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Mental Health Assessment

Use when asked to administer, score, or explain a Mental Health Assessment — combined depression/anxiety screening using PHQ-9 and GAD-7 — grounded in FormExamples/form-examples; distinct from the legal/procedural mental-health-act-assessment.

Combined depression and anxiety screening using PHQ-9 (Patient Health Questionnaire-9) and GAD-7 (Generalized Anxiety Disorder-7), with risk assessment.

Scoring

Instruments: PHQ-9 (0–27) and GAD-7 (0–21).

  • PHQ-9: 0–4 Minimal, 5–9 Mild, 10–14 Moderate, 15–19 Moderately Severe, 20–27 Severe.
  • GAD-7: 0–4 Minimal, 5–9 Mild, 10–14 Moderate, 15–21 Severe.

What it covers

Demographics; PHQ-9 depression screen; GAD-7 anxiety screen; mood and affect; risk assessment; substance use; current medications; treatment history; and social/functional status.

Common pitfalls

  • Treating the PHQ-9/GAD-7 total score as more important than item 9 (suicidal ideation) — a non-zero response on the PHQ-9's suicidality item warrants direct follow-up regardless of the total score band; it shouldn't be averaged into an otherwise moderate total.
  • Screening without checking substance use context — depression and anxiety symptoms can be substance-induced or worsened by substance use; skipping this section can misattribute the cause.
  • Confusing this with the Mental Health Act assessment — see Mental Health Act Assessment for the separate, legal/procedural detention-criteria instrument; this one is a symptom-severity screening tool, not a legal determination.

Learn more

View mental-health-assessment/SKILL.md on GitHub