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Completing the Mental Status Exam: Practical, Hands-On Lessons from the Field
- Faculty:
- Tim Webb, MAEd, LPC,
- Duration:
- 5 Hours 21 Minutes
- Format:
- Audio and Video
- Copyright:
- Feb 06, 2015
- Product Code:
- WDS020182
- Brochure Code:
- WDBHEXAM3-V3
- Media Type:
- Digital Seminar
- Access:
- Never expires.
Description
Perform and Document the MSE Correctly to Improve Treatment and Liability Protection
Completing the mental status exam is the most important task assumed by any behavioral health clinician. Accurate evaluation can be difficult because psychiatric symptoms often mask life-threatening substance withdrawal and/or serious medical conditions including brain tumors, delirium, head injury, diabetes, thyroid disease, etc. However, many graduate programs do not teach clinicians enough about recognizing and differentiating such symptoms. An accurate and efficient MSE is essential to discerning the patient's true condition, developing an effective treatment plan, and, in extreme cases, saving his or her life.
This practical seminar will help attendees improve their ability to perform the MSE by teaching them critical information generally not covered in graduate school as well as the American Psychiatric Association (APA) guidelines on the necessary elements for a full examination. Instruction on proper evaluation and keys to differential diagnosis will be a central theme of the course. Included will be information on the assessment of various psychotic symptoms and how to understand their etiology, the use of drug and alcohol screens, clients' medication lists, and more. Attendees will also discover ways of quickly assessing clients at risk for suicide, homicide, and medical compromise. Additional discussion will focus on the role of various information sources for accurate assessment of patients in each age group, including lab values, family members, and medical records. Ultimately, this essential course will teach participants to perform and document the MSE correctly and efficiently to improve both clinical care and liability protection.
Credits
Handouts
| File type | File name | Number of pages | |
|---|---|---|---|
| Handouts (2.2 MB) | Available after Purchase |
Faculty
Tim Webb, MAEd, LPC, Related seminars and products
TIM WEBB, MAEd, LPC, is the founder and CEO of The FOCUS Group, PLLC, a training and consultation agency located in Clemmons, North Carolina. He has over 27 years of experience providing emergency assessment and intervention services in emergency rooms, psychiatric hospitals, mental health centers, jails, detention centers, outpatient settings, and clients' homes. Both as the author of FOCUS on Safety and as the former Intake Director for an inpatient psychiatric treatment facility, Mr. Webb developed state–of–the–art assessment tools, interventions, and safety plans for working with suicidal, violent, and psychotic patients.
Mr. Webb has taught classes on emergency mental health, completing the Mental Status Exam, managing aggression in clinical settings, and assessing and intervening with suicidal patients. A martial arts instructor, he developed the Stay Safe system of protection for human services professionals. Mr. Webb has been a featured speaker for the National Adolescent Perpetrators Network (NAPN, 2014), North Carolina LPC Conference, and has served on the North Carolina Department of Health and Human Services Task Force on Reducing Behavioral Health ED Wait Times. Formerly the Vice-Chairman of the North Carolina Association for the Management and Treatment of Sex Offenders, he served on the North Carolina Governor's Task Force on Juvenile Sex Offenders. Mr. Webb earned his Bachelor of Arts degree from the University of North Carolina and his Master of Education (Counseling) degree from Wake Forest University. He receives enthusiastic reviews from seminar participants for his practical, interactive presentation style. To order FOCUS on Safety or other educational offerings by Mr. Webb, visit www.CrossCountryEducation.com
Disclosure:
Financial-Receives a speaking honorarium from Vyne, LLC.
Nonfinancial-No relevant nonfinancial relationships exist.
Additional Info
Program Information
Access for Self-Study (Non-Interactive) Access never expires for this product.Target Audience
Psychologists, Psychiatrists, Emergency Medicine MDs, PAs, NPs, and Nurses, Intake Coordinators, Nurses, Mobile Crisis Teams, Social Workers, Counselors, Marriage and Family Therapists, Psychiatric Nurse Practitioners, Case Managers, Emergency Medical Technicians , School Counselors, Corrections Officers, Law Enforcement, Pastoral Counselors/Clergy, Alcoholism and Drug Abuse Counselors
Outline
COMPONENTS OF A MORE COMPREHENSIVE MENTAL HEALTH SCREENING
Sources of information
- Client medication list
- Family members and friends
- Alcohol and drug screens
- Other providers
- Medical records
Documentation
Special populations
ASSESS AND UNDERSTAND PSYCHOTIC SYMPTOMS
- Importance of distinguishing auditory hallucination type
- Relationship of visual hallucinations and medical conditions
- Hallucinations and substance abuse
- Importance of type of delusions on differential diagnosis
- Recognizing the over-medicated patient
- Determining legal competency to make decisions
- Case studies and scenarios
KNOWING WHICH TOOLS TO EMPLOY
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
The utility of ACUTE©
Tools developed by speaker
APA GUIDELINES ON NECESSARY ELEMENTS
- Differences in mood and affect
- When to ask open-ended vs. closed-ended questions
- When to become more directive, structured and observational
- Speech abnormalities and differential diagnosis
- Role of sleep and mood
- Role of appetite and mood
SUICIDE AND VIOLENCE
- Which clients are at greatest risk
- Questions to ask
- Most salient risk factors
- Assess the role of planning
- Lethality assessments
- Legal and ethical obligations
- Case studies and scenarios
SUBSTANCE ABUSE VS. MENTAL HEALTH PRESENTATIONS
- Mania or stimulant abuse?
- Acute substance withdrawal vs. psychosis
- Recognizing Post-Acute Withdrawal Syndrome
- Which substances mimic common psychiatric presentations?
- Mania
- Depression
- Schizophrenia
- Case studies and scenarios
MEDICAL VS. MENTAL HEALTH PRESENTATIONS
- Basic laboratory studies
- Symptoms and etiology of delirium
- Visual hallucinations and medical illness
- Illusions and medical illness
- Conditions manifesting psychiatric symptoms
- Urinary tract infections
- Thyroid abnormalities
- Glucose conditions
- Tumors
- Case studies and scenarios
ETHICS AND APPLICATION
- Ethical considerations
- Defensible Documentation
- Ethical concerns
- Protecting against liability
Reviews
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Overall: 4.2
Total Reviews: 23
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