1. Chapter 13 Using Assessment in Counseling

2. Facts Making a treatment decision is a form of diagnosis Formal Diagnosis expected by: Employers Licensing boards Insurance companies Informal diagnosis Referral

3. Examples of Diagnosis Community counselor When determine issue is developmental not pathological equals a diagnosis School Counselor Recommend student be tested by psychologist equals a diagnosis Career Counselors Determines client is “vocationally immature” equals a diagnosis

4. Instruments Designed to Provide Diagnosis Interview Composite International Diagnostic Interview Schedule: Authorized Core Version 1.0 (CIDI-Core) Assesses Axis I disorders and is approproate for those 18 and older Takes between ½ hour and 1½ to complete Can be administered by clinicians or trained lay interviewers Diagnositic Interview Schedule (DIS) Designed to diagnosis on all axes Does not require clinical judgment Must be administered exactly as given Trainer must have participated in training program Takes one hour to complete Both of these instruments have good interrater reliability

5. Semi-Structured Interview Psychiatric Research Interview for Substance and Mental Disorders (PRISM) Assesses Axis I disorders, borderline, antisocial disorders Trained clinicians Amount of time varies with psychopathology Structured Clinical Interviews for Axix I DSM- IV Disorders (SCID-I) Assesses Axis I disorders Only administered by clinicians Takes about 1½ hours to administer Good to excellent interrater reliability

6. Interviews for Children Diagnostic Interview for Children (DISC- IV) Assesses Axis I disorders Diagnostic Interview for Children and Adolescents (DICA) Assesses wide range of child and adolescent psychopathology Both can be adminstered by clinician and lay technician

7. Treatment Planning Client Characteristics Client demographics Functional impairment – work, love, play, spirit Subjective distress – work, love, play, spirit Coping Style - strengths Resistance – blind spots Problem Complexity – theory Social Support – work, love, play, spirit

8. Treatment Planning Problems – Goals 1. What are the goals 2. How to recognize when accomplished 3. How to conceptualize getting there 4. Alternative conceptualizations 5. How to focus on all aspects 6. How to evaluate effectiveness