[Download Now] Completing the Mental Status Exam: Practical, Hands-On Lessons from the Field – Tim Webb

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Completing the Mental Status Exam: Practical, Hands-On Lessons from the Field – Tim Webb

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Correctly documenting theMSE will improve treatment and liability protection.

The mental status exam is the most important task for a behavioral health clinician. Many graduate programs don’t teach clinicians how to differentiate between psychiatric symptoms and serious medical conditions. In extreme cases, an accurate and efficientMSE can save a patient’s life.

This practical recording will help you improve your ability to perform theMSE by teaching you critical information that is not covered in graduate school as well as the American Psychiatric Association guidelines on the necessary elements for a full examination. There will be instructions on proper evaluation and keys to differential diagnosis in the recording. Information on the assessment of various psychotic symptoms, how to understand their etiology, the use of drug and alcohol screens, and more will be included.

You will learn how to quickly assess clients at risk for suicide, homicide, and medical compromise. Various information sources for accurate assessment of patients in each age group include lab values, family members, and medical records. This recording will teach you how to document theMSE correctly and efficiently to improve both clinical care and liability protection.

1. Utilize multiple sources of information in considering differential diagnoses and determine how to apply this information in clinical practice
2. Assess psychotic symptoms and determine if they indicate psychiatric, substance abuse, or medical illness
3. Administer evaluative tools appropriately and understand their utility in the clinical setting
4. Determine which questions to ask, observations to make, and elements to assess in clients according to American Psychiatric Association guidelines
5. Evaluate risk for suicide and violence quickly and effectively, and apply this knowledge in clinical practice
6. Differentiate mental health conditions from substance abuse and medical presentations
7. Discuss the professional, ethical, and legal guidelines to be followed when conducting the MSE and recommending treatment

There are APA guidelines on the NECESSARY ELEMENTS.

• Differences in mood and affect
• When to ask open-ended vs. closed-ended questions
• When to become more directive, structured and observational
• Speech abnormalities and differential diagnosis
• Role of sleep and mood
• Role of appetite and mood

There are more components to mental health screening.

• Sources of information
  • Client medication list
  • Family members and friends
  • Alcohol and drug screens
  • Other providers
  • Medical records
• Documentation
• Special populations

Understand psychological symptoms.

• Importance of distinguishing auditory hallucination type
• Relationship of visual hallucinations and medical conditions
• Hallucinations and substance abuse
• Importance of type of delusions on differential diagnosis
• Recognizing the over-medicated patient
• Determining legal competency to make decisions
• Case studies and scenarios

Knowing which tools to use to find a job.

• Using and scoring common evaluative tools
  • St. Louis University Mental Status Examination (SLUMS)
  • Folstein Test/Mini-Mental Status Exam (MMSE)
  • Clinical Institute Withdrawal Assessment (CIWA)
  • Suicide/Self-Harm Scale

There are APA guidelines on the NECESSARY ELEMENTS.

• Differences in mood and affect