Mental status exam narrative example
[DOC File]CAF Initial Clinical Assessment
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MENTAL HEALTH CENTER Initial Clinical Assessment Date: Source of Data: Client Family: School: Referred By: Self Court Order: (Type) Old records Other: Other: Section A: Identifying Data Name:(Last) (First) (MI) CID# Age: DOB: Gender: Race: Marital Status: Other Identifying Information: Section B: Perceptions and History of Presenting Problem(s) Documentation should address the source of ...
[DOCX File]Adult Diagnostic Assessment
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Health history including immunization status, prenatal exposure to alcohol and drugs, chronic conditions, significant dental history, and current physical complaints that may interfere with the person’s served functioning, issues of language, speech, hearing, vision, intellectual, sensory and motor development) :
[DOC File]The Mental Status Examination - Brown
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An example of a commonly used one is the Folstein Mini-Mental Status exam, and this is shown below. Insight And Judgment. Insight and Judgment refer to complex tasks that require a good deal of cognitive functioning (including conceptual thinking and abstract ability), though intact cognitive functioning alone is not adequate for good judgment ...
[DOCX File]PSYCHOLOGICAL ASSESSMENT
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For example, the Wechsler classification system (one of the most popular systems) considers mental retardation to be an IQ below 70, a borderline IQ to be between 70 and 79, a low-average IQ to be between 80 and 89, and an average IQ to be between 90 and 109.
[DOC File]Slide 1
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Slide 29 A number of screens can be used to check many or most of the cognitive domains, one example is the Mini-Mental Status exam, a 30-point exam that can quickly screen for cognitive abnormalities (see your syllabus for a copy of the Mini Mental Status exam as well as a description of how it is done).
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“CHEAT” SHEETS FOR MENTAL HEALTH WORKERS
Avoids mental effort. Fidgety. Easily distracted. Appears to forget. Loses things. Talks excessively. DEMENTIA. Sx’s Memory; Mini Mental Status Exam. Checkbook ( see DSM-IV-TR, page 142) Drugs Aricept & Namenda. PERSONALITY DISORDERS. 5 Treatments - Psychopharmacology. Psychotherapy. Exercise. Diet. Spirituality. Don’t forget collaterals
[DOC File]Jane Doe - PCCC
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EXAMPLE---MENTAL STATUS EXAM NARRATIVE. Mr. Jones is a 35 year old male who appears older than his stated age. He is separated from his spouse. His dress was disheveled with dirty t-shirt, ripped jeans; and shoes with holes in them. His grooming and hygiene were inadequate. He …
[DOC File]Volume I Self Study Narrative - Oregon State University
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h. an understanding of general principles and methods of case conceptualization, assessment, and/or diagnoses of mental and emotional status; and . Covered, see Matrix 1 and related syllabi (See Appendix 1). i. ethical considerations in appraisal. Covered, see Matrix 1 and related syllabi (See Appendix 1). 8.
[DOC File]Completing the Biopsychosocial Assessment
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Best practice is to complete a release of information where the service(s) were completed and request appropriate medical, mental health, or other documentation. Indicate the client’s current health status by their own report and below enter the date of the last physical exam and comments/concerns from that exam.
[DOC File]Initial Clinical Assessment - Berkeley Community Mental ...
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MENTAL HEALTH CENTER Initial Clinical Assessment Date: Source of Data: Client Family: School: Referred By: Self Court Order: (Type) Old records Other: Other: Section A: Identifying Data Name:(Last) (First) (MI) CID# Age: DOB: Gender: Race: Marital Status: Other Identifying Information: Section B: Perceptions and History of Presenting Problem(s) Documentation should address the source of ...
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