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Psychosocial History
 

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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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