Posted: August 8th, 2022

Assignment | SOCW 6090 – Psychopathology for Social Work | Walden University

 the Diagnostic Interview: The Mental Status Exam and Risk and Safety Assessments  Resources  Readings 

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  • Morrison, J. (2014). Diagnosis made easier: Principles and techniques for mental health clinicians (2nd ed.). New York, NY: Guilford Press.   o Chapter 10, “Diagnosis and the Mental Status Exam” (pp. 119–126)   o Chapter 17, “Beyond Diagnosis: Compliance, Suicide, Violence” (pp. 271–280)   
  • American Psychiatric Association. (2013s). Use of the manual. In Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.UseofDSM5   
  • American Psychiatric Association. (2013b). Assessment measures. In Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: Author. doi:10.1176/appi.books.9780890425596.AssessmentMeasure s   o Focus on the “Cross-Cutting Symptom Measures” section.   
  • Chu, J., Floyd, R., Diep, H., Pardo, S., Goldblum, P., & Bongar, B. (2013). A tool for the culturally competent assessment of suicide: The Cultural Assessment of Risk for Suicide (CARS) measure. Psychological Assessment, 25(2), 424–434. doi:10.1037/a0031264   

The Diagnostic Interview: The Mental Status Exam and Risk and Safety Assessments  

  • Blackboard. (2018). Collaborate Ultra help for moderators. Retrieved from https://help.blackboard.com/Collaborate/Ultra/Moderator   
  • Document: Case Collaboration Meeting Guidelines (Word document)   
  • Document: Collaborating With Your Partner (PDF)   
  • Document: Diagnostic Summary Example (Word document) Media  
  • Laureate Education (Producer). (2018b). Psychopathology and diagnosis for social work practice podcast: The diagnostic interview, the mental status exam, risk and safety assessments [Audio podcast]. Baltimore, MD: Author.   
  • MedLecturesMadeEasy. (2017, May 29). Mental status exam [Video file]. Retrieved from https://youtu.be/RdmG739KFF8   
  • Sommers-Flanagan, J., & Sommers-Flanagan, R. (Producers). (2014). Clinical interviewing: Intake, assessment and therapeutic alliance [Video file]. Retrieved from http://www.psychotherapy.net.ezp.waldenulibrary.org/stream/w aldenu/video?vid=276   

o Watch the “Suicide Assessment Interview” segment by clicking the applicable link under the chapters tab. This is the interview with Tommi, which will be used for the Discussion. o Watch the “Mental Status Examination” segment by clicking the applicable link under the chapters tab. This is the case of Carl, which will be used for the Application.

Assignment: Conducting a Diagnostic Interview With a Mental Status Exam

Before moving through diagnostic decision making, a social worker needs to conduct an interview that builds on a biopsychosocial assessment. New parts are added that clarify the timing, nature, and sequence of symptoms in the diagnostic interview. The Mental Status Exam (MSE) is a part of that process.

The MSE is designed to systematically help diagnosticians recognize patterns or syndromes of a person’s cognitive functioning. It includes very particular, direct observations about affect and other signs of which the client might not be directly aware.

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When the diagnostic interview is complete, the diagnostician has far more detail about the fluctuations and history of symptoms the patient self-reports, along with the direct observations of the MSE. This combination greatly improves the chances of accurate diagnosis. Conducting the MSE and other special diagnostic elements in a structured but client-sensitive manner supports that goal. In this Assignment, you take on the role of a social worker conducting an MSE.

To prepare:

  • Watch the video describing an MSE. Then watch the Sommers-Flanagan (2014) “Mental Status Exam” video clip. Make sure to take notes on the nine domains of the interview.
  • Review the Morrison (2014) reading on the elements of a diagnostic interview.
  • Review the 9 Areas to evaluate for a Mental Status Exam and example diagnostic summary write-up provided in this Week’s resources.
  • Write up a Mental Status Exam for Carl based upon his interview with Dr. Sommers

2- to 3-page case presentation paper in which you complete both parts outlined below:

Part I: Diagnostic Summary and MSE

Provide a diagnostic summary of the client, Carl. Within this summary include:

  • Identifying Data/Client demographics
  • Chief complaint/Presenting Problem
  • Present illness
  • Past psychiatric illness
  • Substance use history
  • Past medical history
  • Family history
  • Mental Status Exam (Be professional and concise for all nine areas)
    • Appearance
    • Behavior or psychomotor activity
    • Attitudes toward the interviewer or examiner
    • Affect and mood
    • Speech and thought
    • Perceptual disturbances
    • Orientation and consciousness
    • Memory and intelligence
    • Reliability, judgment, and insight
Part II: Analysis of MSE

After completing Part I of the Assignment, provide an analysis and demonstrate critical thought in your response to the following:

  • Identify any areas in your MSE that require follow-up data collection.
  • Explain how using the cross-cutting measure would add to the information gathered.
  • Do Carl’s answers add to your ability to diagnose him in any specific way? Why or why not?
  • What concerns would you have about Carl’s mannerisms in the interview or his spontaneous content and unusual beliefs?
  • How would you address these mannerisms and beliefs?
  • Would you discuss them with Carl now or in the future? Why?

Support Part II with citations/references. The DSM 5 and case study do not need to be cited. Utilize the other course readings to support your response.

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