Mental Status Assessment

Criteria Ratings Points

Content

Appearance & Psychomotor

16 to >14.0 pts

Advanced

This section clearly addresses and covers the client’s presenting appearance, suitability, basic grooming and hygiene, gait, and motor coordination.

14 to >12.0 pts

Proficient

This section reasonably addresses and covers the client’s presenting appearance, suitability, basic grooming and hygiene, gait, and motor coordination.

12 to >0.0 pts

Developing

This section minimally addresses and does not cover the client’s presenting appearance, suitability, basic grooming and hygiene, gait and motor coordination.

0 pts

Not Present

16 pts

Content

Manner & Approach

18 to >16.0 pts

Advanced

This section clearly addresses and covers the client’s interpersonal characteristics and attitude towards evaluation; behavioral approach; speech; eye contact; expressive and receptive language; recall and memory.

16 to >14.0 pts

Proficient

This section reasonably addresses and covers the client’s interpersonal characteristics and attitude towards evaluation; behavioral approach; speech; eye contact; expressive and receptive language; recall and memory.

14 to >0.0 pts

Developing

This section minimally addresses and does not cover the client’s interpersonal characteristics and attitude towards evaluation; behavioral approach; speech; eye contact; expressive and receptive language; recall and memory.

0 pts

Not Present

18 pts

Content

Orientation, Alertness, Thought Processes

18 to >16.0 pts

Advanced

This section clearly addresses and covers the client’s orientation; coherence; concentration and attention; thought processes; hallucinations and delusions; judgment and insight; intellectual ability; and abstraction skills.

16 to >14.0 pts

Proficient

This section reasonably addresses and covers the client’s orientation; coherence; concentration and attention; thought processes; hallucinations and delusions; judgment and insight; intellectual ability; and abstraction skills.

14 to >0.0 pts

Developing

This section minimally addresses and does not cover the client’s orientation; coherence; concentration and attention; thought processes; hallucinations and delusions; judgment and insight; intellectual ability; and abstraction skills.

0 pts

Not Present

18 pts

Benchmark Intake Report Part Two: Mental Status Exam (MSE) Grading Rubric | COUC521_B05_202240

Criteria Ratings Points

Content

Mood & Affect

18 to >16.0 pts

Advanced

This section clearly addresses and covers the client’s mood; affect; rapport; facial and emotional expressions; suicidal and homicidal ideation; risk for violence; and impulsivity.

16 to >14.0 pts

Proficient

This section reasonably addresses and covers the client’s mood; affect; rapport; facial and emotional expressions; suicidal and homicidal ideation; risk for violence; and impulsivity.

14 to >0.0 pts

Developing

This section minimally addresses and does not cover the client’s mood; affect; rapport; facial and emotional expressions; suicidal and homicidal ideation; risk for violence; and impulsivity.

0 pts

Not Present

18 pts

Structure

Paper: Grammar & Spelling

15 to >13.0 pts

Advanced

Spelling and grammar are correct. Sentences are complete, clear, and concise. Paragraphs contain appropriately varied sentence structures.

13 to >11.0 pts

Proficient

Spelling and grammar have some errors. Sentences are presented well. Paragraphs contain some varied sentence structures.

11 to >0.0 pts

Developing

Spelling and grammar errors distract. Sentences are incomplete or unclear. Paragraphs are poorly formed.

0 pts

Not Present

15 pts

Structure

Paper: Length & APA Formatting

15 to >13.0 pts

Advanced

Paper is 600-900 words in length (not including the title page). Paper is formatted in APA including font, title page, margins, and section headings.

13 to >11.0 pts

Proficient

Paper is 450-599 words in length. Paper is mostly formatted in APA including font, title page, margins, and section headings.

11 to >0.0 pts

Developing

Paper is 449 words or less in length. Paper is not accurately formatted in APA including font, title page, margins, and section headings.

0 pts

Not Present

15 pts

Total Points: 100

Benchmark Intake Report Part Two: Mental Status Exam (MSE) Grading Rubric | COUC521_B05_202240