chapter 13 using assessment in counseling. facts making a treatment decision is a form of diagnosis...
TRANSCRIPT
Chapter 13Using Assessment in Counseling
Facts
Making a treatment decision is a form of diagnosis
Formal Diagnosis expected by:EmployersLicensing boards Insurance companies
Informal diagnosisReferral
Examples of Diagnosis
Community counselorWhen determine issue is developmental not
pathological equals a diagnosisSchool Counselor
Recommend student be tested by psychologist equals a diagnosis
Career CounselorsDetermines client is “vocationally immature”
equals a diagnosis
Instruments Designed to Provide Diagnosis
Interview Composite International Diagnostic Interview
Schedule: Authorized Core Version 1.0 (CIDI-Core) Assesses Axis I disorders and is approproate for those 18 and
older Takes between ½ hour and 1½ to complete Can be administered by clinicians or trained lay interviewers
Diagnositic Interview Schedule (DIS) Designed to diagnosis on all axes Does not require clinical judgment Must be administered exactly as given Trainer must have participated in training program Takes one hour to complete
Both of these instruments have good interrater reliability
Semi-Structured Interview
Psychiatric Research Interview for Substance and Mental Disorders (PRISM) Assesses Axis I disorders, borderline, antisocial
disorders Trained clinicians Amount of time varies with psychopathology
Structured Clinical Interviews for Axix I DSM-IV Disorders (SCID-I) Assesses Axis I disorders Only administered by clinicians Takes about 1½ hours to administer
Good to excellent interrater reliability
Interviews for Children
Diagnostic Interview for Children (DISC-IV)Assesses Axis I disorders
Diagnostic Interview for Children and Adolescents (DICA)Assesses wide range of child and
adolescent psychopathology
Both can be adminstered by clinician and lay technician
Treatment Planning Client Characteristics
Client demographics Functional impairment – work, love, play,
spiritSubjective distress – work, love, play, spiritCoping Style - strengthsResistance – blind spotsProblem Complexity – theorySocial Support – work, love, play, spirit
Treatment Planning
Problems – Goals
1. What are the goals
2. How to recognize when accomplished
3. How to conceptualize getting there
4. Alternative conceptualizations
5. How to focus on all aspects
6. How to evaluate effectiveness