The Psychiatric Evaluation and Evidence-Based Rating Scales Assignment

Sheehan Disability Scale (SDS)

SDS is a 4-item self-report evaluation tool that is used to examine the functional impairment in social life, work/school, and family life. The tool rates the extent to which the symptoms impair the social life, work/school, and family life of the patient. The SDS tool can be filled by patients while in the waiting room, as it focuses on three group activities that include work abilities, home management, the social life, and the capacity to form and maintain relationships Sheehan et al., 2016).

The first three items ask the patient to indicate the level at which the symptoms disrupt their regular activities from a scale of 0 to 10 for each item. The maximum possible score in the SDS tool is 30. The higher the score, the higher the level of functional impairment (Sheehan et al., 2016). The last two items ask respondents regarding the number of days the symptoms caused them to miss or to be underproductive at work or school. SDS is effective in assessing mental disorders such as bipolar disorder, depressive disorder, attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder, anxiety disorders, and substance dependency disorder (Lipsitz et al., 2020).

A PMHNP needs to understand adequately assessment tools such as SDS, including their limitations. SDS can help the PMHNP to determine the severity of a mental disorder and if the patient is responding to treatment. therefore, SDS can also be used to establish the efficacy of the prescribed medications. This means that the tool also informs when and if the patient needs any treatment adjustment (Sheehan et al., 2016).

References

Lipsitz, O., McIntyre, R. S., Rodrigues, N. B., Lee, Y., Cha, D. S., Gill, H., … & Mansur, R. B. (2020). Intravenous ketamine for postmenopausal women with treatment-resistant depression: Results from the Canadian Rapid Treatment Center of Excellence. Journal of Psychiatric Research, 1(1).

Sheehan, D. V., Mancini, M., Wang, J., Berggren, L., Cao, H., Dueñas, H. J., & Yue, L. (2016). Assessment of functional outcomes by Sheehan Disability Scale in patients with major depressive disorder treated with duloxetine versus selective serotonin reuptake inhibitors. Human Psychopharmacology: Clinical and Experimental, 31(1), 53-63.

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Assessment tools have two primary purposes: 1) to measure illness and diagnose clients, and 2) to measure a client’s response to treatment. Often, you will find that multiple assessment tools are designed to measure the same condition or response. Not all tools, however, are appropriate for use in all clinical situations. You must consider the strengths and weaknesses of each tool to select the appropriate assessment tool for your client. For this Discussion, as you examine the assessment tool assigned to you by the Course Instructor, consider its use in psychotherapy.

Prepare:
Review this week\’s Learning Resources and reflect on the insights they provide regarding psychiatric assessment and diagnosis.
Consider the elements of the psychiatric interview, history, and examination.
Consider the assessment tool assigned to you by the Course Instructor.: Please use assigned tool below

Mental Health Status and Functional Scales:
Assigned Tool: Sheehan Disability Scale

Post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.
Please post a brief explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned (please see below ). Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner\’s psychiatric assessment. Support your approach with evidence-based literature.

Mental Health Status and Functional Scales:
Assigned Tool: Sheehan Disability Scale

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