PMID: 9435999Jan 22, 1998Paper

A comparison of clinical and structured interview diagnoses in a homeless mental health clinic

Community Mental Health Journal
C S NorthE L Spitznagel

Abstract

This study compared psychiatric diagnoses ascertained by independent clinicians with structured research interviews of homeless psychiatric patients assessed in a mental health clinic and in the community. Problems of both overdiagnosis and underdiagnosis in structured research interviews compared to clinician assessment were predicted. Over a period of a year, 97 patients referred to a mental health clinic for homeless people were assessed with the Diagnostic Interview Schedule (DIS) administered by a clinical social worker who then completed a full clinical psychiatric social work assessment. These same patients received a thorough and systematic clinical psychiatric evaluation by a psychiatrist or psychologist, both experienced with this population. These clinicians gathered data from multiple sources, often with extended observation over time. The DIS and clinician diagnoses were made blind to one another and then compared; the clinician was often made aware of some of the symptoms that the social worker had elicited, but not whether the elicited material was from the DIS or from the clinical assessment. Diagnoses of 33 clinic patients previously assessed by trained nonclinician DIS interviews in an epidemiologic study of t...Continue Reading

Citations

Nov 26, 2003·Journal of Personality Assessment·Richard Rogers
Jan 10, 2004·American Journal of Public Health·Carol S NorthEdward L Spitznagel
Apr 17, 2007·The Journal of Nervous and Mental Disease·Jennifer L TannerSasha R Berger
Aug 25, 2009·International Journal of Methods in Psychiatric Research·David C RettewMasha Y Ivanova
Feb 1, 2018·International Journal of Environmental Research and Public Health·Anne LaporteUNKNOWN Samenta Research Group
Jul 31, 2009·The Journal of Behavioral Health Services & Research·Jean-Pierre BoninNoé Djawn White

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