Clinical Assessment

Words: 781
Pages: 4
Open Document
4. Describe the overall format of the psychological report. What is the general purpose of the report? What information should be included in the report? What aspects of the clinical interview should be incorporated into the report and why? Why is the report an important part of the assessment process?
Essentially, a psychological report is the end result of an assessment. The general purpose of a report is to integrate data from the assessment and provide information that will assist clinician in answering the referral question and understanding the client. The report should include information on the referral question, evaluation procedures, client’s background history, test results and interpretations, summary and impressions, and recommendations. …show more content…
To begin with, identifying information (e.g., age, sex, race, and marital status), the reason for referral and referral source should be incorporated in the report. In addition, all relevant information regarding the history of the problem should be included. More specifically, the clinician should incorporate a clear description of the client’s chief complaints (e.g., severity and duration), initial onset of symptoms, and any notable precipitating and predisposing events. The client’s mental health, medical history, and developmental history should also be included. Of note, the clinician should incorporate mental health and medical history specific to the client’s relative. For example, if the purpose of an evaluation is to determine if the client meets criteria for schizoaffective disorder, it would be especially important to report family history of schizophrenia spectrum disorders and other psychotic disorders. Moreover, psychosocial history (e.g., the client’s current and past romantic relationship, occupational history, academic, legal history) should be also be included in the …show more content…
Learning new things was what I enjoyed most about this class. I had no idea the extent to which I learn about assessment. First, I enjoyed learning about the different aspect of psychological assessment from a seasoned psychologist. Specifically, I enjoyed learning practical information not provided in the text. For example, I learned about how assessment experiences may differ depending on the setting (e.g., inpatient unit, outpatient unit, private practice, etc. Lastly, I enjoyed having the opportunity to conduct mock psychological assessments and received feedback from well-established licensed clinical psychologist in the Central Savannah River
Show More

Related Documents: Clinical Assessment

Clinical Assessment Essay

Clinical Assessment Latoya Blakley HSM/270 May 24, 2015 Richard Ferguson Clinical Assessment What other information would you like to learn during the interview with the family? What questions would you ask? Many questions popped into my head after reading this brief description concerning Clara. I would start off with her history, why was she put up for adoption, or was she removed from the home? Are there any medical issues that I should know about? Do the adoptive parents know any background…

Words 717 - Pages 3

Reflective Essay On Clinical Assessment

A REFLECTION ON THE APPLIED CLINICAL ASSESSMENT AND INVESTIGATION IN CARDIOLOGY AND STROKE MODULE EXAMINATION Reflection is an important tool in learning and has become an acceptable framework for professional preparation and practice (Boud & Walker, 1998).This has made it an important element of contemporary medical education. Boyd and Fales (1983) define reflection as “the process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies…

Words 520 - Pages 3

Clinical Assessment: A Case Study

Clinical assessment is defined as the process of assessing the client through multiple methods, including the clinical interview, informal assessment techniques, and objective and projective test (Fawcett, Neukrug, 2015). The purposes of clinical assessments are to aid in case conceptualization and mental health diagnosis. To aid clients gain greater insight, to assist in treatment planning, and to assist in making decisions concerning the use of psychotropic medications. Job placement is another…

Words 753 - Pages 4

Sample Clinical Assessment Report Essay

SAMPLE CLINICAL ASSESSMENT REPORT identification data Name : Johan Dollah Age : 35 Date of birth : 16 February 1976. Sex : Male Race : Malay Education : Degree in Computer Science, Australia Occupation : Computer programmer at NEXIS Communications Marital Status : Married with three children pROBLEM Chief Complaint Mr Johan experiences symptoms of panic attack when he feels self-conscious in front of other people when performing certain tasks. He reported…

Words 3745 - Pages 15

Paramedic: Assessment and Paramedic Clinical Foundations Essay

PAR102 – Paramedic Clinical Foundations – Semester 2, 2013 Clinical Practice Examination: Systematic approach Systematic Approach to Patient Assessment Student: Student Number: Overall Mark: Examiner : 2nd officer: Concept Area and description of performance criteria Focus points Approach to scene The student should describe to the examiner the use of PPE, standard precautions and safety equipment. Explains the use of  standard or additional precautions Describes the use…

Words 838 - Pages 4

Clinical Practice Review For Assessment And Treatment Of Anxiety And Depression

Running head: CLINICAL PSYCHOLOGY AND CARDIOVASCULAR DISEASE | 1 | An Article Critique of "Clinical Psychology and Cardiovascular Disease: An Up-to-Date Clinical Practice Review for Assessment and Treatment of Anxiety and Depression” CLINICAL PSYCHOLOGY AND CARDIOVASCULAR DISEASE 2 Dying from a broken heart—is it just an overused melodramatic aphorism, or could there be some medical truth in the old adage? Most, if not all, doctors and nurses will tell you that such a thing…

Words 1683 - Pages 7

Clinical Psychology Worksheet

Practice of Clinical Psychology Worksheet Answer the following questions. Your response to each question must be at least 150 words in length. 1. What are at least two legal issues associated with clinical psychology? Provide an example of a situation that could be legal but unethical. Explain your response. There are many legal issues that exist in clinical psychology. Two of these legal issues are maintaining confidentiality and getting written consent to treat. A clinical psychologist…

Words 963 - Pages 4

Essay about HLSC110 Unit Outline 2015

This inter-professional unit introduces the contemporary context and concepts relevant to professional health practice. Parameters of professional practice, leadership and governance structures are also introduced. Beginning clinical skills in infection control, health assessment and hygiene will be developed in on-campus laboratories, focusing on the principles of workplace health and safety. Theoretical and practical aspects of professional communication will be addressed with a focus on strategies…

Words 7174 - Pages 29

Critical appraisal of an assessment practice. Essay

Critically appraise an aspect of your assessment practice that has developed during this module, explaining how your professional knowledge has grown. Introduction This essay will reflect on the core initial assessment process of the patient in the Accident & Emergency (A&E) department where I am employed as a staff nurse. The Gibbs model of reflection is used in a rudimentary way to form the structure as it a model I have used previously and is the one with which I am most familiar. I will…

Words 2999 - Pages 12

Examples Of Strength In Nursing

regards to the UNBC Nursing Program Clinical Evaluation Guide with Maintains own physical, psychological and emotional fitness to practice is that I like to maintain regular number of 7 hours of sleep in between shifts so that I mentally and physically to carry out my day as a student nurse. On my breaks from the floor, I like to have non-clinical/work related conversations to get to know the nursing staff. My strength in nursing in regard to UNBC Nursing Program Clinical Evaluation Guide with documents…

Words 171 - Pages 1