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Psychosocial Assessments
The only rationale for a psychological, psychiatric, or psychosocial
consultation is to provide you with an in-depth, scientifically based assessment of the
party or parties. A comprehensive psychosocial history or evaluation covers a number
of significant issues. Data is collected and then reported on the following, depending on
the nature of the clinical or research issue. The follow is a compilation of the standard
topics covered in a comprehensive psychosocial history and assessment.
ISSUES TO BE ADDRESSED
Presenting Problem
Assessment Presentation
HISTORY
History of Illness / Accident
Developmental History
Pregnancy
Birth
Development
Health
Family
Education
Behavior
Educational History
Marital and Family Life
Family History
Family - Siblings Interactions
Conflicts
Daily Living Patterns
Caregiving
Significant Separations
CURRENT AND HISTORICAL ISSUES
Financial History and Status
Employment History
Military History
PSYCHOLOGICAL AND SOCIAL STRESSORS / PROBLEMS
Appearance
Attitude
Behavior
Cognition
Crisis
Dating
Emotions
Employment
Family or Home
Fears
Financial
Habits
Health.
Language and Thinking
Legal
Money
Motor Behavior
Parents
Religion
School Behavior
Sense of Self
Sexual
Social
Use of Play
Values
Vocational
PSYCHOLOGICAL EVALUATION
Validity of Methodology
Assessment Behavior
Profile Validity
FINDINGS
Mental Status Assessment
Developmental Assessment for Children
Academic or Intellectual
Communication.
Physical
Self Help
Social
Psychosocial Developmental Assessment for Children
Freudian Stages
Anna Freud Stages
Erik Erikson Stages
Piaget Stages
Sears Stages
DYNAMIC FINDINGS
Interpersonal Dynamics
Intrapersonal Dynamics
PERSONALITY DYNAMICS
Personality Patterns
Motivational Factors
Self Concept
Suggestibility Measures
Deception Measures
MEDICAL - HEALTH CONCERNS
Alcohol and Drug History
Diet and Exercise
Medical History
General Health
Dermatological
Cardiovascular
Pulmonary
Visual
Auditory
Olfactory
Mouth - Nose - Throat
Gastrointestinal
Endocrine
Hematology
Mental Health
Orthopedic
Neurological
Genitourinary
Habits
History
Medical Test Data / Family Medical History
Psychophysiological
Psychophysiological Status
Somatic Concerns
Neuropsychological Factors
Clinical Scales
Summary scales
Localization
Factor Scales
Memory Function
DIAGNOSTIC IMPRESSIONS
Axis I: Clinical Syndromes
Axis II: Personality Disorders
Axis III: Physical Disorders and Conditions
Axis IV: Severity of Psychosocial Stressors
Axis V: Global Assessment of Functioning
Severity of Disturbance
Classification of Chronic Pain
TREATMENT ISSUES
Prognosis
Treatment Implications
Therapeutic Concerns
SUMMARY
Referral Question Analysis
Assessment of Illness / Disability
Forensic Implications
Possible Sources of Contamination
Recommendations
Declaration
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