing-imparied older adults more likely to refuse particpation stigm and embarrassment
Hearing loss can affect the quality of interviews due to diffculty hearing questions or instructions
What are some recommened interviewing practices for hearing imparied
Shwoing phase
Speak slightly
normal speed
pausing between phrases
no background noise
encourage use of hearing aid
provide written questions
What is recomened for vision imparied
Print in large font
Be mindful of lighting in the interview room
encourage use of reading glasses
What are challenges with cogntive decline
Memory reasoning and processing speed are affected by aging
Older patinets may have diffculties recollecting facts/events
Slow in formulating responses to questions
What are reccomened practices for cognitive decline
Encourage patients to bring relevant information to the interview
Interview procies for supplemental data
Questions should be simple
Repeat question when needed
What are challenges with ethnicity and culture
Description/presentation of psychologicla problems differs across cultures
Psycholgocial problesm as phsyical health problems (somatizations)
What are redcommended interview practices for ethnicity and culture
Interview questions should be phrased differentaly call it emotions instead of mental illness
What are medical and physical health problems
Physical health problems may cause patients to speak and behave in ways similar to psychological problems
Medications taken to control a physical health problem may produce side effects similar to psychriatic symptoms
What are recommended interviewing practices for medical and physical health problems
Assess physical health problems and psychological problems simultaneously
What are problems with interview settings
Occur in a variety of places: home, long-term care facilties, clinics privacy is an issue given the stigma surrounding mental illness
What are recommened interviewing practices for settings
Private queite roomes
Address data confidentalty in settings where privacy is not guaranteeed
What are problems with trust and rapport
Mental health problems are stigmatized
short superfical responses are common in interviews when trust and rapport are absent
What are recommended interviewing practices
Proper introduction, attentive listening and geniunine intrest in wellbeing
Avoid being condescending comments
Alternate between sensitive and non-sensitive questiosn
What are problems with language
Sophiscated language can derail the interview
Ethno-racial minorites experiencing dementia are known to revert to speaking only their mother tongue
What are suggestions for language
Adopt similar language
provide interpertation when needed
What are problems with length of an interview
Longer interviews are common because older adults respond slowly to questions
Older adults have many stories to tell
What are recommend interviewing practices for length of time
Prioritize the most relevant questions
Politely redirect patients to questions when they digress
Questions should be short
Repeat questions when needed
What is problem behvaiour
Dementia causes people to be abusive because they are esaily irratied
Recommended intervieewing practices for problem behaviour
Reschedule interview and allow time for recovery
Observe rather than interview
Interview with family mebers
What is MMSE
Used to test cognitve impariment max score is 30 points 23 or lowr indicates cogntive impariment
