The Structured Clinical Interview for DSM Disorders (SCID) contains a series of questions aimed at accurately diagnosing a patient’s state of mental health. It can be used in a number of clinical settings, including drug and alcohol rehabilitation centers, to ascertain a subject’s mental condition. The layout of the test, specifically its use of open-ended questions, means that it is designed to be administered by a trained mental health professional with experience in the field of patient diagnosis.
The test is split up into two sections. Axis I is used to diagnose clinical syndromes such as depression and schizophrenia; Axis II focuses instead on developmental and personality disorders. These sections are referred to as the SCID-I and SCID-II, respectively.
The SCID-I is then further split into two standard editions: the Patient Edition (SCID-I/P) for psychiatric patients and the Non-Patient Edition (SCID-I/NP) for use on other types of subjects. The SCID-I/P contains ten modules, which are listed below.
* Module A: Mood Episodes
* Module B: Psychotic and Associated Symptoms
* Module C: Psychotic Disorders
* Module D: Mood Disorders
* Module E: Substance Use Disorders
* Module F: Anxiety Disorders
* Module G: Somatoform Disorders
* Module H: Eating Disorders
* Module I: Adjustment Disorder
* Module J: Optional Module
As it is structured, the test can be customised to fit with the administrator’s particular needs. When it comes to use within drug and alcohol rehabilitation centres, modules can be omitted if they are not relevant to the subject or the specific diagnostic requirements of the interview.
It is not uncommon for patients suffering from drug and alcohol withdrawal to experience psychotic episodes in which they display the following symptoms:
* Thoughts that are confused and/or disturbed
* A lack of personal insight and awareness
Alcohol-related psychosis is seen as an indicator of chronic alcoholism. It occurs when the patient is repeatedly exposed to alcohol and disappears spontaneously when they abstain. Even though the symptoms of schizophrenia are similar to alcohol-related psychosis, which can make clinical diagnosis difficult, it is generally accepted that alcohol-related psychosis clears when the patient stops consuming alcohol.
In these cases, modules B and C of the SCID-I are most relevant. They can be used to diagnose the patient correctly so that they can be then treated in the proper manner. This test has been shown to give reliable results when it comes to detecting the symptoms of drug and alcohol addiction and then providing an accurate diagnosis of the patient.
Because the Structured Clinical Interview for DSM Disorders is such a reliable method of diagnosing a patient of a variety of mental disorders, including psychosis, it is a valuable tool within drug and alcohol rehabilitation centers. Here, clinical staff and psychiatrists can administer the test within less than two hours and gain a good idea of what the patient is suffering from. They can then use this information to develop a treatment plan, utilizing the proper behavioral interventions and medications that will assist in alleviating any psychotic symptoms.
Accurate diagnosis tools, such as the SCID-I, are important as they provide an effective measure of the patient’s mental state allowing a rehabilitation center’s therapists and psychiatrists to thus provide the proper treatment, giving the patient a higher chance of reaching better physical and mental health even more rapidly.
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