Clinical Pathways Resource Guide - CEIC

MHSF-III MHSF III (continued)
(continued)
Purpose: The Mental Health Screening Form-III Form III was initially designed as a rough screening device for
clients seeking admission to substance abuse treatment programs.
Clinical utility: The Mental Health Screening Form-III Form III is a brief inventory that can be successfully used
by chemical dependency clinicians to screen for mental health problems problems
commonly found among
clients in substance abuse treatment programs. It is designed to to
be a qualitative aid for non-mental non mental
health staff to discover any past and/or present forms of psychopathology psychopathology
of their clients.
Groups with whom this instrument has been used: Adults
Format: The instrument is comprised of 18 yes or no questions. It can be administered one on one by
provider to client or be given directly to the client for self-administration. self administration. In either mode of
administration, all “yes yes” answers should be reviewed and probed by the staff member in order order
to
determine how to use the information. The authors recommend that that
for certain questions which
receive a “yes yes” response, the client be referred to a mental health professional.
professional.
Administration time: 15 minutes
Scoring time: 2 minutes
Computer scoring? No
Administrator training and qualifications: Minimal training required, non-clinician
non clinician
Fee for use: The Mental Health Screening Form-III Form III may be used, free of charge without permission.
Available from: Jerome F. X. Carroll, PhD
4318 Atlantic Avenue
Brooklyn, NY 11224
E-mail: mail: jfac4318@aol.com
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