Initial psychiatric assessment template

• What is the assessment process during a psychiatric evaluation?

  The actual assessment process during a psychiatric evaluation usually involves the development of initial impressions and hypotheses during the interview and their continual testing and re- finement on the basis of information obtained throughout the interview and from mental sta- tus examination, diagnostic testing, and other sources (167).

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• What information should be used in a psychiatric evaluation?

  Consider using collateral sources such as family members, other important people in the patient’s life, and records of prior general medical and psychiatric treatment. These sources of information are frequently useful, especially for patients with impaired insight, impaired function, or unstable behavior.

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• When does a psychiatric assessment require more than one session?

  The initial psychiatric assessment may require more than one session for complex situations—for example, when evaluating children or families, or when assessing a patient’s suitability for a particular therapeutic approach, such as brief psychotherapy.

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• Who should be included in the initial assessment?

  The initial assessment also may require information gathering from other sources: parents, children, spouse, best friend, teacher, police officers, and/or other healthcare providers. These contacts may be incorporated into the first visit, or may occur later.

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• [PDF File]Initial psychiatric assessment: A practical guide to the ...

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  When it started? How long it lasts/frequency? What is it like? Impact on life) For episodic illnesses describe first episode: Onset: Precipitants: Duration: Rx response: DEPRESSION (“Sigecaps”) Low mood for >2 weeks Sleep Interest Guilt/worthlessness Energy Concentration Appetite/weight ∆ Psychomotor slowing Suicide: Hopelessness/Plan/Access

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• [PDF File]INITIAL PSYCHIATRIC ASSESSMENT AND TREATMENT/STABILIZATION PLAN

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  PSYCHIATRIC HOSPITAL INITIAL PSYCHIATRIC ASSESSMENT AND TREATMENT/STABILIZATION PLAN INITIAL PSYCHIATRIC ASSESSMENT AND TREATMENT/STABILIZATION PLAN Page 3 of 9 7. Trauma History Describe, if known, specific trauma (Nature, date, details and subjective symptoms surrounding event): Patient reports history of traumat ic psychological

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• [PDF File]PRACTICE GUIDELINE FOR THE Psychiatric Evaluation of Adults

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  ing management of chronic conditions. The initial psychiatric evaluation may set the stage for such ongoing care by establishing initial treatment goals, gathering relevant baseline data, estab-lishing a plan for systematic follow-up assessment using formal but practical and relevant mea-sures, and ensuring longitudinal follow-up.

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• [PDF File]THE INITIAL PSYCHIATRIC INTERVIEW - Brown University

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  The initial psychiatric assessment may require more than one session for complex situations—for example, when evaluating children or families, or when assessing a patient’s suitability for a particular therapeutic approach, such as brief psychotherapy.

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• [PDF File]EVALUATION OF ADULTS - Psychiatry

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  1. Establish aims of the evaluation. • Assess and enhance safety and coordinate care. Establish whether a mental disorder is present. Collect data sufficient to support a differential diagnosis, including information from collateral sources. Collaborate with the patient to develop an initial treatment plan.

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• [PDF File]Sample Initial Assessment - Path Mental Health

  https://info.5y1.org/initial-psychiatric-assessment-template_1_188626.html

  The initial assessment includes required elements of minimum documentation for payers and for best practices in a comprehensive biopsychosocial psychiatric diagnostic evaluation. This document leads to your clinical formulation of a diagnosis, which then leads to the treatment plan.

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