Making Assessment Decisions: Macro, Mezzo, and Micro Perspectives

摘要: This chapter addresses potential barriers to good clinical decision-making, found at all levels of practice. It begins with decision-making the micro-level—that is, level individual clinician, who faces a series decisions each new case: how frame problems, what outcomes pursue, when stop collecting information, risks take, criteria use select practice methods, and evaluate progress. The flexible diverse nature practice, while allowing for consideration specific client needs, also leaves room many kinds error. These errors can be avoided, or least minimized, by evidence-informed assessment practices as outlined in chapter. At mezzo-level, requirements setting (such mission funding source) shape constrain way takes place; media, professional literature, structure training exert powerful influence. Macro-level influences include widespread medicalization human behavior; pharmaceutical companies managed care institutions comprising “biomedical industrial complex;” entities such National Institute Mental Health, American Psychiatric Association, welfare legal systems. concludes urging students consider biases that may inherent information on which they base their decisions, well environment work affect ability make sound decisions.