Basics
Much time was focused on providing more specificity to what was put in the rule as required components of the DA. One area of focus was the clinical summary. The clinical summary must contain the following:
- Clinical formulation of cause of client’s mental health symptoms, prognosis, and likely consequences of the symptoms
- How client meets criteria for the diagnosis (including symptoms, duration and functional impairment)
- Analysis of strengths, cultural influences, life situations, relationships, health concerns and how the diagnosis interacts/impacts with client’s life
- Explain rule outs, other provisional diagnoses and why alternative diagnoses were considered and ruled out