Lectures 1-4 Clinical Interviewing & Assessment (CIA) - Leiden University
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Course
Clinical Interviewing and Assessment (6464CL02Y)
Institution
Universiteit Leiden (UL)
Lecture 1: Introduction
Lecture 2: Identifying (Childhood) DSM-5 Disorders and Interviewing Strategies
Lecture 3: The semi-structured interview: M.I.N.I. & CPRS
Lecture 4: ROM in mental health care – ROM (Routine Outcome Monitoring)
Clinical Interviewing and Assessment (CIA) Lectures – Leiden University 2021-2022
Lecture 1:
This lecture:
- General outline of course.
- General outline of first interview.
- Video demonstration of first interview.
Aims of the course:
- Interviewing knowledge and skills.
- Write report of main findings.
- Interview formats (‘free’/semi-structured).
- Hands-on knowledge of disorders.
- Professional attitude towards patients.
- Prepare for clinical internship.
General outline of the course:
- 3 plenary lectures (MINI/CRPS) (ROM)
- Not mandatory, but advised to attend.
o Lecture 1: General outline of first interview
o Lecture 2: Structured Clinical Interview (MINI and CPRS)
o Lecture 3: ROM (Routine Outcome Monitoring)
- 6 seminars which are mandatory
- Seminar 1-5: practice and role playing
- Practice intake on each other
- Seminar 6: examination
- Homework assignments and practice in small groups
General outline of seminars:
- Review homework, reading, questions, etc.
- Role playing in groups of 2-3 students
- Break
- Role playing with actor (4-6st) 14.30h
- Feedback
- Discussion, questions, homework, etc.
Role playing with actor
- Be punctual to make optimal use of time.
- Setting: first interview at outpatient psychiatric facility, after referral by GP.
- Patient is consecutively interviewed by 6 students, each student interviews for 10’
- Other students observe, and provide feedback when asked (positive points, points for
improvement)
- Role playing with actor will be videotaped.
- Students will be asked to view their own interview or another classmate’s interview and
observe.
- Observations can include non-verbal and verbal aspects (there is an observation form in
the syllabus you can use as guideline for observing).
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, Clinical Interviewing and Assessment (CIA) Lectures – Leiden University 2021-2022
Role play with real patients
- In seminar 5, patients with different psychiatric disorders, be patient and respectful,
feedback.
Video Streaming
‘CIA Video crew’ needed for each seminar:
- Two students in each seminar who are responsible for picking up and returning the
camera at the AV dienst.
- Set up camera and record the interviews.
- Video streaming.
1. Manual provided on Blackboard.
2. Camera’s at AV dienst (service desk 1st floor)
Problems? Email to your ‘CIA video crew’, AW dienst (Pim Bakker,
p.p.bakker@fsw.leidenuniv.nl)
- You will practice writing intake reports.
- Example of content is in the syllabus and in your book.
- Students will practice an entire structured interview on each other and write an intake
report on your findings.
- Feedback from seminar instructor.
- Quality of intake report is part of the grading.
Literature
J. Morrison. The First Interview. Revised for DSM-IV. Guilford Press 2008
Book is useful and practical
Not explicitly part of the examination
Further reading:
Handbook of Abnormal Psychology
DSM-IV / 5
Importance of first interview
- Is the first step for considering further diagnosis and treatment.
- First encounter with your institution or with mental health care.
- No second chance to make a first impression.
- Second interview is possible.
General attitude
- An effective interviewer:
o Elicits as much (relevant!) information as possible.
o In as little time as possible.
o While creating and maintaining good relation.
- Be professional, sincere, interested, etc.
- Take your time to listen and reflect.
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, Clinical Interviewing and Assessment (CIA) Lectures – Leiden University 2021-2022
- Don’t forget to enjoy the experience.
General remarks first interview (1)
- General guideline
- What is ‘right’ or ‘wrong’ can differ across specific situations or patients, and deviate
from general guideline.
- Can differ across instructors and seminars.
- Check book for suggestions for responses and phrasing.
From closed to open-ended questions
Are you okay today? where would you like to start today? what has been good about
your day so far?
Are you married? Tell me about the important relationships you have in your life.
General remarks first interview (2)
- ‘Open-ended’ followed by ‘closed-ended’.
- Vary open-ended and closed-ended questions.
- Be careful with suggestive questions (try not to fill in too quickly what a person may be
thinking …)
- While thinking about what to ask next, don’t forget to listen.
Opening and introduction
- Greet/shake hands.
- Introduce yourself (including professional status – internship) and verify patient’s name.
- Explain purpose (no therapy).
- Indicate available time and what happens after interview.
- Explain note taking.
- Personal details
o Name
o Gender
o Date and place of birth
o Marital status “Wat kan jij mij vertellen over de belangrijke relaties in jouw
leven?”
o Children
o Occupation “Op dagelijkse basis, waar hou jij je zoal mee bezig?”
- Referral
o Verify source and stated reason for referral.
o Patients’ opinion of referral
Chief complaint (1)
“Please tell me (in your own words) what problems made you come for treatment.”
“Wat zou jij mij in je eigen woorden kunnen vertellen over de reden waarom je naar hier
bent gekomen?”
- Allow for several minutes of free speech.
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