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5 results

  • 6 - Assessment practices and processes in mental health

    • By
  • Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
  • Book:
    Mental Health
    Published online:
    07 April 2022
    Print publication:
    07 April 2022, pp 101-126

  • Summary

    Assessment in the mental health field is a dynamic process of learning, using experience and applying multiple sources of knowledge and evidence. This chapter presents an overview of assessment practices and processes undertaken within formal mental health care and discusses these within the context of consumer–health practitioner partnerships. We start by considering how assessment practices are a prominent feature of understanding a person’s situation and life context, and how these need to be based on the principles of person-centred, trauma-informed care and cultural safety. We discuss the importance of engagement and therapeutic relationships skills in ensuring consumers, carers and family members are meaningfully connected within a process for identifying the mental health problems the person is experiencing. Part of this awareness is reflecting on what it is like for a person to be assessed, and the power dynamics involved in naming experience, symptoms and diagnosis. The chapter then looks at the paradigm of comprehensive assessment, with specific discussions about strengths-based assessment, mental state examination and the roles of different health professionals.

  • 6 - Assessment practices and processes in mental health

  • Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
  • Book:
    Mental Health
    Published online:
    07 April 2022
    Print publication:
    07 April 2022, pp 101-126

  • Summary

    Assessment in the mental health field is a dynamic process of learning, using experience and applying multiple sources of knowledge and evidence. This chapter presents an overview of assessment practices and processes undertaken within formal mental health care and discusses these within the context of consumer–health practitioner partnerships. We start by considering how assessment practices are a prominent feature of understanding a person’s situation and life context, and how these need to be based on the principles of person-centred, trauma-informed care and cultural safety. We discuss the importance of engagement and therapeutic relationships skills in ensuring consumers, carers and family members are meaningfully connected within a process for identifying the mental health problems the person is experiencing. Part of this awareness is reflecting on what it is like for a person to be assessed, and the power dynamics involved in naming experience, symptoms and diagnosis. The chapter then looks at the paradigm of comprehensive assessment, with specific discussions about strengths-based assessment, mental state examination and the roles of different health professionals.

  • 13 - Mental health screening and assessment in juvenile justice

    • By Gina M. Vincent, Department of Psychiatry, University of Massachusetts Medical School 55 Lake Avenue North, WSH 8B Worcester, MA 01655 USA, Thomas Grisso, Professor, Law and Psychiatry Program Department of Psychiatry University of Massachusetts Medical School 55 Lake Avenue North, WSH 8B Worcester, MA 01655 USA, Anna Terry, Research Associate, Law & Psychiatry Program Department of Psychiatry University of Massachusetts Medical School 55 Lake Avenue Norh, WSH 8B Worcester, MA 01655 USA
  • Edited by Carol L. Kessler, Columbia University, New York, Louis James Kraus, Rush University, Chicago
  • Book:
    The Mental Health Needs of Young Offenders
    Published online:
    11 August 2009
    Print publication:
    06 September 2007, pp 270-287

  • Summary

    This chapter provides a brief description of the benefits and procedures of mental health screening and assessment in juvenile justice settings. It begins with a discussion of the reasons for and benefits of identification of mental health problems in juvenile justice settings, and the developmental complications involved in this undertaking. The chapter defines and differentiates mental health screening versus assessment by describing the characteristics of both. Finally, it provides a brief review of the current mental health screening tools, which are in the public domain and have been validated for use in juvenile justice settings. The screening tools are defined along three categories: multidimensional brief screening tools, problem or needs-oriented interview schedules, and multidimensional scales identifying clinical disorder. The selection of tools must be commensurate with the purposes, demands, and constraints of the situations in which they will be used.

  • On Diagnosing Rare Disorders Rarely: Appropriate Use of Screening Instruments

  • Andrew Clark, Richard Harrington
  • Journal:
    The Journal of Child Psychology and Psychiatry and Allied Disciplines / Volume 40 / Issue 2 / February 1999
    Published online by Cambridge University Press:
    01 February 1999, pp. 287-290
    Print publication:
    February 1999

  • The main aim of this study was to determine whether child mental health professionals who regularly use questionnaires to screen for mental disorders know that these questionnaires have a low predictive value when the base rate of a disorder is low. The study was based on a representative sample of professionals who used questionnaires regularly to screen for mental disorders. They were set a problem in which a clinic sample was screened with a questionnaire that, at a certain cut-point, had 80% sensitivity and 80% specificity, and in which the true base rate of disorder was 10%. Only 10% (5/48) of respondents answered correctly that just 30% of individuals who scored above this cut-point would actually have the disorder and more than half of respondents believed that 80% would have the disorder. Both users and designers of questionnaires need to be more aware of and explicit about their drawbacks as screens for mental disorders.