Chapter 3. Clinical Assessment

  1. Angela Hassiotis Senior Lecturer2,
  2. Diana Andrea Barron Clinical Research Fellow2 and
  3. Ian Hall Consultant Psychiatrist3
  1. Neill Simpson

Published Online: 16 OCT 2009

DOI: 10.1002/9780470682968.ch3

Intellectual Disability Psychiatry: A Practical Handbook

Intellectual Disability Psychiatry: A Practical Handbook

How to Cite

Simpson, N. (2009) Clinical Assessment, in Intellectual Disability Psychiatry: A Practical Handbook (eds A. Hassiotis, D. A. Barron and I. Hall), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470682968.ch3

Editor Information

  1. 2

    UCL Department of Mental Health Sciences, London W1W 7EJ, UK

  2. 3

    East London NHS Foundation Trust, London E1 4DG, UK

Author Information

  1. East Dunbartonshire JLDT, Kirkintilloch G66 1XQ, UK

Publication History

  1. Published Online: 16 OCT 2009
  2. Published Print: 11 DEC 2009

ISBN Information

Print ISBN: 9780470742518

Online ISBN: 9780470682968



  • valid history - fundamental clinical assessment;
  • assisting health professionals in mental disorder assessment;
  • mental state examination using standardized assessment tools;
  • experienced clinician - needing time in assessing persons with intellectual disability;
  • appropriate setting for interview and information gathering;
  • communication styles - acquiescence, suggestibility, denial, fabrication, digression and disengagement;
  • communication styles of doctors;
  • establishing eye contact, social greeting and shaking hands;
  • organizing sequence of questions and questioning style;
  • developmental disorder assessment and diagnosis - prior to concluding as acquired disorder


This chapter contains sections titled:

  • Introduction

  • Preparing for the assessment

  • Establishing communication

  • Starting the assessment

  • Presenting problems

  • Background history

  • Involving others in interviews - the role of a third person

  • Examination

  • References

  • Further reading and useful resources