SIRS-II in clinical practice

[BuckeyeLove]

Afternoon all,
I was hoping to get some feedback from some of you regarding your current test selections with regards to psychiatric symptom validity, and specifically if any of you all use the SIRS-II. As of my most recent lit review, there were some concerns regarding the II due to some data not being released from R. Rodgers' camp, increased indeterminates because of trying to cut down on f. positives, and limited cross validation (don't have citations handy at the moment). People seem to be rather dogmatic in their use of this instrument historically, which always concerns me. In my own practice I've found that it hasn't provided much incrementally, and I've found that it's actually become more burdensome to administer the thing as opposed to relying on other data points [M-FAST, TOMM, qualitatively atypical psychotic symptoms, comprehensive psychosocial with no history of mental illness]. However, I know a few board certified (ABFP) clinicians that are using this instrument with some regularity, and many that have stopped. Daubert issues are my concern here mainly. So....what are you guys using?

---

Members don't see this ad.

 

[PsyDr]

For non neuro SVTs, I use: PAI, MFAST, MMPI, a structured interview which I expand upon after administration,then either a speciality SVT (e.g., MENT) or a homemade forced choice. Throw in an IQ measure and an achievement test. I calculate the likelihood ratio of the 4. Then head off the defense that SVT failure was due to IQ or reading difficulties.