The Psychiatric Evaluation and Evidence-Based Rating Scales

Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

Assigned assessment tool by the Course Instructor

Tool AssignedReference
Quality of Well-Being Scale QWB)       Kaplan and Anderson (1988)

To Prepare:

  • Review this week’s Learning Resources and reflect on the insights they provide regarding psychiatric assessment and diagnosis.
  • Consider the elements of the psychiatric interview, history, and examination.
  • Consider the assessment tool assigned to you by the Course Instructor.

1. Main Post:   a brief explanation of three important components of the psychiatric interview* and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.

2. Compare your assessment tool to any two or more listed below. (1-1.5 pages)

* See Carlat (2017) “Chapter 34:  Writing Up the Results of the Interview” in required reading to better understand the components of the psychiatric interview.

Simpson-Angus Extrapyramidal Symptom Rating ScaleSimpson and Angus (1970)
CAGE QuestionnaireEwing (1984) 
Geriatric Depression ScaleYesavage et al. (1983) 
Sheehan Disability ScaleLeon et al. (1992) 
Montreal Cognitive Assessment (MOCA)Nasreddine (1996) 
Montgomery-Asberg Depression Rating ScaleMontgomery and Asberg (1979) 
Quick Inventory of Depressive Symptomatology (QIDS)Rush et al. (2003) 
Michigan Alcoholism Screening TestSelzer (1971) 
Yale-Brown Obsessive–Compulsive Scale (Y-BOCS)Goodman et al. (1989) 
NICH Vanderbilt Assessment ScaleAmerican Academy of Pediatrics and National Initiative for Children’s Healthcare Quality (2002) 
Young Mania Rating Scale (YMRS)Young et al. (1978) 
Abnormal Involuntary Movement Scale (AIMS)Guy (1971) 
Brief Psychiatric Rating Scale (BPRS)Overall and Gorham (1962) 
Positive and Negative Symptom Scale (PANSS)Kay et al. (1987) 
Work and Social Adjustment ScaleMundt et al. (2002) 
Quality of Life Enjoyment and Satisfaction Questionnaire Q-LES-QEndicott et al. (1993) 
Delirium Rating Scale Revised—98 (DRS—R98)Trzepacz et al. (2001) 
PTSD Checklist-Civilian Version (PCL-C)Weathers, Litz, Keane, Palmieri, Marx, Schnurr (2013) 
Beck Depression Inventory, 2nd RevisionBeck (1961) 
Medical Outcome Survey (MOS)Ware and Sherbourne (1992) 
Hamilton Depression Rating ScaleHamilton (1960) 
Mini-Mental State ExaminationFolstein et al. (1975) 

Learning Resources

American  Psychiatric Association. (2013). Section I: DSM-5 basics. In Diagnostic and statistical manual of mental disorders (5th ed., pp. 5–29). Author.

Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

  • Chapter 34, Writing Up the Results of the Interview

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

  • Chapter 5, Examination and Diagnosis of the Psychiatric Patient
  • Chapter 6, Classification in Psychiatry
  • Chapter 31, Child Psychiatry (Sections 31.1 and 31.2 only)

American Academy of Child and Adolescent Psychiatry (1995). Practice parameters for the assessment and treatment of children and adolescents. https://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/psychiatric_assessment_practice_parameter.pdf

American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults (3rd ed.). https://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Classification in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 1–8). Wolters Kluwer.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Psychiatric interview, history, and mental status examination. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 9–15). Wolters Kluwer.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Medical assessment and laboratory testing in psychiatry. In Kaplan and Sadock’s Concise Textbook of Clinical Psychiatry (4th ed., pp. 16–21). Wolters Kluwer.


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