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Conducting Effective Mental Status and Risk Assessment

Conducting Effective Mental Status and Risk Assessment Karl D. LaRowe MA, LCSW Licensed Clinical Social Worker Mental Health Examiner Mental Status Examination The Merck Manual of Geriatrics The Mental Status Examination History and Mental Status Examination Karl D. LaRowe Mental Status Examination A direct and indirect , subjective and objective observation and formal testing of the client s Mental , emotional, behavioral functioning. Objective: Observable behavior: Appearance, speech , affect, cognition, interaction Subjective: Emotional tone, intensity, quality. Your sense of how truthful the client is. direct and indirect direct questioning indirect casual observation Karl D. LaRowe Appearance and Behavior Your initial impression *Alertness, Orientation Appropriateness and context Dress and hygiene Physical health, any obvious abnormalities How responsive and appropriate is the behavior in context of the situation What degree of control does the client have over his/her behavior?

Karl D. LaRowe Mental Status Examination A direct and indirect, subjective and objective observation and formal testing of the client’s mental, emotional, behavioral functioning. Objective: Observable behavior: Appearance, speech, affect, cognition, interaction

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