166 (166)    MH REPORT (601.93)

Name Value
REPORT NUMBER 166
INSTRUMENT BASIS-24 PSYCHOSIS
RPT
|.|.|Behavior and Symptom Identification Scale 24 - Psychosis Sxs(BASIS-24 PSYCHOSIS) | |   Date Given: <.Date_Given.>|   Clinician:
 
   Questions and Answers: ||
   1. Think you had special powers?|      <*Answer_7957*>|
   2. Hear voices or see things?|      <*Answer_7958*>|
   3. Think people were watching you?|      <*Answer_7959*>|
   4. Think people were against you?|      <*Answer_7960*>|
|   |Copyright  2011, McLean Hospital. Reproduced with permission.
 
|   |Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities.
  $~
<.Staff_Ordered_By.>|   Location:  <.Location.>|   |   Veteran:
<.Patient_Name_Last_First.>|   SSN:<.Patient_SSN.>|   DOB:
<.Patient_Date_Of_Birth.> (<.Patient_Age.>) |   Gender:
<.Patient_Gender.>| |   
<*Answer_999999999999*>||
 
Psychotic Symptoms scores range from 0 to 4 with higher scores reflecting|
higher levels or reported psychotic symptoms.| |