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Effect of structured interviews on evaluation time in pediatric community mental health settings.

Publication ,  Journal Article
Hughes, CW; Emslie, GJ; Wohlfahrt, H; Winslow, R; Kashner, TM; Rush, AJ
Published in: Psychiatr Serv
September 2005

OBJECTIVE: The purpose of this study was to determine whether a structured interview administered by a master's-level clinician and reported to physicians before an initial evaluation would reduce physicians' evaluation time without compromising diagnostic accuracy or clinical outcomes in a pediatric sample. METHODS: A sample of 225 children and adolescents who were seen in public-sector community facilities was randomly assigned either to receive a structured interview (the Schedule for Affective Disorders and Schizophrenia for School-aged Children-Present and Lifetime Versions) by a trained interviewer before the initial physician visit or to receive assessment as usual. Clinical outcome data were collected prospectively, with follow-up at four months. RESULTS: Physicians' evaluation time was reduced by approximately half among physicians who were given preliminary diagnostic information. Physicians' diagnoses were strongly related to the results of the structured interview. Physicians' having access to previously obtained diagnostic information was associated with better psychosocial functioning at follow-up in terms of peer relations and spare-time activities compared with assessment as usual. CONCLUSIONS: Adding a trained diagnostic interviewer to the clinical team could reduce physicians' initial diagnostic evaluation time and improve diagnostic reliability and psychosocial outcomes.

Duke Scholars

Published In

Psychiatr Serv

DOI

ISSN

1075-2730

Publication Date

September 2005

Volume

56

Issue

9

Start / End Page

1098 / 1103

Location

United States

Related Subject Headings

  • Social Adjustment
  • Reproducibility of Results
  • Psychometrics
  • Psychiatry
  • Patient Care Team
  • Outcome Assessment, Health Care
  • Mental Disorders
  • Male
  • Interview, Psychological
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hughes, C. W., Emslie, G. J., Wohlfahrt, H., Winslow, R., Kashner, T. M., & Rush, A. J. (2005). Effect of structured interviews on evaluation time in pediatric community mental health settings. Psychiatr Serv, 56(9), 1098–1103. https://doi.org/10.1176/appi.ps.56.9.1098
Hughes, Carroll W., Graham J. Emslie, Hazel Wohlfahrt, Regena Winslow, T Michael Kashner, and A John Rush. “Effect of structured interviews on evaluation time in pediatric community mental health settings.Psychiatr Serv 56, no. 9 (September 2005): 1098–1103. https://doi.org/10.1176/appi.ps.56.9.1098.
Hughes CW, Emslie GJ, Wohlfahrt H, Winslow R, Kashner TM, Rush AJ. Effect of structured interviews on evaluation time in pediatric community mental health settings. Psychiatr Serv. 2005 Sep;56(9):1098–103.
Hughes, Carroll W., et al. “Effect of structured interviews on evaluation time in pediatric community mental health settings.Psychiatr Serv, vol. 56, no. 9, Sept. 2005, pp. 1098–103. Pubmed, doi:10.1176/appi.ps.56.9.1098.
Hughes CW, Emslie GJ, Wohlfahrt H, Winslow R, Kashner TM, Rush AJ. Effect of structured interviews on evaluation time in pediatric community mental health settings. Psychiatr Serv. 2005 Sep;56(9):1098–1103.
Journal cover image

Published In

Psychiatr Serv

DOI

ISSN

1075-2730

Publication Date

September 2005

Volume

56

Issue

9

Start / End Page

1098 / 1103

Location

United States

Related Subject Headings

  • Social Adjustment
  • Reproducibility of Results
  • Psychometrics
  • Psychiatry
  • Patient Care Team
  • Outcome Assessment, Health Care
  • Mental Disorders
  • Male
  • Interview, Psychological
  • Humans