The document discusses mental health assessment in primary care. It introduces the Look, Listen, and Test (LLT) framework for psychiatric assessment. LLT utilizes existing observational and history taking skills in primary care. The physician looks at the patient, listens to what they say, and performs appropriate tests through questions or exams. It can help structure consultations and support a holistic view. The framework draws from the more extensive SCAN assessment but is briefer and more suitable for typical primary care consultations.

1. Look Listen & Test: Mental Health Assessment In Primary Care Dr Gabriel Ivbijaro MBBS, FRCGP. FWACPsych, MMedSci, DFFP, MA Family Doctor Chair Wonca Working Party on Mental Health

3. Look, Listen And Test: Mental Health Assessment – The WONCA Culturally Sensitive Depression Guideline Primary Care Mental Health 2005; 3: 145 -147

4. Goldberg Huxley Model Level Filter Filter description Rate (per 1000) 1 Community (total) 250 1 st Filter Illness Behaviour 2 Primary Care (total) 230 2 nd Filter Ability to detect 3 Primary Care (identified) 140 3 rd Filter Willingness to refer 4 Mental Illness Services (total) 17 4 th Filter Factors determining admission 5 Mental Illness (admissions) 6

11. Cross-cultural implementation of a Chinese version of SCAN in Taiwan Cheng ATA, Tien AT, Chang CJ et al . British Journal of Psychiatry 2001 178, 576 - 572

12. SCAN Symptom Look Listen Test Worry √ √ √ Nervous tension √ Restlessness √ Anxiety √ Cannot get breath √ √ Heart pounding √ √ Depressed mood √ √ √ Anhedonia √ √ Loss of hope √ √ Concentration √ √ Loss of interest √ √ Loss of energy √ √ Change in appetite √ √

13. SCAN Symptom Look Listen Test Sleep problems √ √ Difficulty dropping off √ √ Expansive mood √ √ √ Irritable mood √ √ √ Over talkative √ √ Frequency of alcohol use √ √ Tolerance to drugs √ √ Derealisation √ √ Auditory hallucinations √ √ √ Voice commenting √ √ Thought broadcasting √ √ Being spied upon √ √ √ Unusual sensations √ √

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