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Assessment of the Patient

Introduction

Consider the following scenario:

Jenny, a young and newly licensed addictions counselor, is nervous about seeing her first client, a 35-year-old woman named Alyssa. Jenny observes that Alyssa has her arms folded in her lap and seems angry and defensive in Jenny’s office. So far, Alyssa has fluctuated between one-word answers and rambling rants that do not relate to the actual questions. Jenny thinks to herself, “What questions do I ask to get the best information? What referral information is most relevant?”

Questions like these are common for individuals learning how to conduct interviews. This week you evaluate interview strategies for addictions assessment, apply professional terminology to describe client status, integrate referral information into an interview process, and create effective interview questions.

Objectives

Students will:

  • Evaluate interview strategies for addictions assessment
  • Apply professional terminology to case study
  • Create effective interview questions based on referral information
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  • Week 3 Learning Resources

This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below.

Required Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Readings

  • Perkinson, R. R. (2012). Chemical dependency counseling: A practical guide (4th ed.). Thousand Oaks, CA: SAGE.
    • Chapter 4, “The Biopsychosocial Interview”

      Focus on the particular questions asked by the interviewer and whether they are effective in assessing the biological (bio); emotional, attitudes, and behavior (psycho); and social (socio) aspects of the individual’s addiction.
    • Appendix 6, “Sample Biopsychosocial Interview”

      This section is the basis for the week’s Assignment. Focus on Jane Roberts’s history of the present illness and past history. How might these aspects of her life affect the questions you would ask her during an addictions assessment?
  • Greenfield, S. F., & Hennessy, G. (2015). Assessment of the patient. In M. Galanter, & H. D. Kleber (Eds.), The American Psychiatric Publishing textbook of substance abuse treatment (5th ed.). Washington, DC: American Psychiatric Publishing.
    Retrieved from the Walden Library databases.

    Focus on the importance of open-ended interview questions to circumvent defense mechanisms in the assessment process.
  • Arria, A. M., &McLellan, A. T. (2012). Evolution of concept, but not action. Addiction Treatment. Substance Use & Misuse, 47(8/9).
    Retrieved from the Walden Library databases.

    Focus on the evolution in how addictions and addiction treatments are conceptualized and the treatment services that are frequently offered.

Media

  • Laureate Education (Producer). (2012a). Interviewing techniques [Video file]. Retrieved from https://class.waldenu.edu

    This video concerns the same individuals from Week 1. This time, view it in the context of determining effective interviewing skills
  • Week 3 Discussion

Interviewing Techniques

One of the best ways to learn how to do an interview is to watch someone else conduct one. This week, you will view a media clip of someone conducting an interview that is part of an addictions assessment. The interview uses a biopsychosocialapproach, in that it collects information about medical aspects (prior illnesses, current medications), social history (childhood, school, employment) and psychological functioning (anxiety, depression). The goal of the interview is to start developing an overall picture of the client.

In this Discussion, you will evaluate which interview strategies would be more effective than others in an addictions assessment.

To prepare:

Review the Learning Resources, including the following:

  • Chapter 5, “Assessment of the Patient,” in The American Psychiatric Publishing Textbook of Substance Abuse Treatment
  • Chemical Dependency Counseling: A Practical Guide
    • Chapter 4, “The Biopsychosocial Interview”
    • Appendix 6, “Sample Biopsychosocial Interview”
  • The media titled Interviewing Techniques

Post by Day 4 a response to the following:

Based on your observation of the addictions professional in the scenario, describe one interview strategy you believe was effectively modeled. Explain why it was effective.

Which interviewing strategies used by the interviewer in the media would you avoid, and why?

……………………………………………………………………………………………………

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Psychology: Interviewing Techniques

(Course Instructor)

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(Student’s Name)

January 18th 2016.

Interviewing Techniques

            One of the key in practicing as a psychologist is to conduct a holistic psychosocial assessment, in order to evaluate effectively the problem of a client (Perkinson, 2012). To achieve this goal, proper interviewing techniques and appropriate assessment tools are employed. An effective interview often employs effective interviewing strategies in order to get relevant information regarding the client problem.

The Interview Strategy that Was Modeled Effectively

Based on the observation of the addictions professional in the scenario presented in the media file, the interview strategy that was best modeled was the evaluation of the patient childhood experiences. The interview began by asking the patient where he was born and his childhood relationships with his parents. In doing so, the interview was able to get good information regarding the genesis of the client problem.

Moreover, the interviewer proceeded to ask questions related to perceptions of the client towards his father, mother and brother. The information provided by the client regarding the questions provided effective Biopsychosocial assessment of the client. The way the interview questions unfolded depicts a lucid assessment of the client. This particular interview strategy was found to be effectively modeled since it provided a clear understanding of patient past childhood growth and its probable impact on his later adulthood life.

The Interview Strategies that Would Be Avoided           Based on the observation of the media file, the interview strategies that would be avoided is asking the reason that brought the client in and delving directly into his problem without effective introduction. According to (Greenfield, & Hennessy, 2015) an effective interview assessment must start with an appropriate introduction. A good introduction enables the psychologist to win the confidence and trust of the patient. However, by asking the client the reason behind his visit to the psychologist was not only intimidating, but also it provided for ineffective introduction. This allowed the psychologist to interrupt the introductory part that would seek knowledge about where client was from, a fact she wa………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

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