CDO 402 Case History Interview

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CDO 402 Case History Interview
2013-02-20 08:31:08
Case History Interview

Case History Interview
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  1. Collecting Pre-Assessment Information
    • Written case history
    • Interview
    • Information from other
    • professionals
  2. Written Case Histories
    • Cultural differences
    • Interference of life experiences
    • Misunderstandings of requests of the case hx form
    • Not enough time to complete form
    • Not knowing information
    • Events too long ago
  3. Reliability problems with case history data
    do not over-depend on case hx data
  4. Interviewing To Obtain Information
    • Get additional details
    • Clarify information on written case hx forms
    • Answer any questions client may have
    • Gives clients opportunities to talk out problems, vent frustrations etc.
    • Gives clinicians idea of scope of problem
    • Allows clinician to formulate a hypothesis regarding a client’s communication disorder
  5. Interviewing To Obtain Information
    • Think of it as a directed conversation
    • Know the purpose of the interview; can be a variety of purposes
    • Use both open ended and closed questions
    • Be direct
    • Important to establish a relationship—engender positive regard
    • Don’t shy away from embarrassing questions
  6. Set The Tone
    • Define role of interviewer and interviewee
    • Explain purposes of interview
    • Choose a nondistracting site
    • Act interested (!)
    • Appropriate dress, posture etc.
  7. Question Asking
    Ask questions that get at:
    • Respondent’s perception of problem
    • When and under what conditions did communication arise?
    • How had disorder changed over time?
    • What are consequences/handicapping conditions of the problem
    • How has family tried to cope with the problem?
    • Impact of communication disorder on the rest of family
    • Expectations during any diagnostic sessions
  8. Things To Avoid In The Interview
    • Avoid too many closed questions
    • Avoid phrasing that will lead to a certain answer
    • Avoid quick shifts in line of questions
    • Avoid talking too much
    • Avoid concentrating only on physical issues
    • Avoid providing information too soon
    • Avoid sounding hesitant when you ask questions
    • Avoid moralistic/judgemental responses
    • Avoid allowing superficial answers
    • Avoid trusting in your memory
  9. Giving Information
    What will clients ask
    • Seeking facts about speech disorder
    • Seeking confirmation of clinician’s opinion about something
    • Seeking emotional support
  10. Advice To Beginning Clinicians
    • You may need to repeat things over and over – clients will be confused and misunderstand for a variety of reasons
    • Don’t lecture
    • Use simple language
    • Provide something client can do
    • Be pleasant
    • Beware that clients may ‘punish the messenger”
    • Read widely
    • Listen to lots of people
    • Go to sensitivity training; values clarification
    • Know yourself—your values, dreams etc.
    • Record you first interviews and analyze them carefully
  11. List Of Competencies For Interviewing
    • Orienting respondent
    • Communication demeanor
    • Use of questions and recording
    • Active listening
    • Monitors nonverbal cues
    • Presenting information
    • Closing interview
    • Analysis of information
    • Write a report
  12. Orienting respondent
    • Attends to comfort needs (e.G. Coats, seating, etc.)
    • Appropriate small talk
    • Explains purposes, procedures
    • Structures the roles of interviewer and interviewee
  13. Communication demeanor
    • Demonstrates attending behaviors
    • Asks open ended questions
    • Obtains overview of presenting problem
  14. Use of questions and recording
    • Orderly, sequential questions
    • Nondistracting note taking
  15. Active listening
    • Reflects feelings (empathy)
    • Periodic summarizing of affect and content
  16. Presenting information
    • Content
    • Style
    • Answers
    • Use of humor etc.
  17. Closing interview
    • Summary, review of findings
    • Recommendations; what next step will be
    • Supportive comments
  18. Analysis of information
    • Determine major themes
    • Associate ideas
    • Note inconsistencies