Psychiatric Screening Tool: Insomnia Severity Index (ISI)
Write a 4-5 page paper describing the use of a specific psychiatric screening tool. Discuss what diagnosis you are using the tool for, how to score the tool, and support use of the tool with evidence and rationale. Next, develop a treatment plan for the patient based on your findings in the diagnostic test and interpretation.
Sections should include:
Introduction to the diagnostic tool
Discussion of Tool: why it is used, how, and for what diagnosis
Discussion of Interpretation of Scoring for the Tool
Treatment Plan for patient with positive results from the tool, include non-pharmacological and pharmacological approaches, patient education, additional testing required, and follow-up as needed.
Rubric
NU673 Unit 6 Assignment - Diagnostic Tools Paper
NU673 Unit 6 Assignment - Diagnostic Tools Paper
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Content of Paper
12 pts
Level 5
Demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner. Develops content and theories are well. Links content to the paper requirements and practical experience. Includes relevant material that fulfills all objectives of the paper. Uses scholarly resources that were not provided in the course materials. Completes all instruction requirements.
10 pts
Level 3
Demonstrates an understanding of the subject matter. Explains and applies knowledge of evidence-based practice, ethics, theory, and/or role. Uses a variety of scholarly resources from the course material and some that were not provided in the course materials. Includes relevant material that fulfills all objectives of the paper. Completes all instruction requirements.
5 pts
Level 1
Demonstrates a moderate understanding of the subject matter. Summarizes content with minimal application to evidence-based practice, theory, or role-development. Presents content but is missing depth and or development. Uses only scholarly resources that were provided in the course materials Completes most instruction requirements.
0 pts
Level 0
Does not meet the Section
12 pts
This criterion is linked to a Learning Outcome Analysis and Synthesis of Paper Content and Meaning
12 pts
Level 5
Provides critical analysis in an accurate, clear, concise, and complete presentation of the required content. Synthesizes information from scholarly resources. Provides new information or insight related to the context of the assignment with both supportive and alternative information or viewpoints. Completes all instruction requirements.
8 pts
Level 3
Provides evidence of further synthesis of course content via scholarly resources. Synthesizes information to help fulfill paper requirements. Supports content with at least one viewpoint. Completes all instruction requirements.
5 pts
Level 1
Lacks clarification or new information. Supports content with scholarly reference without adding any new information or insight. Provides content that may be confusing or unclear, and the summary may be incomplete. Completes most instruction requirements.
0 pts
Level 0
Does not meet the Section
12 pts
This criterion is linked to a Learning Outcome Application of Knowledge
12 pts
Level 5
Offers a multidisciplinary approach via scholarly resources. Applies practice that is accurate and plausible. Supports practice with additional scholarly resources. Answers all questions posed within the assignment in a well-developed manner with citations for validation. Completes all instruction requirements.
8 pts
Level 3
Presents a summary of the paper’s content, findings, and knowledge gained. Indicates how the information will be used within their professional practice. Completes all instruction requirements.
5 pts
Level 1
Lacks objective Section. Applies superficial bridge between the assignment and the broader course content. Indicates how they will apply this new knowledge to their clinical practice in a vague manner. Completes most instruction requirements.
0 pts
Level 0
Does not meet the Section
12 pts
This criterion is linked to a Learning OutcomeOrganization
12 pts
Level 5
Provides well-organized content with a clear and complex purpose statement and content argument. Provides concise writing with a logical flow of ideas.
8 pts
Level 3
Provides organized content with an informative purpose statement and supportive content and summary statement. Provides argument content with minimal issues in content flow.
5 pts
Level 1
Provides poor organization, and flow of ideas distract from content. Provides a purpose statement. Provides narrative that is difficult to follow and frequently causes reader to reread work.
0 pts
Level 0
Does not meet the Section
12 pts
This criterion is linked to a Learning OutcomeCollege-level academic writing
12 pts
Level 5
Includes no more than three grammatical, spelling, or punctuation errors that do not interfere with the readability. Meets the assignment length requirements.
8 pts
Level 3
Includes no more than four grammatical, spelling, or punctuation errors that do not interfere with the readability. Meets the length requirements.
4 pts
Level 1
Includes five or more grammatical, spelling, and punctuation errors makes understanding parts of assignment difficult, but does not interfere with readability. Meets the length requirements.
0 pts
Level 0
Does not meet the Section
12 pts
Total Points: 60
PLEASE NOTE CITATIONS MUST BE APA 7TH EDITION TO INCLUDE WEB SITE ADDRESS
Diagnostic Tools Paper
Student’s Name
Institutional Affiliation
Course number and course name
Instructor’s name
Date
Diagnostic Tools Paper
Screening procedures are necessary medical tests to check health conditions before symptom outcomes. The processes help to identify problems earlier when it is easier to treat. As such, different screening tools are designed to determine the potential presence of a particular issue and are typically used as a preliminary step in evaluation for more comprehensive assessments if necessary. An example of a psychiatric screening tool to discuss is Insomnia Severity Index (ISI).
Insomnia Severity Index (ISI)
Initially referred to as the sleep impairment index, ISI is a 7-item tool measure generated based on issues of clinical relevance to people seeking intervention for a sleep disorder. The standard mode of instrument administration is a pen-paper or alternate forms that clinicians can avail during clinical interviews. In that way, semi-independent yet complementary information can be retrieved. ISI instructions can be considerably altered for different versions by clinicians to provide reliable details or detect cases of insomnia (Manzar et al., 2021). Although the condition is prevalently a complaint with numerous consequences on the quality of health or life, it remains undiagnosed and untreated in clinical settings.
Therefore, ISI is designed as a specific tool for detecting insomnia, containing seven-item questionnaires that ask respondents to rate the nature or signs of sleep problems. A Likert-type scale is used to rate the severity of the condition, and the questions asked are related to the subjective qualities of clients' sleep (Okajima et al., 2020). They include symptoms severity, satisfaction with sleep patterns, degree of insomnia interference, how respondents notice or feel insomnia is to others, and the level of distress caused. The ISI scale is validated on separate insomnia patient groups aged between 17 to 84 (Otte et al., 2019). The tool administration can take about five minutes minimum for completion, where a self-report brief measure is administered with paper and pen.
The Interpretation of Scoring for ISI Tool
Upon administration of ISI questionnaires to patient targets, respondents are required to rate each element using a scale. Responses may range from 0 to 4, whereby the higher value indicates more acute symptoms. The goal is to assess the nature, impacts and severity of insomnia with past month recalls. Dimensions evaluated include sleep maintenance, the severity of sleep onset, problems waking up early morning, dissatisfaction with sleep, sleep interfering with daytime functions, noticeable sleep issues by others, and distress resulting from the condition. Each item is rated with a Likert scale, whereby a 0 score is equated to no problem and 4 for the condition severity to yield a total outcome range from 0 to 28. The final score is interpreted as; lack of insomnia falling within the range of 0 to 7, subthreshold insomnia from 8 to 14, moderate from 15 to 21, and severe problem from 22 to 28 (Thakral et al., 2021). Some people may report daytime sleepiness and at least one sign of insomnia several times a week. In that case, they are defined as having a subthreshold of the disorder and not fulfilling insomnia diagnosis.
Treatment Plan for Patients with Positive Results
The ISI tool's positive results may indicate chronic insomnia in tested patients. As such, the main objectives of treatment would include improving sleep quality or duration and lowering daytime impairments. An intervention plan must include behavioral intervention, lifestyle modification, pharmacological approaches, patient education on the condition, additional tests, and clinical follow-ups.
Non- Pharmacological Interventions
Chronic insomnia is linked to cognitive difficulties, poor work performance, depression or anxiety, and other health conditions leading to declined quality of life. Nonpharmacologic therapies are integrated into the recovery process, including techniques like cognitive behavior, relaxation, and sleep hygiene. According to Jernelöv et al. (2022), behavioral approaches are recommended as effective ways to treat chronic insomnia based on studies. Different approaches might overlap, but an effective treatment must include behavioral interventions like cognitive behavioral therapy (CBT). The latter is considered a first-line treatment since it does not contain health risks, can be incorporated w...
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