First of all, it is useful to properly understand the difference between screening and assessment processes. The former means the evaluation to determine whether some disorder is present. Hence, it is usually broad enough to cover different possibilities. In many instances, the screening may serve as a tool to begin a difficult discussion or frame assessment on sensitive issues (CAMH, 2019a). The latter is focused on providing an in-depth understanding of issues acquired through screening. However, because of the heavy workload at the mental health department, great emphasis should be placed on developing coherent screening strategies.
Different strategies for intake interviews may be conducted separately or combined. Saskatchewan Health Authority (n.d.) identifies four of the most common ones: interviews, physical examinations, lab tests, and written tests. Interviews are an indispensable part of the screening, especially if they are combined with some diary notes or recordings of symptoms. However, it seems that it will be more effective to include a written test as an intermediate part between two interview sessions. The initial interview will be some form of informal exchange that will create a calmer atmosphere. Afterward, a written self-report is the best continuation of the session because there are many peer-reviewed test samples that help determine the type of disorder and common symptoms (CAMH, 2019b). For example, Symptom Checklist-90-Revised, found effective by scholars (Abiri & Shairi, 2019), helps identify the broad range of psychological problems. Through 12-15 minutes, patients will complete this test, which greatly fits into the time limits of the discussed medical facility.
The after-test interview will be more informed of the symptoms and the possible disorders. After that, it is good to give recommendations to make lab tests, such as magnetic resonance imaging (MRI), electroencephalogram (EEG), computed tomography (CT), and others (Saskatchewan Health Authority, n.d.). Physical examination may also be added to the session if needed. It will add more objectivity to the screening giving broader understanding to the specialist.
References
Akhavan Abiri, F., & Shairi, M. R. (2020). Validity and reliability of symptom checklist-90-revised (SCL-90-R) and brief symptom inventory-53 (BSI-53). Clinical Psychology and Personality, 17(2), 169-195. Web.
CAMH. (2019a). Suicide risk: Detecting & assessing suicidality. Web.
CAMH. (2019b). PTSD: Screening & assessment. Web.
Saskatchewan Health Authority. (n.d.). Mental health assessment. Web.