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Lesson 2.3: Assessment Approaches—Psychosocial Assessment and Structured Clinical Tools offers a comprehensive guide to mental health evaluation practices, with emphasis on culturally responsive care in Zambia. This unit equips learners with the knowledge and skills to conduct holistic assessments, integrate structured tools, and formulate person-centred care plans.

Key learning areas include:

Psychosocial Assessment: A structured evaluation of psychiatric history, symptoms, social context, substance use, risk and resilience factors.

Mental State Examination (MSE): Systematic observation of psychological functioning across domains such as mood, cognition, perception and insight.

Risk Assessment: Evaluating potential for self-harm, suicide, violence, neglect and exploitation, with attention to local means and safeguarding frameworks.

Capacity Assessment: Determining decision-making ability using legal and ethical standards, balancing autonomy with duty of care.

Screening Tools and Structured Interviews: Use of validated instruments (PHQ-9, GAD-7, AUDIT, MINI, C-SSRS, MMSE, MoCA, AQ-10) to support detection, monitoring and collaborative care.

Assessment Integration and Formulation: Synthesising diagnostic data and psychosocial context into a biopsychosocial formulation that guides intervention planning.

This lesson is ideal for clinicians, social workers, students and mental health advocates seeking to strengthen diagnostic literacy and culturally competent practice in low-resource settings.

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