1. Culturally Competent Assessments March 20, 2007

2. General Areas of Assessment Family History Developmental/Medical History Education/Work History Social History Substance Use History Psychiatric History Legal/Court Involvement Agency Involvement Mental Status Exam

3. Family History Acculturation Methods of assessment (# of years not sufficient) Inside versus outside home Values/Behavior Family roles Patriarchal; matriarchal? Family relationships Parent-child relationships Who is considered family? Genograms

4. Developmental/Medical History Pregnancy/Delivery In utero exposure to toxins Developmental Delays Family Medical Illness Etiology Treatment

5. Education/Work School History Level of formal education Literacy in own language and in English Work History Number of jobs; Length of time working Legal issues (work visa?)

6. Social History Hobbies Career Aspirations Religion/Spiritual Practices Strengths Personal; Family; Cultural Sources of Support

7. Psychiatric History Views of Mental Illness Etiology Treatment Counseling (beliefs) Medication

8. Substance Use History Types of Substances Purpose of Use Medicinal; Spiritual; Recreational

9. Agency Involvement DSS DYS USCIS FST

10. Legal/Court Involvement Reasons Criminal History of Charges or Arrests Civil (custody) Political (immigration; advocacy/protests) Incarceration Attorney

11. Mental Status Exam

12. Appearance, Behavior, & Relatedness Dress Eye contact Too little; too much; none? Rapport Ease or difficulty Building relationship

13. Mood and Affect Emotions: happy, sad, mad, angry Suicidal Ideation/Homicidal Ideation Sleep Appetite; Weight gain/loss

14. Speech and Thought Process Speech: Rate of speech; Tone of voice Loud or soft voices Thought Process: Organized/Tangential/Circumstantial Storytelling? Delusional Thinking Spiritual experiences (e.g., Visions) Psychotic Behavior

15. Cognition and Memory General Knowledge: Current U.S. President Current Events President of their country of origin Mental Tasks Social Behavior

16. Collateral Contacts Who else do you talk to?

17. Case Formulation Demographic Summary of presenting concerns & client strengths Interpretation of symptoms Plan of Intervention Primary problem to be addressed Areas for further exploration