FINANCIAL DISCLOSURES: Dr. Kotwicki is the Medical Director of Skyland Trail. He reports no other conflicts of interest. Dr. Harvey is a member of the National Advisory board of Skyland Trail and is compensated for this service.

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FINANCIAL DISCLOSURES: Dr. Kotwicki is the Medical Director of Skyland Trail. He reports no other conflicts of interest. Dr. Harvey is a member ofthe National Advisory board of Skyland Trail and is compensated for this service.KEY WORDS: Bipolar disorder, psychosis, structured diagnoses, validityABSTRACT clinician diagnoses and those appears to be a reasonable trade-offBackground. Psychiatric generated by structured interviews. between brevity and accuracydiagnoses are important for The same three interviewers through the use of the MINItreatment planning. There are a examined all patients in all three compared to the SCID, withnumber of current challenges in the phases of the study. substantial improvements in stabilityarea of psychiatric diagnosis with Results. Admission and discharge of diagnoses compared to clinicianimportant treatment implications. In diagnoses were available for 313 diagnoses. Clinical diagnoses werethis study, we examined the cases. Diagnoses generated with the minimally overlapping with thedifferential usefulness of two semi- unstructured procedure were results of structured diagnoses,structured interviews of differing changed by discharge 74 percent of suggesting that structuredlength compared to clinical diagnoses the time, compared to four percent assessment, particularly early in thefor generation of diagnoses that did for SCID diagnoses and 11 percent illness or in short term treatmentnot require modification over the for MINI diagnoses. Referring settings, may improve treatmentcourse of treatment. clinician diagnoses were disconfirmed planning.Methods. We performed a three- in Years 2 and 3 in 56 percent ofyear, three-cohort study at an SCID cases and 44 percent of MINI INTRODUCTIONoutpatient psychiatric rehabilitation cases. The distinctions between The reliability of psychiatricfacility, comparing the stability of unipolar and bipolar disorders were diagnoses has improved markedlyadmission diagnoses when generated particular points of disagreement, since the introduction of structuredby unstructured procedures relying with similar rates of under and over- psychiatric interviews.1 Theseon referring clinician diagnosis, the diagnosis of bipolar disorder. The rate interviews were first developed in theSCID, and the MINI. We examined of confirmation of referring clinician late 1960s2 and were fine tuned3 upchanges in diagnoses from admission diagnoses of schizoaffective disorder through the time of the introductionto discharge (averaging 13 weeks) was 10 percent with the SCID and 11 of the the Diagnostic and Statisticaland, during the second two years, percent with the MINI. Manual of Mental Disorders, Thirdconvergence between referring Discussion. In this setting, there Edition (DSM-III)4 in 1980. At the14 Innovations in CLINICAL NEUROSCIENCE [VOLUME 10, NUMBER 5–6, MAY–JUNE 2013]same time, the use of these multiple, newly indicated treatments patients accurate diagnosis isstructured interviews is still not and associated advertising. In important. This is particularlycommon in everyday clinical practice, addition, an increased appreciation of relevant to time-limited treatment. Aswith most use in research settings. It the fact that bipolar disorders can be interventions such as day treatmentis not clear how much the application marked by brief episodes of or other rehabilitation therapies mayof such interviews would impact the hypomania rather than full manic be approved by insurance payers forreliability and validity of diagnoses in episodes has increased the challenge delivery only for finite periods,clinical practice settings, but it seems in discrimination between bipolar and inaccurate targeting of treatmentlikely that there are certain unipolar mood disorders. We know interventions early on could lead tocircumstances where the increase in that distinguishing unipolar therapeutic interventions beingvalidity would be quite substantial. depression and bipolar illness has applied for relatively abbreviated andThe importance of collection of valid socioeconomic and functional potentially inefficacious periods.assessment data through structured implications.12 Correspondingly, Thus, early identification of theassessment procedures is contemporary diagnostic trends may eventual diagnosis can lead tocompounded by the problems in self- also incorrectly shape referring enhanced ability to deliverreport seen in multiple psychiatric diagnoses when patients initially appropriate treatments for a largerconditions;5–7 questionnaire or present for treatment. . TODAY AND GET AN AMAZING DISCOUNT The post FINANCIAL DISCLOSURES: Dr. Kotwicki is the Medical Director of Skyland Trail. He reports no other conflicts of interest. Dr. Harvey is a member of the National Advisory board of Skyland Trail and is compensated for this service. appeared first on Term Paper Tutors.”Do you need a similar assignment done for you from scratch? We have qualified writers to help you with a guaranteed plagiarism-free A+ quality paper.