Perception-Based Clinical Assessment Instrument

A Perception-Based Clinical Assessment Instrument is a clinical perception-based assessment for clinical patient information.

• AKA: Subjective Clinical Evaluation.
• Context:
  • It can (typically) be performed by a Clinical Assessment Completer.
  • It can (often) through Clinical Interviews, Clinical Questionnaires, or Clinical Observations.
  • It can range from being a Reliable Clinical Assessment to being an Unreliable Clinical Assessment.
  • It can range from being a Valid Clinical Assessment to being an Invalid Clinical Assessment.
  • It can range from being a Standardized Clinical Assessment to being an Unstandardized Clinical Assessment.
  • It can range from being a Medical Treatment Clinical Assessment to being a Clinical Research Assessment.
  • It can be influenced by the personal bias of the Clinical Assessment Completer.
  • It can be used in conjunction with Objective Clinical Assessment to provide a more comprehensive evaluation of the patient.
  • …
• Example(s):
  • a Clinical Outcome Assessment, such as a patient self-reported pain scale.
  • A Clinical Psychological Test.
  • A Clinical Neurological Test.
  • A Patient Health Questionnaire, such as PHQ-9 (used to screen for depression).
  • A Clinical Interview assessing a patient’s mental health symptoms and history.
  • a Therapist Assessment, e.g. of a patient's mood during a counseling session.
  • Psychological Subjective Assessments:
    • A psychologist’s analysis of a patient's mood and mental state through conversation.
    • Standardized Psychological Subjective Assessment, such as:
      • The Hamilton Depression Rating Scale (HDRS) used to assess the severity of depression in patients based on their responses.
      • The Beck Depression Inventory (BDI), a self-report questionnaire that evaluates the symptoms and severity of depression.
      • The Patient Health Questionnaire-9 (PHQ-9), a self-administered questionnaire for screening, diagnosing, and monitoring depression severity.
  • Standardized Subjective Clinical Assessments:
    • The Brief Pain Inventory (BPI) that assesses the severity of a patient’s pain and the impact on daily functioning.
    • The Mini-Mental State Examination (MMSE), used to measure cognitive impairment in patients.
  • …
• Counter-Example(s):
  • an Objective Clinical Assessment, such as blood test.
  • a Therapeutic Intervention.
  • a Subjective Nurse Skill Asessment.
  • a Clinical Imagine Study, such as X-rays.
• See: Clinical Diagnosis, Clinical Treatment, Patient History.

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Referneces

2020

• https://opentext.wsu.edu/abnormal-psych/chapter/module-3-clinical-assessment-diagnosis-and-treatment/
  • QUOTE: ... For a mental health professional to be able to effectively help treat a client and know that the treatment selected worked (or is working), he/she first must engage in the clinical assessment of the client, or collecting information and drawing conclusions through the use of observation, psychological tests, neurological tests, and interviews to determine the person’s problem and the presenting symptoms. This collection of information involves learning about the client’s skills, abilities, personality characteristics, cognitive and emotional functioning, the social context in terms of environmental stressors that are faced, and cultural factors particular to them such as their language or ethnicity. ...

    ... The assessment process involves three critical concepts – reliability, validity, and standardization. ...

    • Reliability refers to consistency in measurement and can take the form of interrater and test-retest reliability.
    • Validity is when we ensure the test measures what it says it measures and takes the forms of concurrent or descriptive, face, and predictive validity.
    • Standardization is all the clearly laid out rules, norms, and/or procedures to ensure the experience each participant has is the same.

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