Basics

a stone wall with standard, extended, brief and adult update labeled on the wall with Diagnostic Assessments below The DA provides the basis of medical necessity for mental health services. These services are not only those listed in this rule.

Clinical Judgment is used throughout the DA process.  It is also going to be used when determining which type of DA will best meet the needs of your clients.

  • Determine which assessment is appropriate and needed for the client
  • For adults determine if the adult update is appropriate or if a standard or extended is needed within the 3 year time frame

In using clinical judgment in determining which DA type to use, considerations may include:

  • Client’s clinical need
  • Client’s consent
  • Need for external sources
  • Rapport and need for immediate intervention