Posted: September 7th, 2024

Comprehensive Integrated Psychiatric Assessment

Comprehensive Integrated Psychiatric Assessment
What did the practitioner do well?
The practitioner was first excellent in explaining the role of confidentiality in the psychiatric assessment. It was important to assure the client that what will be discussed cannot be shared with other people (Lloyd-Hazlett et al., 2018). The assurance is informative to a patient and helps them to feel comfortable. Informing the patient that breaching confidentiality can undermine a client’s rights is crucial in boosting trust.
The practitioner did a good job engaging the client through the conversation. It was important since adolescents can get distracted during a psychiatric assessment. The approach was crucial since the majority of adolescents are shy to share personal information with providers. The engagement was crucial in motivating the patient to share and develop a relationship with the provider (Lloyd-Hazlett et al., 2018). A professional relationship was important in accessing quality and in-depth information. Acquiring the information can affect the progress of the treatment process and the success of the treatment therapies.
Emphatic listening and active listening are other strengths that the practitioner displayed during the conversation. Emphatic listening involves listening, restating, and clarifying (Searight, 2018). It helps a client to feel someone cares for their feelings and problems. It boosts the confidence of a client that they will receive quality help. Maintaining eye contact was another strength of the practitioner (Searight, 2018). Active listening improves the client-provider relationship and boosts the quality of the outcomes.
In what areas can the practitioner improve?
The practitioner can improve on various areas to boost the quality of outcomes and enhance the relationship with the client. One of the improvements is to allow a client sufficient time to introduce themselves. The practitioner should not go directly to the problem without knowing who the client is. Clients require the confidence that they know the person they are talking to (Noble & Bradley, 2020). In the future, the practitioner should introduce themselves and provide clients an opportunity to ask questions. If clients do not establish a quality relationship with the practitioner they can avoid sharing crucial information (Noble & Bradley, 2020). Clients may be less interested in the conversation thus leading to poor outcomes. Some clients may discontinue the services thus failing to achieve the expected goals. During the first visit, practitioners should provide clients an opportunity to know the practitioner they will be dealing with. Failure to establish quality relationships can lead to non-adherence to subsequent psychiatric visits.
The practitioner failed in acknowledging the feelings and arguments of the client. The practitioner was tempted to jump to the other question. It is crucial to acknowledge what patients say. It helps them to know that the practitioner can set aside time to care for their issues (Henderson et al., 2019). For example, when the practitioner asked how the client was fairing in school, the response was ‘it sucks.’ The practitioner did not take time to know why and how it frustrates the client. The little efforts to demonstrate care can effectively establish a sense of trust (Henderson et al., 2019). The practitioner should have discussed the issues that make the client happy rather than going straight to problematic behaviors.
At this point in the clinical interview, do you have any compelling concerns?
The compelling concerns for the interview are that the practitioner did not attempt to show the client that the mother was genuinely trying to help him. The practitioner was just asking questions and building weak rapport with the client. One of the weaknesses of the approach is that it does not cultivate family-centered care. The mother is an important figure that can help the client during the recovery process. It is important to integrate the mother into care. Another concern is that the practitioner did not utilize diverse approaches to establish quality rapport with the client. Establishing rapport improves trust and helps clients to freely share information (Henderson et al., 2019). Another issue is that the practitioner should allow the client to acknowledge their problems. Acknowledging the issues will play a role in ensuring they embrace the treatment approaches. If clients do not appreciate that they need help, it will be difficult to convince them that they need to change various aspects of their care.
If so, what are they? What would be your next question, and why?
The next question would focus on the relationship between the client and the mother. It is important to ask the client their perspective on the role of the mother in their life. The question should seek to deduce the current relationship with the mother and the things he believes should change to improve the quality of the relationship with the mother. Another question would be whether the client would prefer family therapy with the mother. The approach will be important in identifying the problems and come up with solutions (Henderson et al., 2019). The presence of the mother will broaden the perspective of the approach and develop a comprehensive approach to the problem. Family therapy is a quality strategy to allow patients to feel that their issues are addressed effectively.

References
Henderson, C. E., Hogue, A., & Dauber, S. (2019). Family therapy techniques and one-year clinical outcomes among adolescents in usual care for behavior problems. Journal of Consulting and Clinical Psychology, 87(3), 308. https://doi.org/10.1037/ccp0000376
Lloyd-Hazlett, J., Moyer, M. S., & Sullivan, J. R. (2018). Adolescent Risk-Taking Behaviors: When Do Student Counselors Break Confidentiality?. Journal of Child and Adolescent Counseling, 4(2), 178-193. https://doi.org/10.1080/23727810.2017.1381934
Noble, N., & Bradley, L. (2020). Becoming an Individual: Promoting Twins’ Identity Development through Counseling Techniques. Journal of Creativity in Mental Health, 1-11. https://doi.org/10.1080/15401383.2020.1789015
Searight, H. R. (2018). Counseling patients in primary care: evidence-based strategies. American Family Physician, 98(12), 719-728. https://www.aafp.org/afp/2018/1215/p719.html

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