Experience with Current Multiaxial Diagnostic Systems: A Critical Review

Kastrup, Marianne

doi:10.1159/000065131

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…Multiaxial assessment is often required in the U.S. for administrative purposes, eligibility determination or billing. Clinicians do not always use it for treatment planning [70]. However, when used, clinicians show acceptable rates of inter-rater reliability in most axes [71].…”

Section: Multi-axial Assessment Can Integrate Medical Diagnoses and Fmentioning

confidence: 99%

Improving Health Care for Children with Chronic Conditions: Toward a “Wholistic” Approach

Feldman¹

2005

CPR

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Approximately 1 in 6 children have special health care needs and half of those have functional limitations or disabilities. Such children use health and related services on average two to eight times more often than children without these conditions. Health care systems and clinical practices are poorly designed to deliver high quality health care to children with chronic conditions. Reform efforts such as the Medical Home and the Improving Chronic Care Model have been shown to improve clinical outcomes but more progress is needed. This paper argues that establishing clinical goals and measuring health outcomes in the care of children with chronic conditions should focus on the nature and extent of functional limitations in a wide range of domains. The International Classification of Functioning, Disability, and Health (ICF) provides a conceptually-driven diagnostic and statistical manual that can be used at the clinical and public health levels to assess and monitor functional outcomes. The newly released ICF-Children and Youth Version has been designed specifically for children up to 18 years of age. The results of functional classification with the ICF can be integrated with medical and mental health diagnoses in a multi-axial assessment of the patient, providing a standardized and therapeutically relevant description of the individual with chronic conditions through a number of domains or axes. Each functional problem requires its own plan for intervention. Functional classification is compatible with other reform efforts, such as the Medical Home initiative. Routine use of functional assessment and classification in the care of children with chronic conditions will lead to a comprehensive or "wholistic" approach to the child and family.

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Section: Multi-axial Assessment Can Integrate Medical Diagnoses and Fmentioning

confidence: 99%

Improving Health Care for Children with Chronic Conditions: Toward a “Wholistic” Approach

Feldman¹

2005

CPR

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“…This method of coding with different axes was not meant conceptual differences, but aimed to evaluate patients comprehensively based on the biopsychosocial model (2).…”

Section: Introductionmentioning

confidence: 99%

Mental Disorders Diagnosed by Psychiatrist’s Clinical Interviews and Results of the Thematic Apperception Test Conducted by Psychologists

Shahbazzadegan¹,

Samadzadeh²,

Abbasi³

2016

Biotech Health Sci

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Background: One of the most important issues to diagnose mental disorders is the use of independent tools with similar results. Documented history is an important tool to diagnose diseases at each stage. The first and fundamental step in diagnosis is a comprehensive clinical interview. Objectives: The current study aimed to investigate the concordance of mental disorders diagnosed by psychiatrist's clinical interviews and results of thematic apperception test (TAT) conducted by psychologists. Methods: It was a cross sectional descriptive-analytical study. The study population included the patients (male and female) admitted in psychiatry section of Dr. Fatemi hospital in Ardabil, Iran, during 2009-2010. Data were collected from the archive of Ardebil Dr. Fatemi hospital and about 1200 patients were studied. Demographic data of participants including age, gender, marital status, admission date, discharge date and type of insurance were gathered from the recorded documents. The initial diagnosis of psychologist using TAT test was compared with the final diagnosis recorded for the patient attended by physicians. Data were analyzed using SPSS software, ver. 16. Results: Out of 1,200 participants, 660 (55%) were male and 540 (45%) female; 150 (12.5%) subjects were under 25 years old and 284 (23.66%) were over 45 years old. Also, 650 subjects were illiterate and the rest were literate. The results of Chi-square test showed a significant difference between diagnoses of psychiatrist's clinical interviews with TAT results conducted by psychologists (P < 0.045). In spite of this difference, the results of TAT test were in relative concordance with psychiatrists' diagnoses for schizophrenia, depression, bipolar depression and anxiety disease. Conclusions: The findings showed a relative concordance between psychiatric interviews and psychological assessments in the clinical diagnosis of mental illness.

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“…On account of the complexity of psychiatric conditions, it is often difficult to arrive at a conclusive diagnosis using a single diagnostic criteria 4 . Experience has shown that if children's mental health problems are addressed with a multidisciplinary approach, it gives a more comprehensive idea about the disorder and the intervention required 5,6 .…”

Section: Introductionmentioning

confidence: 99%

Child Psychiatric Disorders Presenting to a Tertiary Multidisciplinary Child Development Service in Bangladesh

Islam

Parveen

Parvin

et al. 2012

Bangladesh J Child Health

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Experience with Current Multiaxial Diagnostic Systems: A Critical Review

Cited by 6 publications

References 16 publications

Improving Health Care for Children with Chronic Conditions: Toward a “Wholistic” Approach

Improving Health Care for Children with Chronic Conditions: Toward a “Wholistic” Approach

Mental Disorders Diagnosed by Psychiatrist’s Clinical Interviews and Results of the Thematic Apperception Test Conducted by Psychologists

Child Psychiatric Disorders Presenting to a Tertiary Multidisciplinary Child Development Service in Bangladesh

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Experience with Current Multiaxial Diagnostic Systems: A Critical Review

Cited by 6 publications

References 16 publications

Improving Health Care for Children with Chronic Conditions: Toward a &#x201C;Wholistic&#x201D; Approach

Improving Health Care for Children with Chronic Conditions: Toward a &#x201C;Wholistic&#x201D; Approach

Mental Disorders Diagnosed by Psychiatrist’s Clinical Interviews and Results of the Thematic Apperception Test Conducted by Psychologists

Child Psychiatric Disorders Presenting to a Tertiary Multidisciplinary Child Development Service in Bangladesh

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Resources

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Improving Health Care for Children with Chronic Conditions: Toward a “Wholistic” Approach

Improving Health Care for Children with Chronic Conditions: Toward a “Wholistic” Approach