COMPONENTS OF A MORE COMPREHENSIVE MENTAL
HEALTH SCREENING
u Sources of information
• client medication list
• family members and friends
• alcohol and drug screens
• other providers
• medical records
u Documentation
u Special populations
• children
• adolescents
• adults
• geriatrics
ASSESS AND UNDERSTAND PSYCHOTIC SYMPTOMS
u Importance of distinguishing auditory hallucination type
u Relationship of visual hallucinations and medical conditions
u Hallucinations and substance abuse
u Importance of type of delusions on differential diagnosis
u Recognizing the over-medicated patient
u Determining legal competency to make decisions
u Case studies and scenarios
KNOWING WHICH TOOLS TO EMPLOY
u Using and scoring common evaluative tools
• St. Louis University Mental Status Examination (SLUMS)
• Folstein Test/Mini-Mental Status Exam (MMSE)
• Clinical Institute Withdrawal Assessment (CIWA)
• Suicide/Self-Harm Scale
u The utility of ACUTE©
u Tools developed by speaker
APA GUIDELINES ON NECESSARY ELEMENTS
u Differences in mood and affect
u When to ask open-ended vs. closed-ended questions
u When to become more directive, structured and observational
u Speech abnormalities and differential diagnosis
u Role of sleep and mood
u Role of appetite and mood
SUICIDE AND VIOLENCE
u Which clients are at greatest risk
u Questions to ask
u Most salient risk factors
u Assess the role of planning
u Lethality assessments
u Legal and ethical obligations
u Case studies and scenarios
SUBSTANCE ABUSE VS. MENTAL HEALTH PRESENTATIONS
u Mania or stimulant abuse?
u Acute substance withdrawal vs. psychosis
u Recognizing Post Acute Withdrawal Syndrome
u Which substances mimic common psychiatric presentations?
• mania
• depression
• schizophrenia
u Case studies and scenarios
MEDICAL VS. MENTAL HEALTH PRESENTATIONS
u Basic laboratory studies
u Symptoms and etiology of delirium
u Visual hallucinations and medical illness
u Illusions and medical illness
u Conditions manifesting psychiatric symptoms
• urinary tract infections
• thyroid abnormalities
• glucose conditions
• tumors
u Case studies and scenarios
ETHICS AND APPLICATION
u Ethical considerations
u Defensible Documentation
• ethical concerns
• protecting against liability
This was the best practical workshop I've ever attended! It filled in the gaps left from textbook learning. I learned things that I will use TODAY!
Dolores A., MFT, Fresno, CA
Mr. Webb has a great, relaxed, and warm style of presentation coupled with a rich knowledge and experience. The course was enjoyable and highly informative!
William L., PhD, Fresno, CA
I usually do not give such high ratings, but Tim was a TERRIFIC speaker—outstanding and highly knowledgeable with excellent relevancy to issues. Time flew by!!
Letty M., LCSW, San Francisco, CA
This was a great course with a lot of information—very comprehensive!!
Lynn P., PhD, Alameda, CA