5-Report Writing.pdf - 18.03.2015 PSYCHOLOGICAL REPORT WRITING REPORT WRITING End Product Integrating assessment data into a meaningful whole which

5-Report Writing.pdf - 18.03.2015 PSYCHOLOGICAL REPORT...

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18.03.2015 1
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18.03.2015 2 R EPORT W RITING Clarifying Referral Question : Decisional value : the extent to which a report provides information that is useful in making client-specific clinical decisions. Usually referral questions are vague: Work both with the C and the referrer to clarify the question & decisional needs R EPORT W RITING Example: Mr. X was referred for a psychological assessment by his doctor R EPORT W RITING Example: Mr. X was referred for a psychological assessment by his doctor Mr. X was referred for a psychological evaluation by his doctor in order to assess the influence of depression, or possible dementia, on his difficulty making decisions, his poor memory, and his persistent fatigue.
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18.03.2015 3 R EPORT W RITING Documentation vs. Conceptualization Documentation => Providing only ‘facts’ Raw data, ‘quotes’ from the C Conceptualization => Combining ‘facts’ with ‘inferences/impressions’ in order to reach a conclusion about The diagnosis of the C The etiology of the problem The prognosis of the problem etc. R EPORT W RITING Structuring the Narrative To make your report ‘readable’ paragraphs should be organized by themes With each paragraph developing one theme/part of a theme Each paragraph should include: ‘Introductory sentence’ (1-2) describing the overall theme of the paragraph Assessment of this theme R EPORT W RITING Structuring the Narrative Possible themes: Diagnoses/symptom clusters Crying spells, feelings of desparation, Interpersonal style/conflicts Withdrawn, socially isolated Functional domains Intelligence, emotional expression etc. Other specific issues Predispoing – precipitating – maintaining – exacerbating factors
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18.03.2015 4 R EPORT W RITING Structuring the Narrative Important issues should be readily identified NOT ‘buried’ within the body of an extensive report E.g. should be included in summary & recommendations section of the report R EPORT W RITING Structuring the Narrative Mr. X’s intellectual abilities are in the average range. All of the global scores obtained with the WAIS-III were in that range. Judging from the subtest scores, all of the specific abilities examined were in or about that range, and there were no indications of significant cognitive deficits R EPORT W RITING Deciding What to Include General purpose: To provide information that will be most helpful in responding to the referral question & meeting the needs of the C General rules: Info should be included only if it serves to increase the understanding of the C Info should focus on the C’s unique method
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