Order Instructions

General Instructions

 

Download the Psychiatric Interview Template. Links to an external site.

Watch the Psychiatric Interview RecordingLinks to an external site. and complete the required psychiatric interview documentation. Client age and allergies have been completed.

Include the following elements:

 

History of present illness (HPI) 

Include the chief complaint in quotation marks

List only HPI data

Use appropriate terminology

Provide support from an appropriate scholarly source or textbook to support content and terminology

Provide information that is understandable, well-organized, and easy to follow

 

Medications

Provide all current medication information

Include all criteria from the medication table

Use appropriate medical terminology

Provide information that is understandable, well-organized, and easy to follow

 

Past psychiatric history 

Include entire past psychiatric history

Address all criteria listed on the template  

Use appropriate terminology

Provide support from an appropriate scholarly source or textbook to support content and terminology

Provide information that is understandable, well-organized, and easy to follow

 

Medical history

Include all relevant medical information

Address all criteria listed on the template

Use appropriate terminology

Provide support from an appropriate scholarly source or textbook to support content and terminology

Provide information that is understandable, well-organized, and easy to follow

 

Family History

Include all pertinent family history

Address all criteria listed on the template

Use appropriate terminology

Provide support from an appropriate scholarly source or textbook to support content and terminology

Provide information that is understandable, well-organized, and easy to follow

 

Social History

Include all relevant information from the social history 

Address all criteria listed on the template  

Use appropriate terminology

Provide support from an appropriate scholarly source or textbook to support content and terminology

Provide information that is understandable, well-organized, and easy to follow

 

Review of systems (ROS)

Address all ROS criteria listed on the template

Use appropriate terminology

Provide support from an appropriate scholarly source or textbook to support content and terminology

Provide information that is understandable, well-organized, and easy to follow

 

Mental status examination (MSE)

Include each element of the MSE

Address all criteria listed on the template  

Use appropriate terminology

Provide support from an appropriate scholarly source or textbook to support content and terminology

Provide information that is understandable, well-organized, and easy to follow

List items not addressed during the interview and discuss whether listed items were appropriately omitted or should be included. Cite a reference to support the listed items.

 

Formatting

Carlat’s (2017) textbook is used to support terminology and section content

Sources represent a logical link between the source content and the interview documentation

In-text citations match listed references

Direct quotes are not used


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