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Question use in child mental health assessments and the challenges of listening to families.

O’Reilly, Michelle
Karim, Khalid
Kiyimba, Nikki
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2015-10-07
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Abstract
Background: The mental health assessment is a fundamental aspect of clinical practice and central to this is the use of questions. Aims: To investigate the frequency and type of questions utilised within a child mental health assessment. Method: The data consisted of 28 naturally occurring assessments from a UK child and adolescent mental health service. Data were analysed using quantitative and qualitative content analysis to determine frequencies and question type. Results: Results indicated a total of 9086 questions in 41 h across the 28 clinical encounters. This equated to a mean of 3.7 questions per minute. Four types of questions were identified; yes–no interrogatives, wh-prefaced questions, declarative questions and tag questions. Conclusions: The current format of questioning may impede the opportunity for families to fully express their particular concerns and this has implications for service delivery and training.
Citation
O’Reilly, M., Karim, K., & Kiyimba, N. (2015). Question use in child mental health assessments and the challenges of listening to families. BJPsych Open, 1(2), 116-120.
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The Royal College of Psychiatrists
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BJPsych Open
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Article
Language
en
Description
This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry Open. The definitive publisher-authenticated version is available online at https://www.cambridge.org/core/journals/bjpsych-open
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2056-4724
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