Mental Health Assessment Tools

Public Health Nepal
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A. Mental Health Screening Tools

Mini-Mental State Examination (MMSE)

The Mini-Mental State Examination (MMSE) is a widely used tool for assessing cognitive impairment. It evaluates functions including arithmetic, memory, and orientation. The MMSE is commonly used in clinical settings to screen for dementia and monitor its progression.


KGV (Modified) Symptom Scale

The KGV (Modified) Symptom Scale is a tool used to assess the severity of psychiatric symptoms. It is particularly useful for evaluating symptoms such as depression, anxiety, and psychosis. The scale helps clinicians to quantify the intensity of symptoms and monitor changes over time.


Risk Assessment Summary Department of Psychiatry, Portlaoise

This tool is used by the Department of Psychiatry in Portlaoise to assess the risk levels of patients. It helps in identifying patients who may be at risk of self-harm, harm to others, or other risky behaviors. The assessment informs the development of management plans to ensure patient safety.


Risk Assessment Tool Longford/Westmeath MHS

Similar to the tool used in Portlaoise, the Risk Assessment Tool for Longford/Westmeath Mental Health Services is designed to evaluate patient risk. It includes factors such as past behavior, current mental state, and external circumstances to determine the likelihood of potential risks.


Depression/Anxiety/Stress Scale (DASS)

The Depression Anxiety Stress Scales (DASS) is a set of three self-report scales designed to measure the emotional states of depression, anxiety, and stress. Each scale contains 14 items, and the results help in identifying the severity of these conditions.


PSYRATS – Hallucinations Subscale

The PSYRATS (Psychotic Symptom Rating Scales) Hallucinations Subscale assesses the frequency, duration, and distress associated with auditory and visual hallucinations. It provides detailed insights into the hallucination experiences of individuals with psychotic disorders.


PSYRATS – Delusions Subscale

The PSYRATS Delusions Subscale measures the severity of delusional thoughts. It includes items assessing the conviction, preoccupation, and distress related to delusions, helping clinicians to understand and treat delusional symptoms effectively.


Geriatric Depression Scale (GDS)

The Geriatric Depression Scale (GDS) is specifically designed for older adults. It includes a series of questions that help in identifying symptoms of depression in the elderly, allowing for timely and appropriate intervention.


Beck’s Depression Inventory (BDI)

The Beck’s Depression Inventory (BDI) is a self-report inventory that measures the severity of depression. It includes items related to mood, cognitive, and physical symptoms. 


Beck’s Suicidal Intent Scale (BSIS)

The Beck’s Suicidal Intent Scale (BSIS) assesses the severity of suicidal intentions. It helps in identifying individuals at risk of suicide and planning appropriate interventions. 


Beck’s Hopelessness Scale (BHS)

The Beck’s Hopelessness Scale (BHS) measures feelings of hopelessness and negative expectations about the future. It is often used in conjunction with other assessments to evaluate the risk of depression and suicide. (*redacted due to copyright)


Beck’s Anxiety Inventory (BAI)

The Beck’s Anxiety Inventory (BAI) is a 21-item self-report questionnaire that assesses the severity of anxiety symptoms. It covers physiological and cognitive aspects of anxiety. 


Anxiety Rating Scale (Zung)

The Zung Self-Rating Anxiety Scale is a 20-item questionnaire that measures anxiety levels based on self-reported symptoms. It is widely used in both clinical and research settings to assess anxiety disorders.


Rosenberg Self Esteem Scale

The Rosenberg Self Esteem Scale is a ten-item self-report scale that measures global self-esteem. It is widely used to assess an individual's overall self-worth and is applicable in a variety of settings.


Evaluative Belief Scale

The Evaluative Belief Scale measures core beliefs that may underlie emotional and behavioral problems. It helps clinicians to understand the cognitive aspects of a patient’s difficulties and tailor interventions accordingly.


Sleep Scale

The Sleep Scale is used to evaluate sleep patterns and quality. It includes questions about sleep duration, disturbances, and daytime sleepiness, providing a comprehensive assessment of sleep health.




B. Medication Related Screening Tools

LUNSERS – Side-effect Rating Scale

The Liverpool University Neuroleptic Side Effect Rating Scale (LUNSERS) is a self-report tool used to assess the side effects of antipsychotic medications. It includes questions about various physical and psychological side effects.


DAI - Drug Attitude Inventory (DAI 30)

The Drug Attitude Inventory (DAI 30) assesses patients’ attitudes toward their medication. It includes 30 items that measure beliefs about the necessity and effects of the medication, helping to predict adherence.



C. Addiction Screening Tools

MAST - Michigan Alcohol Screening Tool (MAST 25)

The Michigan Alcohol Screening Test (MAST) is a 25-item questionnaire used to screen for alcohol use disorders. It is one of the most widely used tools for detecting alcoholism and its severity.


DAST - Drug Abuse Screening Tool (DAST 20)

The Drug Abuse Screening Test (DAST) is a 20-item self-report instrument that identifies drug use problems. It covers a range of drugs and provides an index of the severity of drug abuse.


AUDIT – The Alcohol Use Disorders Identification Test

The Alcohol Use Disorders Identification Test (AUDIT) is a ten-item screening tool developed by the World Health Organization to identify alcohol consumption patterns and related problems.


CAGE - Alcohol Misuse Screening Tool

The CAGE questionnaire is a four-item screening tool used to identify potential problems with alcohol. The acronym CAGE stands for Cut down, Annoyed, Guilty, and Eye-opener, which are the key areas it assesses.



D. Living Skills Screening Tools

Life Skills Profile (LSP 20)

The Life Skills Profile (LSP 20) assesses the daily living skills of individuals with mental health problems. It includes items on self-care, social interaction, and community living, providing a comprehensive evaluation of functional abilities.


Social Functioning Scale (SFS)

The Social Functioning Scale (SFS) measures social performance in areas such as relationships, employment, and independent living. It is often used in schizophrenia research and treatment planning.


BARTHEL Index of Daily Living

The BARTHEL Index assesses the ability to perform activities of daily living (ADLs) such as feeding, bathing, and mobility. It is commonly used in rehabilitation settings to evaluate functional independence.


Social Network Map (SNM)

The Social Network Map is a tool used to visualize and assess an individual's social support network. It helps in identifying sources of support and areas where additional social resources may be needed.


Camberwell Assessment of Need (CAN)

The Camberwell Assessment of Need (CAN) is a comprehensive tool used to evaluate the needs of people with severe mental illness. It covers areas such as health, social life, and daily living, informing care planning and resource allocation.


Relative Assessment Interview (RAI)

The Relative Assessment Interview (RAI) gathers information from relatives about the needs and functioning of individuals with mental health issues. It helps in creating a holistic understanding of the patient's situation and needs.



E. Making Sense of the Assessment Data

Incorporating Assessment Data in Care Planning Using the Stress Vulnerability Framework Model (SVM)

The Stress Vulnerability Framework Model (SVM) is used to integrate assessment data into care planning. It considers the interaction between stress and vulnerability factors in the development of mental health problems, guiding personalized treatment approaches.


Guideline for Integration of Assessment Tools in Care Planning

This guideline provides a systematic approach to incorporating various assessment tools into mental health care planning. It emphasizes the importance of using comprehensive data to create effective, individualized care plans.

By using these tools and guidelines, mental health professionals can ensure thorough and accurate assessments, leading to better-informed treatment decisions and improved patient outcomes.


The details of the different mental health assessment tool is present in the pdf below:


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