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Measuring Specific Mental Illness Diagnoses with Functional Impairment

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 107 pages
File Size : 36,4 MB
Release : 2016-04-06
Category : Medical
ISBN : 030939242X

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The workshop summarized in this report was organized as part of a study sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Office of the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services, with the goal of assisting SAMHSA in its responsibilities of expanding the collection of behavioral health data in several areas. The workshop brought together experts in mental health, psychiatric epidemiology and survey methods to facilitate discussion of the most suitable measures and mechanisms for producing estimates of specific mental illness diagnoses with functional impairment. The report discusses existing measures and data on mental disorders and functional impairment, challenges associated with collecting these data in large-scale population-based studies, as well as study design and estimation options.

Mental Disorders and Disabilities Among Low-Income Children

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 397 pages
File Size : 35,73 MB
Release : 2015-10-28
Category : Medical
ISBN : 0309376882

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Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits in 2013, about 50% were disabled primarily due to a mental disorder. An increase in the number of children who are recipients of SSI benefits due to mental disorders has been observed through several decades of the program beginning in 1985 and continuing through 2010. Nevertheless, less than 1% of children in the United States are recipients of SSI disability benefits for a mental disorder. At the request of the Social Security Administration, Mental Disorders and Disability Among Low-Income Children compares national trends in the number of children with mental disorders with the trends in the number of children receiving benefits from the SSI program, and describes the possible factors that may contribute to any differences between the two groups. This report provides an overview of the current status of the diagnosis and treatment of mental disorders, and the levels of impairment in the U.S. population under age 18. The report focuses on 6 mental disorders, chosen due to their prevalence and the severity of disability attributed to those disorders within the SSI disability program: attention-deficit/hyperactivity disorder, oppositional defiant disorder/conduct disorder, autism spectrum disorder, intellectual disability, learning disabilities, and mood disorders. While this report is not a comprehensive discussion of these disorders, Mental Disorders and Disability Among Low-Income Children provides the best currently available information regarding demographics, diagnosis, treatment, and expectations for the disorder time course - both the natural course and under treatment.

Measuring Mental Disorders

Author : Philippe Le Moigne
Publisher : Elsevier
Page : 302 pages
File Size : 37,98 MB
Release : 2018-11-21
Category : Business & Economics
ISBN : 0128172525

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This book is a collective work draws on the perspective of social sciences, mobilizing perspectives from the sociology of science, the history of psychiatry, medical ethnography and public policy analysis. This initiative, which has no precedent in social sciences, is surrounded by an original, if not apparently paradoxical statement: considering that the deployment of these processes, strictly formal and depersonalized, is justified in becoming the rule in a society known as "individuals". Presents the measurement of mental disorders (tests / scales) across the various sectors Determines the underpinning of this measure and its performance Explains the rise of these tests and its success Understands its impact on users

Measuring Psychopathology

Author : Anne Farmer
Publisher : OUP Oxford
Page : 240 pages
File Size : 48,62 MB
Release : 2002-02-14
Category : Medical
ISBN : 0192630806

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Measuring Psychopathology describes the methods by which signs and symptoms of mental disorders are elicited, examined and evaluated. The content covers the development of standardised interviews, questionnaires and rating scales.

Assessing Impairment

Author : Sam Goldstein
Publisher : Springer Science & Business Media
Page : 173 pages
File Size : 27,24 MB
Release : 2009-06-15
Category : Psychology
ISBN : 0387875425

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Impairment and disability are widely used terms, yet considerable disagreement exists as to their relationship—especially when impairment means different things to different professionals in the fields of mental health, medicine, and education. Although diagnostic criteria for various disorders are clearly detailed in the DSM-IV and elsewhere, criteria for impairment remain elusive. And patients with severe limitations but minimal symptoms, or the reverse, further complicate the discussion. The first in-depth treatment of the theory, definition, and evaluation of this core concept, Assessing Impairment: From Theory to Practice cuts through the confusion and cross-talk. Leading scholars and clinicians offer a robust evidence base for a much-needed reconceptualization of impairment within the context of diagnosis and disability, arguing for a wide-ranging quality-of-life perspective. This contextual approach to assessment goes beyond mere symptom counting, resulting in more accurate diagnosis, targeted interventions, and improved patient functioning. Within this concise but comprehensive volume, coverage focuses on key areas including: Current conceptualizations from the DSM-IV and other medical models. Methodologies for measuring symptom severity and impairment. Social/behavioral issues, such as resilience, adaptive behaviors, and family environment. Developmental issues across the life span. Legal and ethical questions and civil rights issues. Impairment and disability as they relate to trauma. The interdisciplinary model proposed in Assessing Impairment gives clinicians vital tools for working with the unique limitations and strengths of every patient. Child, school, and educational psychologists will find it particularly useful, given the critical importance of early detection and the complexity of young people’s lives.

Psychological Testing in the Service of Disability Determination

Author : Institute of Medicine
Publisher : National Academies Press
Page : 233 pages
File Size : 46,31 MB
Release : 2015-06-29
Category : Medical
ISBN : 0309370930

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The United States Social Security Administration (SSA) administers two disability programs: Social Security Disability Insurance (SSDI), for disabled individuals, and their dependent family members, who have worked and contributed to the Social Security trust funds, and Supplemental Security Income (SSSI), which is a means-tested program based on income and financial assets for adults aged 65 years or older and disabled adults and children. Both programs require that claimants have a disability and meet specific medical criteria in order to qualify for benefits. SSA establishes the presence of a medically-determined impairment in individuals with mental disorders other than intellectual disability through the use of standard diagnostic criteria, which include symptoms and signs. These impairments are established largely on reports of signs and symptoms of impairment and functional limitation. Psychological Testing in the Service of Disability Determination considers the use of psychological tests in evaluating disability claims submitted to the SSA. This report critically reviews selected psychological tests, including symptom validity tests, that could contribute to SSA disability determinations. The report discusses the possible uses of such tests and their contribution to disability determinations. Psychological Testing in the Service of Disability Determination discusses testing norms, qualifications for administration of tests, administration of tests, and reporting results. The recommendations of this report will help SSA improve the consistency and accuracy of disability determination in certain cases.

Selected Health Conditions and Likelihood of Improvement with Treatment

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 319 pages
File Size : 49,87 MB
Release : 2020-07-12
Category : Medical
ISBN : 0309670950

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The Social Security Administration (SSA) administers two programs that provide disability benefits: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. SSDI provides disability benefits to people (under the full retirement age) who are no longer able to work because of a disabling medical condition. SSI provides income assistance for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force. Both programs share a common disability determination process administered by SSA and state agencies as well as a common definition of disability for adults: "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." Disabled workers might receive either SSDI benefits or SSI payments, or both, depending on their recent work history and current income and assets. Disabled workers might also receive benefits from other public programs such as workers' compensation, which insures against work-related illness or injuries occurring on the job, but those other programs have their own definitions and eligibility criteria. Selected Health Conditions and Likelihood of Improvement with Treatment identifies and defines the professionally accepted, standard measurements of outcomes improvement for medical conditions. This report also identifies specific, long-lasting medical conditions for adults in the categories of mental health disorders, cancers, and musculoskeletal disorders. Specifically, these conditions are disabling for a length of time, but typically don't result in permanently disabling limitations; are responsive to treatment; and after a specific length of time of treatment, improve to the point at which the conditions are no longer disabling.

Barkley Functional Impairment Scale (BFIS)

Author : Russell A. Barkley
Publisher : Guilford Press
Page : 131 pages
File Size : 20,32 MB
Release : 2011-05-11
Category : Psychology
ISBN : 1609182197

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To diagnose a mental disorder or evaluate a disability claim, clinicians must assess functional impairment--not just the presence of symptoms. Meeting a key need, the Barkley Functional Impairment Scale (BFIS) is the first empirically based, norm-referenced tool designed to evaluate possible impairment in 15 major domains of psychosocial functioning in adults. Featuring both self-report and other-report forms (for example, spouse, parent, or sibling), the BFIS is reliable, valid, and user friendly. The long version takes the average adult 5-7 minutes to complete, and the Quick Screen takes only 3-5 minutes. Complete instructions for scoring and interpreting the scale are provided. Includes Permission to Photocopy Enhancing the convenience and value of the BFIS, the limited photocopy license allows purchasers to reproduce the forms and score sheets without the expense of reordering materials from the publisher. The large format and sturdy wire binding facilitate photocopying.

Functional Assessment for Adults with Disabilities

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 445 pages
File Size : 19,59 MB
Release : 2019-08-31
Category : Medical
ISBN : 0309489385

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The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs. To receive SSDI or SSI disability benefits, an individual must meet the statutory definition of disability, which is "the inability to engage in any substantial gainful activity [SGA] by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." SSA uses a five-step sequential process to determine whether an adult applicant meets this definition. Functional Assessment for Adults with Disabilities examines ways to collect information about an individual's physical and mental (cognitive and noncognitive) functional abilities relevant to work requirements. This report discusses the types of information that support findings of limitations in functional abilities relevant to work requirements, and provides findings and conclusions regarding the collection of information and assessment of functional abilities relevant to work requirements.