Mastering the Kennedy Axis V: A New Psychiatric Assessment by James A Kennedy PDF

By James A Kennedy

Getting to know the Kennedy Axis V: a brand new Psychiatric evaluation of sufferer Functioning is a hands-on consultant to utilizing the Kennedy Axis V (K Axis). This quick and strong device is on the center of James A. KennedyAs method of psychiatric therapy making plans. this flexible and useful workbook is a wonderful education software to aid clinicians (including psychiatrists, psychologists, social employees and nurses) strengthen wisdom, ability, and self belief in utilizing the okay Axis. studying the Kennedy Axis V can assist you -Develop ease and facility with the thoughts on which the okay Axis is based -Gain sensible adventure in utilizing the okay Axis via sensible workouts -Build a origin for systematically monitoring reaction to therapy, together with reaction to medicine -Organize and music the movement of scientific details via a patientAs scientific databases, therapy plan and growth notes step by step, you will stroll during the conceptual underpinnings and score platforms of the seven subscales: mental impairment, social talents, violence, actions of day-by-day living/occupational talents, substance abuse, scientific impairment and ancillary impairment. via a wide selection of scientific vignettes, you'll achieve functional event in utilizing the okay Axis to speedy boost easy scientific measurements and profiles. constructed as a substitute to the worldwide review of Functioning (GAF) Scale, the Kennedy Axis V is apparent, intuitive, effectiveAand most popular by means of an increasing number of clinicians. gaining knowledge of the Kennedy Axis V presents a straightforward roadmap to utilizing the ok Axis to extra completely examine patientsA medical prestige, leading to higher remedy and final result.

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Because anchor points are kept at the same level along the continuum, ratings of the K Axis capture the same level of severity as DSM-IV-TR’s Axis V. Knowing that a score of 50 captures “serious symptoms” on Axis V allows the rater to know that a score of 50 on any of the K Axis subscales will reflect a similar severity on Axis V. Because most clinicians are familiar with rating DSM-IV-TR’s Axis V, very little additional training is needed to understand how to rate the K Axis and the levels of impairment indicated by particular scores.

The effect of physical/environmental limitations generally should be factored out of the rating. For example, factor out not abusing drugs or not assaulting others due to being incarcerated or physically restrained; factor out not being socially active or employed due to physical constraints of being in a wheelchair or confined to bed. Rate how functional or dysfunctional a client would be if given reasonable opportunity—that is, do not let physical barriers cover up skills or violence. 2–14 Mastering the Kennedy Axis V Kennedy Axis V—Psychological Impairment (Problem Area 1) 100 Superior psychological functioning/coping, no psychological impairment; life’s everyday problems never seem to lead to any significant anxiety or depression.

After years of reasonable treatment, the patient may reach a plateau or baseline. When the patient enters treatment for acute psychiatric decompensation, maintaining that baseline may be the most realistic approach while the acute psychiatric symptoms are being addressed. , the K Axis rating for admission and discharge for Substance Abuse would be the same, even though both ratings may reflect a significant impairment from substance abuse). After discharge, the patient would be continued on the treatment for substance abuse that allowed him or her to reach his or her baseline, unless new information indicates that an alternative approach may be more effective.

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