Screening Checklists

[zenman]

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Saw an article the other day which supported use of screening checklists with every patient, just as pilots use them before every flight. Anyone routinely use them? Which ones?

 

[BobA]

I use a checklist with my CBT patients and it's extremely helpful. I should probably move this into my psychopharm practice as well.

 

[ghost dog]

I use a checklist with my CBT patients and it's extremely helpful. I should probably move this into my psychopharm practice as well.

I really like the PHQ-9 for depressive symptoms when I am evaluating chronic pain pts. Co-morbid depression is very common here.

It' difficult to perform a true psychiatric review of symptoms, among with all the other numerous related issues a chronic pain patient has, and the PHQ-9 gives the evaluator a nice little snapshot. It has been shown to be quite specific for MDE at higher scores.

 

[BobA]

I really like the PHQ-9 for depressive symptoms when I am evaluating chronic pain pts. Co-morbid depression is very common here.

It' difficult to perform a true psychiatric review of symptoms, among with all the other numerous related issues a chronic pain patient has, and the PHQ-9 gives the evaluator a nice little snapshot. It has been shown to be quite specific for MDE at higher scores.

I get a PHQ-9 or PCL-C or GAD-7 . . . etc on everyone that needs it. We actually have a system where these are done electronically and then imported into the medical record so the scores can be graphed like vital signs.

I was thinking more along the line of a OR "timeout" type checklist . . . review PHQ-9 [check], assess substance use [check], perform AIMS [check], last lipids/hgba1c review [check], etc.

 

[ghost dog]

I use a checklist with my CBT patients and it's extremely helpful. I should probably move this into my psychopharm practice as well.

Absotootly - why not ?

I really like the PHQ - 9 for this purpose. The definition of a meaningful decrease in depressive symptoms is a 5 point drop in score, and depressive remission is a total score less than or equal to 5.

I would think this tool would be useful for i) initially getting a handle on severity of symptoms, ii) evaluating a response to treatment (whether pharm or CBT / psych TX), and iii) deciding on augmentation or switching to alternative med or other TX.

Yes ?

I'm a big fan of the PHQ-9.

 

[nitemagi]

I like the QIDS-16-SR better for depression (used in Star-D).

Others-
PCL-C (PTSD)
Y-BOCS (OCD)
YMRS
AIMS


My app has a bunch too.

 

[zenman]

I also use Bipolar Spectrum Diagnostic Scale (BSDS).

 

[ghost dog]

I like the QIDS-16-SR better for depression (used in Star-D).

Others-
PCL-C (PTSD)
Y-BOCS (OCD)
YMRS
AIMS


My app has a bunch too.

Everyone has their favourite. 😉

I have a question for psychiatry ; do many psychiatrists use these indices, or do they usually rely on a patient's subjective report of symptomatology ?

Do you think the usage of indices varies according to the age of
psychiatrist (eg. younger psych more likely to use an index, versus an academic setting as another example )?

If you do use the indices on a regular basis, do you find that you are able to get patients down to these very low scores (i.e. the definition or remission of depressive symptoms ) ?

Curious.

 

[nitemagi]

Everyone has their favourite. 😉

I have a question for psychiatry ; do many psychiatrists use these indices, or do they usually rely on a patient's subjective report of symptomatology ?

Do you think the usage of indices varies according to the age of
psychiatrist (eg. younger psych more likely to use an index, versus an academic setting as another example )?

If you do use the indices on a regular basis, do you find that you are able to get patients down to these very low scores (i.e. the definition or remission of depressive symptoms ) ?

Curious.

First off, most of these instruments are self-report, they're just reliable in their measurement of self-report of symptoms. I suspect the difference is use is more likely training in an academic vs. community hospital.

When I use them, I see improvement, but not always to "very low scores."

 

[TexasPhysician]

I could have sworn that I've seen another OCD screening tool other than y-bocs. Can't seem to remember it at the moment.

Excellent list thus far!