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Threat to Self or Others

If the patient reports any current or past suicidality, homicidality, or self-injurious behavior, this should be clearly noted on the initial treatment report since these impact treatment necessity. For any suicidality or homicidality, clearly denote whether the patient reports ideation, plan, intent, access to means, or a past attempt.

Mental Status Examination

The Mental Status Examination is one part of clinical assessment that provides descriptive information about a patient’s observable presentation. The therapist should assess the patient at intake and provide mental status information in the initial treatment report. Many insurance companies will provide a mental status checklist on their treatment request forms. If no form is provided, the therapist will instead provide a brief written description using the mental status categories (and their respective descriptors) outlined next:

• Appearance: well groomed, disheveled, bizarre, or inappropriate
• Attitude: cooperative, uncooperative, hostile, guarded, suspicious, or regressed
• Orientation: fully oriented or impaired orientation to person, place, time, or purpose
• Motor activity: calm, hyperactive, agitated, tremors, tics, or muscle spasms
• Attention: good, fair, easily distracted, or highly distractible
• Mood: normal, depressed, anxious, or elevated
• Affect: appropriate, labile, expansive, constricted, or blunted
• Speech: normal, slow, slurred, pressured, or rapid
• Thought process: intact, circumstantial, tangential, flight of ideas, or loose associations
• Hallucinations: none, auditory, visual, olfactory, or command
• Delusions: none, persecutory, grandiose, or religious
• Memory: intact or impairment in immediate, short-term, or long-term memory
• Insight: able or not able to recognize symptoms as mental illness

Source

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Intelligence and the Terrorist Threat
As defined inTitle 18, Section 2332b of the U.S. Code of Federal Regulations, the federal crime of terrorism is an offense that “is calculated to influence or affect the conduct of government by intimidation or coercion, or to retaliate against government conduct” (FBI, 2015, p. 1). In general, terrorism...
(Crime and Intelligence Analysis: An Integrated Real-Time Approach)
Understanding Threat Assessment Methodologies and the Role of the Analyst
Outline 1 The scope of the problem 2 Violence prediction and psychological constructs of violence 3 Behavioral threat assessment 4 Applying the biopsychosocial model to prevent violence 5 Understanding the pathway to targeted violence as an analytical tool. 6 Threat assessments and the crime analyst:...
(Crime and Intelligence Analysis: An Integrated Real-Time Approach)
A Threat Assessment
These early attempts to predict the perpetrators of school shootings tend to fall into the categories of profiles and risk assessments. However, today we see the limitations of profiles and risk assessments, and instead consider threat assessments. A threat assessment differs from a violence risk assessment...
(Crime and Intelligence Analysis: An Integrated Real-Time Approach)
History of Threat Assessments
Systematic procedures for conducting threat assessments and intervention strategies for school shootings owe their beginnings to the FBI’s National Center for the Analysis ofViolent Crime (NCAVC), which began studying violent incidents in the 1980s. In 1999, the NCAVC held a symposium on school shootings...
(Crime and Intelligence Analysis: An Integrated Real-Time Approach)
The Threat Assessment Strategy as a Management Process
Bowlin and his colleagues point out that Threat assessment is not a final product, but the beginning of the management process. It guides a course of action to mitigate a threat of potential violence; merely identifying that someone is of moderate or higher concern, without developing a management strategy,...
(Crime and Intelligence Analysis: An Integrated Real-Time Approach)
Mental Status Examination
Alex was an alert, petite, attractive, slim brunette woman, appearing her stated age, with appropriate makeup, dressed in blue blouse and skirt. Her movements were somewhat controlled, and her speech was fluent and unpressured, if somewhat monotonal and deliberate. Her mood was mildly to moderately depressed...
(Casebook of Interpersonal Psychotherapy)
Mental Status Examination
Ellen was a tall, slender woman with blond, shoulder-length hair who appeared her stated age. She wore no makeup and was casually but neatly dressed in leggings, an oversized long-sleeved shirt, and sneakers. Her movements were mildly agitated, her speech was fluent and unpressured, and she avoided steady...
(Casebook of Interpersonal Psychotherapy)
How Do I Conduct Mental Status Examinations Through Videoconferencing?
While predominantly possible, conducting mental status examinations through videoconferencing may require more overt effort from the provider for specific aspects of one’s mental or physical health when compared to F2F interactions. For example, while affect and sensorium can be evaluated in a way...
(A Mental Health Provider’s Guide to Telehealth: Providing Outpatient Videoconferencing Services)
Mental Status Exam
If the history of present illness is viewed as a timeline of what the patient experienced up until the presentation to the ED, the mental status exam (MSE) should be viewed as a snapshot of what the patient looks like in front of you at that moment in time. While the history of present illness theoretically...
(Big Book of Emergency Department Psychiatry)