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Issues in Mental Health Assessment

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Book cover Handbook of the Sociology of Mental Health

Part of the book series: Handbooks of Sociology and Social Research ((HSSR))

Abstract

This chapter focuses on the evolution and current state of community-based mental health assessment. A brief history of mental health assessment in the community and the challenges that led to four key generations of instrument development are described. Recent advances in mental health assessment—including the integration of dimensional instruments into the forthcoming versions of the Diagnostic and Statistical Manual and International Classification of Disease diagnostic manuals and the ongoing creation of item banks based on item response theory for specific disorders—are highlighted. Two main types of mental health assessment instruments, diagnostic and dimensional, are described in detail and examples of commonly used instruments of both types are presented along with source information. Practical issues in mental health assessment including sampling considerations and instrument selection and administration are discussed. Ongoing controversies and future directions for the field are described.

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Notes

  1. 1.

    Items are arranged hierarchically in Guttman scales such that agreement with a more extreme item (e.g., “I am sad all the time”) automatically implies that the respondent would have agreed with all less extreme items (e.g., “I sometimes feel unhappy.”) This type of hierarchical order among items measuring a particular construct (e.g., depression) is critically important for IRT-based scale construction.

Abbreviations

DSM-IIIDiagnostic and Statistical Manual of Mental Disorders version III DSM-IV-TR:

Diagnostic and Statistical Manual of Mental Disorders version IV

ICD-10:

International Classification of Diseases ICD-10

NSA:

Neuropsychiatric Screen Adjunct

NIMH:

National Institute of Mental Health

DIS:

Diagnostic Interview Schedule

ECA:

Epidemiologic Catchment Area

SCID:

Structured Clinical Interview for DSM-IV

WHO-CIDI:

World Health Organization-Composite International Diagnostic Interview

MINI:

Mini International Neuropsychiatric Interview

PROMIS:

Patient Reported Outcomes Measurement Information System

NIH:

National Institutes of Health

IRT:

Item Response Theory

CAT:

Computerized Adaptive Testing

MASS:

Mood and Anxiety Spectrum Scales

CATs:

Computerized Adaptive Tests

CIDI:

Composite International Diagnostic Interview

GHQ:

General Health Questionnaire

HSCL:

Hopkins Symptom Checklist

CES-D:

Center for Epidemiologic Studies Depression Scale

SCL-90:

Symptom Check List

BDI:

Beck Depression Inventory

CIS:

Clinical Interview Schedule

HAQ:

Health Assessment Questionnaire

PTSD:

Posttraumatic stress disorder

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Authors and Affiliations

  1. Departments of Medicine, Psychiatry, and Clinical and Translational Science, University of Pittsburgh School of Medicine and Medical Center, Iroquois Building Suite 502, 3600 Forbes Ave, Pittsburgh, PA, 15213, USA

    Galen E. Switzer

  2. Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA

    Galen E. Switzer

  3. Departments of Psychiatry, Psychology, Epidemiology, and Biostatistics, University of Pittsburgh School of Medicine and Medical Center, Pittsburgh, PA, USA

    Mary Amanda Dew

  4. Department of Psychiatry, Stony Brook University, Stony Brook, NY, USA

    Evelyn J. Bromet

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  1. Galen E. Switzer
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  2. Mary Amanda Dew
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  3. Evelyn J. Bromet
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Correspondence to Galen E. Switzer .

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  1. Department of Community Health Sciences Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA

    Carol S. Aneshensel

  2. Department of Sociomedical Sciences Mailman School of Public Health, Columbia University, New York, NY, USA

    Jo C. Phelan

  3. Department of Sociology, University of Calgary, Calgary, AB, Canada

    Alex Bierman

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Switzer, G.E., Dew, M.A., Bromet, E.J. (2013). Issues in Mental Health Assessment. In: Aneshensel, C.S., Phelan, J.C., Bierman, A. (eds) Handbook of the Sociology of Mental Health. Handbooks of Sociology and Social Research. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4276-5_7

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