However, other questions vary depending on earlier responses. A general psychiatric evaluation has as its central component an interview with the patient. The psychosocial assessment goal is to understand the patient to provide the best care possible and help the individual obtain optimal health. © 2020 MJH Life Sciences™ and Contemporary Pediatrics. The headspace psychosocial interview provides a guide on how to ask questions of young people with mental health problems. Assessing barriers to support services is particularly challenging because direct questions about these issues often are inappropriate and usually are very threatening. _____ _____ If your parents were married, was there any history of separations or divorce? If the parents are present, first introduce yourself to the adolescent to make clear that the teenager is the patient. Proceed by asking what relationships are like at home and whether there has been a recent change: moving, running away, divorce, or having someone join or leave the household. Such events are often extremely stressful to teenagers, who prefer a stable environment in which to undertake the developmental tasks of adolescence, such as separating from parents, connecting with peers, and developing a positive self-image. Jeffreys DJ, Leitzel JD, Cabral G, et al. Complex environmental, social, behavioral, and emotional factors, known as psychosocial factors, influence living with diabetes, both type 1 and type 2, and achieving satisfactory medical outcomes and psychological well-being. Ask teenagers who are employed part time whether the work is intrusive and if economic circumstances necessitate it. Begin by asking: “Tell me what you do with your friends” or “What do you do for fun?” Be concerned about teenagers who cannot readily name friends or describe their activities beyond “hanging out.” They may be at higher risk than teenagers who talk about specific activities with friends, such as sports, dancing, hobbies, games, or even shopping. raise questions about the client and his or her situation - to digest information about and impressions about the client through the process of writing about it. The clinical interview is a valuable diagnostic and therapeutic tool, but interviewing techniques are some of the most diffi cult skills to master and implement. Declining academic performance correlates highly with psychosocial problems, such as drug use or suicide risk, and may indicate an underlying learning or attention disorder. Do not assume that adolescents who are having sexual experiences are comfortable about it. In 2010, there were at least 100 easily discoverable pro-anorexia websites encouraging and guiding disordered eating behaviors.21 Media “apps” for calorie counting are widely available and these can be used to increase health and/or contribute to pathologic behavior. ABN 26 137 533 843. Many young people respond to violence with violence because that is all they know from their homes, streets, and media. Jean resides at an assisted care facility in Sherman Oaks, California. 2010;125(5):e1097-e1103. The tool consists of a set of 'screening' and 'probing' questions. Also, ask specifically about tobacco and cigarettes, including electronic cigarettes (inhaled doses of nicotine), because many teenagers do not consider chewing tobacco or smoking to be a form of drug use. Remember, of course, to praise good diet and exercise choices whenever you find them. Id like to talk to you about _____s development, … Frequent dieting, compulsive exercise, and purging are all of concern. Download the patient questionnaire. She had an elder brother who also is deceased. 2012;61(4):1-162. Health, United States, 2012. Psychologists strive to gain knowledge about theory and research in aging. She had an elder brother who also is deceased. All rights reserved. (No gangs? Parents, family members, or other involved adults should not be present during the HEEADSSS interview because a parent’s presence is likely to limit how much sensitive information the patient will provide. DR GOLDENRING is an adolescent medicine specialist, medical director, and a … DR ADELMAN is an adolescent medicine specialist and associate professor, Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Interview with adults : interviews with the elderly and people with impairment require special training for the type of relationship, the language, the way of asking, the objectives of the change, the economic, social and emotional support. While his theory was impacted by psychoanalyst Sigmund Freud's work, Erikson's theory centered on psychosocial development rather than psychosexual development. Finally, by now you may be overwhelmed by the amount of issues to be covered in this interview and wonder how to do this in a limited time. Did your parents tell you anything about the day you were born? Before offering concrete solutions, ask adolescents whether they can think of ways to avoid violence using their reported strengths. The authors have nothing to disclose in regard to affiliations with or financial interests in any organizations that may have an interest in any part of this article. A recent study found that lesbian, gay, and bisexual (LGB) adolescents were more likely than heterosexual teenagers to have attempted suicide in the previous 12 months (21.5% vs 4.2%, respectively).26 The likelihood of attempting suicide was 20% higher for LGB teenagers in unsupportive environments than in supportive environments. 4 psychosocial interview questions. Adolescents should be screened for depression when systems are in place to ensure accurate diagnosis, psychotherapy, and follow-up.24 Teenagers often exhibit depression as boredom, irritability, anxiety, moodiness, sleep disturbance, and social withdrawal. Get help with your Erikson's stages of psychosocial development homework. Centers for Disease Control and Prevention. Viewing our adolescent patients through a positive lens. Identify three specialized mental health screening tests. Before we explain what the purpose of a psychosocial assessment is, let us first define the term “Psychosocial”. What’s your first, most vivid memory? Strasburger VC, Jordan AB, Donnerstein E. Children, adolescents, and the media: health effects. Find out what strategies the patient uses for self-protection, conflict resolution, and avoidance of violence. Once you’ve begun the actual interview process, it is important to remember that while you have a need to collect information, you are speaking to a human being. Getting into adolescent heads: an essential update. It may benefit rapport to seek permission before proceeding: “Do you mind if I ask you a few more personal questions to learn how I can best assist you?” It is also helpful to expressly acknowledge the discomfort most patients feel about discussing this topic. Use this question, for example: “As I ask all my patients-does your weight or body shape cause you any stress? Evaluation of the PHQ-2 as a brief screen for detecting major depression among adolescents. A preliminary evaluation found that the tool was both acceptable and useful to clinicians who are using it in their practice to assess young people's mental health problems and psychosocial functioning. Eighteen healthy adults (19–36 years; 10 women) completed a daily psychosocial experiences telephone interview for 8 consecutive evenings in order to document their exposure and emotional responsiveness to common stressors (eg, arguments, work stress) over the preceding 24 hrs. headspace would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People and Traditional Custodians. Proceed to questions about the threats most prevalent in the patient’s community. A psychosocial assessment is an evaluation of an individual's mental health and social well-being. A history of abuse (if any) may not come out on the first interview, but the very fact that you show interest establishes rapport and may lead the patient to reveal the facts at a later time. Whether to screen for sexually transmitted infections, pregnancy, abuse, and other sequelae of sexual activity depends on the details. _____ Who raised you? The older the teenager, the more you should expect him or her to have some plans for future education or employment. For example, sexual exploration may lead to sexually transmitted infections or unintended pregnancies. Arch Pediatr Adolesc Med. psychosocial information is obtained in each biennial wave from a rotating (random) 50% of the core panel participants who complete the enhanced face-to-face interview (EFTF). CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) is a brief, validated, office-friendly screening test useful in initially assessing the substance-using teenager (Table 5).23. Connection to supportive adults-parents or others-is highly protective against many health risks and high-risk behaviors.14 It is also important to remember to praise solid relationships with adults and assumption of responsibilities at home. Some questions will not be applicable and you may leave them blank. Nothing about the HEEADSSS interview, however, including the order of questioning should ever be treated rigidly. Madden M, Lenhart A, Duggan M, Cortesi S, Gasser U. 10 Self-Reflection Exercises, Activities, and Techniques for Adults and Students. 12. J Pediatr Adolesc Gynecol. School Connectedness: Strategies for Increasing Protective Factors Among Youth. The PROMIS Global Health Scale, as well as new questions on social participation, and questions on epilepsy are included on the 2010 National Health Interview Survey (NHIS). This manuscript is dedicated to the memory of David Rosen, MD, and Eric Cohen, MD, for their significant contributions to previous versions of the HEEADSSS psychosocial history and to the field of adolescent medicine. headspace welcomes all people irrespective of ethnicity, lifestyle choice, faith, sexual orientation and gender identity. Practitioners who do not feel confident to conduct the full interview with a young person should choose only to complete the screening questions they feel competent to address. sensitive questions: Example: “I’d like to ask you a few personal questions. Why were you given the first (and middle) name(s) that you have? What day of the week was it? 2005;293(3):340-348. For each interview, you should ask a minimum of twelve questions. 3. Contemp Pediatr. The main purpose of a psychological evaluation is to measure or study some aspect of mental health. Committee on Injury, Violence, and Poison Prevention. Name D.O.B. Eaton DK, Kann L, Kinchen S, et al; Centers for Disease Control and Prevention (CDC). Psychosocial interventions must evaluate and target not only depression but also cognitive impairment and disability . Aside from the questions and prompts listed above, there are many exercises and activities that can open you up to valuable self-reflection. However, it is also conducted in the case of an abused or victimized minor. metro, regional and rural areas, supporting young Australians and their families to be Ask patients about their knowledge of fertility, contraception, and sexually transmitted infections, given that many teenagers use the Internet and social media as their primary sex educators. 18. One of the main elements of Erikson’s psychosocial stage theory is the development of ego identity (Cherry, 2013). Learn about interview questions and interview process for 21 companies. DR GOLDENRING is an adolescent medicine specialist, medical director, and a … With practice, these questions become easier to ask without appearing judgmental. Updated May 30, 2013. Your challenge is to explore these behaviors and the context in which the adolescent lives, and to develop realistic solutions with patient buy-in.10,11 Depending on the nature of the risk factors identified and the intervention to be established, you can either extend the initial visit or arrange a follow-up. You may say: “Some of my patients tell me they feel pressured or coerced into having sex. mentally healthy and engaged in their communities. Psychosocial History Page 2 PARENT AND FAMILY HISTORY What city did you live in while growing-up? For patients in early adolescence, approach the topic obliquely: “We talked about what you and your friends do to have fun. Self-reported weight status and dieting in a cross-sectional sample of young adolescents: National Health and Nutrition Examination Survey III. Renowned psychologist Erik Erikson is best known for his theory of psychosocial stages of personality development. Rapport building and developmental assessment Setting q The place of interview should by a neutral place, quiet and secure, there should not be too many toys in the room, this distracts the child. 17. Yes No Resnick MD, Bearman PS, Blum RW, et al. Explaining harms-without also evaluating readiness to change, acknowledging perceived benefits to substance use, using motivational interviewing techniques, and establishing trust and rapport-will likely not suffice to induce behavioral change. The headspace Psychosocial Assessment Interview is designed to assist with engaging young people and building rapport while assessing the full range of mental health disorders common in young people. Ford CA, Millstein SG, Halpern-Felsher BL, Irwin CE Jr. Teens and Technology 2013. 2. An outline of Erikson's theory is on page 166 in your textbook. erapeutic Questions: Summary, Discussion Questions, Role-Plays 21 Intake Interview: Summary, Discussion Questions, Role-Plays 26 Mental Status Examination: Summary, Discussion Questions, Role-Plays 31 Suicide Assessment Interview: Summary, Discussion Questions, Role-Plays 36 Reaction Paper Guide for Classrooms and Training 41 Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents; National Heart, Lung, and Blood Institute. Include 2–3 questions of your own to get a complete picture of the older adult. It assesses self-perception and the individual's ability to function in the community. Teens need to develop a sense of self and personal identity. Since 2006, this mode of data collection has been utilized to obtain information about participants' evaluations of their life circumstances, subjective wellbeing, and lifestyle. Pay attention to sexual orientation. Be certain to explain the purpose, such as: “We speak privately with our patients about stressors that may appear during adolescence so they can practice taking responsibility for their health care needs.” With explanation, adults accept the need for confidential care.9, Starting the interview with nonthreatening conversation about the patient’s hobbies or current events may help to ease anxiety, foster rapport and trust, and encourage disclosure. Borzekowski DL, Schenk S, Wilson JL, Peebles R. e-Ana and e-Mia: a content analysis of pro-eating disorder web sites. Instead of making assumptions, ask open-ended questions if possible (Table 4). This article is part of a resource center for the HEEADSSS psychosocial interview. If you have something personal to talk about, I’ll try to give you my best advice and answer your questions.”. Intake Interview: Summary, Discussion Questions, Role-Plays 26 Mental Status Examination: Summary, Discussion Questions, Role-Plays 31 Suicide Assessment Interview: Summary, Discussion Questions, Role-Plays 36 Reaction Paper Guide for Classrooms and Training 41 Related Websites, Videos and Further Readings 42 Transcript 43 Video Credits 101 Earn Continuing Education Credits … If so, tell me about it.” Then follow with specific questions about diet, eating habits, nutritional knowledge and beliefs, and pathologic dieting behaviors. You should begin spending time alone with your patients at whatever age they first exhibit the psychosocial changes associated with puberty. Intimacy versus isolation is the sixth stage of Erik Erikson's theory of psychosocial development, which happens after the fifth stage of identity vs role confusion.This stage takes place during young adulthood between the ages of approximately 19 and 40. 13. Jordan AB. The latest update to the HEEADSSS psychosocial interview for adolescents includes new questions on electronic media use in addition to its time-tested strategies for identifying the critical stressors that affect the overall well-being of teenaged patients. It helps largely to inform and detail a care plus management plan to a great extent. Simple strategies, such as recommending appropriate portion sizes, eliminating sugared soda and fast food, and limiting screen time, can be helpful in improving adolescent eating habits and overall health.7,19, Physicians should also attempt to identify adolescents whose eating habits may signal body image or self-esteem problems, psychologic distress, or depression. 1997;278(12):1029-1034. Semi Structured Interview Questions for a Parent/Guardian of a Child The questions below are intended to be a guide during parent/guardian interview. Insurance is a contract between you and your insurance company. Some questions will not be applicable and you may leave them blank. We will file your claim to your insurance company or provide you with the proper information needed for you to file a claim. 3) An un-structured interview - an exploratory interview with few or no set questions. Richardson LP, Rockhill C, Russo JE, et al. Unlike Freud, Erikson’s theory spans a person’s entire lifespan, from childhood to old age. Compare and contrast assessment findings noted in patients with depression, bipolar disease, anxiety, and schizophrenia. If you want to practice psychology in a clinical setting, teach at a university, or conduct research, you have to complete a doctoral degree in psychology. 6. Then you might say: “I would like to take a few minutes to see how you are handling stress and whether your behaviors are safe.”10,11 Once young people start talking, they are likely to keep talking. If these screening questions suggest the need, refer on to another experienced practitioner for a full assessment. 7. This interview format is flexible and can be catered to all adolescents. Elk Grove Village, IL: American Academy of Pediatrics; 2008:515-575. http://brightfutures.aap.org/pdfs/Guidelines_PDF/18-Adolescence.pdf. Â, For most teenagers, a psychosocial history is at least as important as the physical exam. 2011;127(5):896-903. 2009;124(1):393-402. 10. Discuss five components to the mental status examination. Especially with younger adolescents, you might observe: “Tell me about any of your friends who are starting to be in romantic relationships.” To older adolescents, simply say: “Tell me about any romantic relationships you've been involved in.” The open-endedness of such questions allows adolescents to tell whether they are having relationships with people of the same sex, the opposite sex, or both. Longitudinal data will be available at four-year intervals: the 2010 wave provides the first longitudinal psychosocial data from the 2006 participants. She is a widow, her husband of over 50 years having passed away some six years ago. 8. 2004;21(1):64-90. Psychosocial support addresses the ongoing psychological and social problems of HIV infected individuals, their partners, families and caregivers. The theme of these should be related to Erik Erikson's theory of psychosocial development and the focus that people have in various life stages. HEEADSSS 3.0: the psychosocial interview for adolescents updated for a new century fueled by media; January 1, 2014. outcome. Aim to help all adolescents develop healthy eating (and exercise) habits that can be maintained over a lifetime. 25. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. Stagnation." Hatzenbuehler ML. Washington, DC: Pew Internet & American Life Project; 2010. http://pewinternet.org/~/media/Files/Reports/2010/PIP-Teens-and-Mobile-2010-with-topline.pdf. This essential psychosocial history can be obtained using the HEEADSSS method of interviewing adolescents. Adolescents derive much of their identity and self-esteem from peer activities. Working more than 20 hours a week has been associated with negative outcomes of emotional distress and substance use.14 When interviewing adolescents who are employed full time, inquire about their strengths and weaknesses on the job, satisfaction level, nature of relationships at work, goals, and recent or frequent changes in employment. You can offer advice and personal opinions, but only if the teenager solicits them and only if you clearly label them as such. 2009;123(4):1223-1228. Interviews were conducted with young people aged between 13 and 25 years and published as either written, video, or audio Psychosocial needs of adolescents and young adults with eczema 3 Clinical Psychology: Science & Practice, 12(3), 303-316. How about local bullies? Jones RK, Purcell A, Singh S, Finer LB. © headspace National Youth Mental Health Hutchinson JW, Stafford EM. It is extremely useful to ask in whom the teenager trusts to confide. COVID-19 and Its Association with Conjunctivitis, a resource center for the HEEADSSS psychosocial interview, http://www.cdc.gov/nchs/data/hus/2012/023.pdf, http://www.nielsen.com/us/en/reports/2011/state-of-the-media-tv-usage-trends-q3-and-q4-2010.html, http://pewinternet.org/~/media/Files/Reports/2010/PIP-Teens-and-Mobile-2010-with-topline.pdf, http://www.pewinternet.org/Reports/2013/Teens-and-Tech.aspx, http://brightfutures.aap.org/pdfs/Guidelines_PDF/18-Adolescence.pdf, http://www.cdc.gov/healthyyouth/adolescenthealth/pdf/connectedness.pdf. 2 1) A fully-structured interview - all questions are delivered to each respondent consistently, regardless of their responses. 1 It is a mistake, for example, to say “Tell me about your mom and dad,” which assumes that the patient lives with 2 parents and that the parents are of different genders. Generally, adult and elderly patients are asked the following questions during their psychosocial examination. Background Preparing for the Starting The Interview Wrapping Up the Interview Interview Questions H ome & Environment E ducation & Employment Activities D rugs exuality S uicide/Depression. Psychosocial interventions are critical for elderly patients with depression who have cognitive impairment and disability because antidepressants provide symptom remission in fewer than 40% of patients. Your effort may have a lifelong impact. An assessment that assists clinicians to engage with young people and assess their psychosocial needs is essential because of the high prevalence of mental health and/or substance use problems in young people. For example, the home environment may be much more stressful to some adolescents than any issues they may have about sexuality. You may wish to ask teenagers about what sexual information and materials they have accessed online and how much and how often. Depression and dementia commonly coexist and are associated with higher rates of behavioral and functional problems. The interview is semi-structured because follow-up questions will be based on the client's response. Asian Black Caucasian (white) / / Sex M F What is your race? 2. 22. At least half of normal-weight young women surveyed in the United States believe they are overweight.20. The social environment and suicide attempts in lesbian, gay, and bisexual youth. And interview process for 21 companies s stage something, assessment can be obtained the! Psychosocial information is obtained in each biennial wave from a rotating ( ). Â, for you, and schizophrenia place for asking questions city did you live in while growing-up Erikson... Activity depends on the patient’s racial, ethnic, or if you clearly label them as such a deductible recipient! Or victimized minor Among Youth social problems of HIV infected individuals, their partners families. 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'S home environment are generally expected and are seldom threatened by them updated a... Every visit, the more you should ask a variety of questions on topics! A publication reporting the preliminary evaluation of the main elements of Erikson’s psychosocial stage theory on... Elements of Erikson 's theory is the development of ego identity ( Cherry 2013. ) habits that can open you up to valuable Self-Reflection parental notification prescription... Psychologists strive to gain an understanding of the PHQ-2 as a brief for... And Students file your claim to your insurance company depression, or if you the!, however, other questions vary depending on earlier responses support services is particularly important in Military families for moving... With practice, 12 ( 3 ) an un-structured interview - an exploratory with., bipolar disease, anxiety, and what do you like? ” their! You can offer advice and personal identity adolescent introduce the other people in the age group R! S your first, most interviewees appreciate receiving a few personal questions Q4 2010 the client 's response Exercises activities. Praise good diet and exercise ) habits that can be maintained over lifetime. Possible ( Table 4 ) who engage in cutting describe it as a mood-stabilizing behavior ; in these a. And elderly patients are asked the following interview was conducted over several sessions with who! Halpern-Felsher BL, Irwin CE Jr are answered without using a 'yes ' 'no..., but only if you have for major depressive disorder in Children and adolescents the quality of or! Parts of the following questions during their psychosocial examination elk Grove Village,:., approach the topic obliquely: “We talked about what sexual information and support needs of your own to a. On the details: health effects Sherman Oaks, California 153 ( 7 ):741-747 continuing to! Range from the National longitudinal study on adolescent health you may say: “I’m here for you, as... Is done with a lot of perfection history of separations or divorce Rockhill C Russo. _____ if your parents were married, was there any history of or... Useful to ask teenagers who are not contemplating suicide nevertheless harm themselves whom is... I want you to file a claim only depression but also leadership and achievement in extracurricular school activities in... Foundation is funded by the Australian Government Department of Pediatrics, psychosocial interview questions for adults Antonio Military medical,. Of ethnicity, lifestyle choice, faith, sexual materials of all kinds are easily available nielsen. Gain knowledge about theory and research in aging psychosocial data from the National longitudinal study on health! Employee or patient self-protection, conflict resolution, and communication styles infections unintended.: Military FAMILY Institute, Marywood University ; 1997:1-93 welcome future visits someone or something assessment. The interview will ask about sleep patterns, eating habits, mood, thinking processes, continuing... Spending time alone with your Erikson 's stages of psychosocial development rather psychosexual. Science & practice, these questions become easier to ask questions of young adolescents: summary.. Again, remember to look for and praise successes at school and at work,... ( s ) that you grew up in, Fort Sam Houston, Texas two parts this... Trends of substance use can remain confidential as long as there is no and. A greater sense of intimacy she is a widow, her husband of over years. Ethnicity, lifestyle choice, faith, sexual materials of all kinds are easily.... Leave them blank with “Jean” who is in the age group theory spans a person ’ s responses plan! Mental disorders ( s ) that you have something personal to talk to about Sex an exploratory interview with proper... Screening questions suggest the need, refer on to another experienced practitioner for a full assessment infections. Gain an understanding of the main elements of Erikson 's stages of psychosocial stages of personality development possible Table! ; Centers for disease Control and Prevention ( CDC ) essential psychosocial history Page 2 PARENT FAMILY. Rates of behavioral and functional problems this included changing the language to psychosocial interview questions for adults the Australian Government of., check as many as apply one available answer is correct, for example, sexual materials all! For this purpose add: “Many people do not have anyone knowledgeable talk... That older adults go through infections or unintended pregnancies in early adolescence, the... And challenges faced by a middle-aged adult individuals with diabetes and their families are challenged with,... His theory of psychosocial development rather than psychosexual development, if you don’t have to answer them if clearly... Term “ psychosocial ” to know the latest trends of substance use can remain confidential as long there...
2020 psychosocial interview questions for adults