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The Standard for Clinicians' Interview in Psychiatry (SCIP): A Clinician-administered Tool with Categorical,
Ahmed Aboraya1, Henry Nasrallah1, Srinivas Muvvala1
1Dr. Aboraya is Chief of Psychiatry at William R. Sharpe Jr. Hospital, Clinical Professor of Psychiatry at West Virginia School of Osteopathic Medicine in Lewisburg, West Virginia, and Adjunct Faculty in the School of Public Health at West Virginia University in Morgantown, West Virginia; Dr. Nasrallah is with the Department of Psychiatry and Behavioral Neuroscience, Saint Louis University School of Medicine, St. Louis, Missouri; Dr. Muvvala is with Yale University, New Haven, Connecticut; Dr. El-Missiry is Professor of Psychiatry at Ain Shams University in Cairo, Egypt; Dr. Mansour is Assistant Professor of Psychiatry, Medical Director, Addiction Medicine Services Inpatient Unit at Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Dr. Hill is Assistant Professor, Department of Behavioral Medicine and Psychiatry at West Virginia University, Morgantown, West Virginia; Dr. Elswick is with West Virginia University in Morgantown, West Virginia; and Dr. Price is with the Center for Innovations in Quality, Effectiveness, and Safety at the Michael E. DeBakey VA Medical Center in Houston, Texas.
Abstract:
Existing standardized diagnostic interviews (SDIs) were designed for researchers and produce mainly categorical diagnoses. There is an urgent need for a clinician-administered tool that produces dimensional measures, in addition to categorical diagnoses. The Standard for Clinicians' Interview in Psychiatry (SCIP) is a method of assessment of psychopathology for adults. It is designed to be administered by clinicians and includes the SCIP manual and the SCIP interview. Clinicians use the SCIP questions and rate the responses according to the SCIP manual rules. Clinicians use the patient's responses to questions, observe the patient's behaviors and make the final rating of the various signs and symptoms assessed. The SCIP method of psychiatric assessment has three components: 1) the SCIP interview (dimensional) component, 2) the etiological component, and 3) the disorder classification component. The SCIP produces three main categories of clinical data: 1) a diagnostic classification of psychiatric disorders, 2) dimensional scores, and 3) numeric data. The SCIP provides diagnoses consistent with criteria from editions of the Diagnostic and Statistical Manual (DSM) and International Classification of Disease (ICD). The SCIP produces 18 dimensional measures for key psychiatric signs or symptoms: anxiety, posttraumatic stress, obsessions, compulsions, depression, mania, suicidality, suicidal behavior, delusions, hallucinations, agitation, disorganized behavior, negativity, catatonia, alcohol addiction, drug addiction, attention, and hyperactivity. The SCIP produces numeric severity data for use in either clinical care or research. The SCIP was shown to be a valid and reliable assessment tool, and the validity and reliability results were published in 2014 and 2015. The SCIP is compatible with personalized psychiatry research and is in line with the Research Domain Criteria framework.
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