|коммисионное освидетельствование |
Mental status examination ( MSE)
THE PATIENTS SHOULD HAVE MSE PERFORMED MONTHLY BY ADMINISTRATORS AND CLINICAL STAFF OF THE FACILITY
В связи с тем, что вопрос касается сугубо психического статуса (или дееспособности, или необходимости в дальнейшем пребывании в больнице), полагаю, что следует уточнить характер обследования.
По поводу комиссии- не нашла соответствующих документов на английском, почти всегда упоминается 1 врач. Для принудительного лечения больного в США нужны подписи 2 врачей(встретила такой документ в сети). Но это же не регулярные освидетельствования...Насколько мне известно из практики, в состав подобной "комиссии"(или группы врачей) входит терапевт и кто-то из администрации (зав.отделением чаще всего, иногда начмед).
... 5. All psychiatric patients should have mental status exam. ... SUMMARY OF MENTAL STATUS EXAM. A. Behavior Classifications ...
By the end of the clerkship, the student will demonstrate the ability to obtain a complete psychiatric history, recognize relevant physical findings, and perform a complete mental status examination. http://www.psychcentral.com/psypsych/wiki/Mental_status_exam...
Mental status examination, or MSE, is a medical process where a clinician working in the field of mental health (usually a psychiatrist or psychologist) systematically examines a patient's mind. Each area of function is considered separately under categories in a way similar to a physical examination performed by physicians. However, much of the material for the MSE is gathered during psychiatric history taking. The result of this examination is combined with the psychiatric history to produce a "psychiatric formulation" of the person being examined.
4.3 In a further submission, the State party adds that a mental status examination "was carried out on C.F. on 6 February 1990. The examination revealed a 'young man who spoke freely and was not depressed. He displayed no psychotic features and no evidence of cognitive impairment. His intelligence seemed average. He is presently displaying no features of psychological disturbance'. Prior to his examination, C.F. had not undergone any psychiatric examination. His behaviour had been normal throughout the period of his incarceration. He had been treated on numerous occasions by general practitioners for medical conditions, but on no occasion was it considered necessary to have him examined by a psychiatrist".
As part of the interdisciplinary team approach, the scope of the evaluation may be broadened to include, as needed, consultations with the disciplines of internal medicine, gynecology, neurology and behavioral neurology, neuropsychology, pharmacology, hearing and speech therapy,19 physical therapy, occupational therapy, and leisure skills therapy.
Before discharge, a conference should be held to articulate a shared understanding about future treatment planning. The psychiatrist and hospital staff should see that the following points are covered:
Our recommendations for best practices for screening and assessing youth in the juvenile justice system emerge from a Consensus Conference we hosted in April 2002. They are fully described in our paper published in the July 2003 issue of the Journal of the American Academy of Child and Adolescent Psychiatry. The recommendations have been endorsed by the American Probation and Parole Association, the National Mental Health Association, and the National Alliance for the Mentally Ill.
A national group of expert researchers and practitioners derived six recommendations, following the expert consensus method. Experts had broad experience creating collaborations between juvenile justice, mental health, and child welfare systems and understood the policy implications of conducting such assessments in juvenile justice settings.
The experts agreed upon the following recommendations, targeted for use by administrators and directors of juvenile justice facilities and their clinical staff.
Ensure that mental health staff are professionally credentialed, or directly supervised by credentialed staff. Provide training for staff appropriate to their role for assessment in evidence-based, scientifically sound mental health screening/assessment procedures.
| Ann Nosova|
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Specializes in field
Native speaker of: Russian, Ukrainian
PRO pts in category: 236