Manual for the Standard for Clinicians’ Interview in Psychiatry (SCIP) : A New Assessment Tool for Measurement-Based Care (MBC) and Personalized Medicine in Psychiatry (PMP)

The SCIP manual will introduce a new assessment tool designed to be compatible with 21st century advances in measurement-base care (MBC) and personalized medicine in psychiatry (PMP). The SCIP includes 18 clinician-administered and 15 self-administered reliable and validated scales covering most adult symptom domains: anxiety, obsessions, compulsions, posttraumatic stress, depression, mania, delusions, hallucinations, disorganized thoughts, aggression, negative symptoms, alcohol use, drug use, attention deficit/hyperactivity, and eating disorders. Mental health professionals (psychiatrists, psychiatry residents, psychologists, therapists, clinical social workers, counselors, nurses, nurse practitioners, physician assistants, professors, students, and mental health researchers) are the primary audience of the manual. These professionals will be able to implement SCIP scales in their practice and use the SCIP psychopathology glossary as part of the emerging science of personalized medicine psychiatry (PMP). Existing books on measures and rating scales, such as the two books above, describe different scales developed by different authors at different periods. Each scale has its own rating guidelines and training requirements, which must be followed by clinicians in order to use the scales. This demands a considerable amount of time for clinicians and can be a barrier to using the scales in practice. Even within the same psychopathology domain, many published measurement scales exist. For instance, the book published by Waters and Stephane includes 120 scales for psychosis. Among the 120 scales for psychosis, which scale(s) should the clinician choose? Our proposed manual will remove these barriers by creating simple and universal principles which allow readers to use the 33 reliable and validated SCIP scales with most adult psychiatric disorders. There will be 15 videotaped interviews available online for readers who buy the book. Readers are expected to watch the interviews in conjunction with reading the manual. SCIP Manual Preface Manual Contributors Contents Chapter 1: Historical Perspectives on the History of Measurement in Psychiatry Identification and Enumeration of Patients with Mental Illness Measurement of Psychopathology The Nineteenth Century: The Birth of the Science of Descriptive Psychopathology The First Half of the Twentieth Century: The Birth of Reliable and Validated Rating Scales Examples of Symptom Definitions Examples of Items The Second Half of the Twentieth Century: A Plethora of Reliable and Validated Rating Scales The Twenty-First Century Advances in Neurosciences, Technology, and Measurement References Chapter 2: Rationale for the Development of the Standard for Clinicians’ Interview in Psychiatry (SCIP) Background Design of the Standard for Clinicians’ Interview in Psychiatry (SCIP) Project The Main Outcomes of the SCIP Project The Development of Reliable Psychopathology Items The Development of Reliable and Valid SCIP Dimensions and Scales for Adult Psychiatric Disorders The Development of the SCIP Glossary of Psychiatric Symptoms and Signs Measurement-Based Care (MBC) Training Curriculum for Mental Health Professionals and Psychiatry Residency Programs Conclusions References Chapter 3: The SCIP Principles of Rating Symptoms, Signs, and Creating Reliable Questions and Dimensions Principles of Designing the SCIP Questions Coding Symptoms of Psychopathology Coding Signs of Psychopathology General Notes on Ratings Special Notes on Delusions Principles of Designing Clinically Useful Psychological Dimensions Evaluation of Episodes Etiological Assessment of Mental Disorders Conclusions Appendix I: Degree of Certainty of Causal Specifiers Appendix II: Causal Specifiers of Mental Disorders References Chapter 4: The Standard for Clinicians’ Interview in Psychiatry (SCIP) Screening Questionnaire and Scales The SCIP Screening Questionnaire The SCIP Clinician-Administered (CA) Scales The SCIP Self-Administered (SA) Scales Psychometric Properties of the SCIP Self-Administered (SA) Scales Internal Consistency Reliability of the SCIP SA Scales Validation of the SCIP SA Scales Criterion Validity of the SCIP SA Scales Convergent and Discriminant Validity References Chapter 5: The Standard for Clinicians’ Interview in Psychiatry (SCIP) as a Consistent and Comprehensive Glossary of Psychiatric Symptoms and Signs Comparison References Chapter 6: Measurement-Based Care (MBC): Advances in the Twenty-First Century Introduction Advantages of Measurement-Based Care Barriers to Measurement-Based Care Properties of Clinically Useful Measures in Clinical Practice The Development of the Standard for Clinicians’ Interview in Psychiatry (SCIP) as a Practical MBC Tool Recent Developments Affecting MBC Conclusions References Chapter 7: The Psychiatric Interview Contribution to Measurement-Based Care and Research The Components of Psychiatric Assessment Phases of the Psychiatric Interview Inputs and Outputs of the Psychiatric Interview Mental Status Examination Evaluation of Past Episodes Approaches to Psychiatric Diagnoses The Clinician’s Role in Interviewing Patients Conclusions References Chapter 8: Epidemiological Concepts and Measures in Psychiatry Epidemiological Concepts Reliability and Validity Measures in Psychiatry Rating Scales and Diagnostic Interviews Types of Diagnostic Interviews Demonstration of the WHO Composite International Diagnostic Interview References Chapter 9: Measurement-Based Care (MBC) Training Curriculum for Mental Health Professionals and Psychiatry Residency Programs Introduction Trainer and Trainee Qualifications Components of the Training Curriculum MBC Training Curriculum for Psychiatry Residency Programs Principles of Using the MBC Scales in Psychiatry Residency Training MBC Teaching Materials Annual Learning and Implementation of MBCs Recommendations for the Timing and Frequency of Using Scales References Chapter 10: Case Demonstrations for Using the SCIP as a Measurement-Based Care Tool in Clinical Practice: Transforming Normal Psychiatric Interviews into Data Video #1: Experts’ Ratings Clip #1: Beginning the Interview and Establishing Rapport with the Patient Clip #1 Transcript Clip #2: Three Patients Clip #2 Transcript Clip #2 Ratings Clip #3: Three Patients Clip #3 Transcript Clip #3 Ratings Clip #4: One Patient Clip #4 Transcript Clip #4 Ratings Clip #5: One Patient Clip #5 Transcript Clip #5 Ratings Clip #6: One Patient Clip #6 Transcript Clip #6 Ratings Clip #7: One Patient Clip #7 Transcript Clip #7 Ratings Video #2: Panic and Depression Transcription of Interview #2 (C = Clinician; P = Patient) Video #2 Ratings Video #3: ADHD and Depression Transcription of Interview #3 (C = Clinician; P = Patient) Video #3 Ratings Video #4: Alcohol Use Transcription of Interview #4 (C = Clinician; P = Patient) Video #4 Ratings Video #5: PTSD Transcription of Interview #5 (C = Clinician; P = Patient) Video #5 Ratings Video #6: Eating Disorders Transcription of Interview #6 (C = Clinician; P = Patient) Video #6 Ratings Video # 7: Psychosis and Mania Transcription of Interview #7 (C = Clinician; P = Patient) Video #7 Ratings Video # 8: Anxiety and Panic Transcription of Interview #8 (C = Clinician; P = Patient) Video #8 Ratings Video #9: Narcotic Use and Depression Transcription of Interview #9 (C = Clinician; P = Patient) Video #9 Ratings Video #10: Full Interview 1 Transcription of Interview #10 (C = Clinician; P = Patient) Video #10 Ratings of Mood Symptoms Video #11: Full Interview 2 Transcription of Interview #11 (C = Clinician; P = Patient) Video #12: Full Interview 3 Transcription of Interview # (C = Clinician; P = Patient) Video # 13: Extra Practice 1 Transcription of Interview #13 (C = Clinician; P = Patient) Video #13 Ratings Video # 14: Extra Practice 2 Transcription of Interview #14 (C = Clinician; P = Patient) Video #14 Ratings of Panic and Mood Symptoms Video # 15: Extra Practice 3 Transcription of Interview #15 (C = Clinician; P = Patient) Chapter 11: The Standard for Clinicians’ Interview in Psychiatry (SCIP) as an Assessment Tool for Personalized Medicine in Psychiatry The ABCD Model for Personalized Medicine in Psychiatry Stage A: Clinical Start Point Stage B: Translational Sciences Stage C: Scientific Methods to Transform Translational Research into Clinical Outcomes Stage D: Clinical Outcomes Concluding Remarks References Appendices Appendix I SCIP Screening Questionnaire Appendix II The SCIP Clinician-Administered (CA) Scales SCIP Generalized Anxiety Scale SCIP Panic Scale SCIP Phobia Scale SCIP Obsessive-Compulsive Scale SCIP Posttraumatic Stress Scale SCIP Depression Scale SCIP Mania Scale SCIP Hallucinations Scale SCIP Delusions Scale SCIP Disorganization Scale SCIP Aggression Scale SCIP Negative Symptoms Scale SCIP Core Schizophrenia Scale (CSS-22) SCIP Alcohol Scale SCIP Drug Scale SCIP ADHD Scale (Long) (Past month) Hyperactivity SCIP ADHD Scale (Short) (Past month) SCIP Anorexia Nervosa Scale SCIP Binge and Bulimia Scale Appendix III The SCIP Self-Administered (SA) Scales SCIP Generalized Anxiety Scale (Self-Administered) SCIP Panic Scale (Self-Administered) SCIP Phobia Scale (Self-Administered) SCIP Obsessive-Compulsive Scale (Self-Administered) SCIP Posttraumatic Scale (Self-Administered) SCIP Depression Scale (Self-Administered) SCIP Mania Scale (Self-Administered) SCIP Hallucinations Scale (Self-Administered) SCIP Delusions Scale (Self-Administered) SCIP Alcohol Scale (Self-Administered) SCIP Drug Scale (Self-Administered) SCIP Attention Deficit Scale (Self-Administered) SCIP Hyperactivity Scale (Self-Administered) SCIP Anorexia Nervosa Scale (Self-Administered) SCIP Binge and Bulimia Scale (Self-Administered) SCIP Intake Scale (Self-Administered) Appendix IV Measurement-Based Care (MBC) Competency Test Important Note to the Readers Index