[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-571671-105":53,"doc-detail-571671-en":120},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":113,"head_meta":115,"extra_data":117,"updated_unix":119},105,"en","mental-status-exam-guidelines-dshs-13-865-addendum","Mental Status Exam Guidelines - DSHS 13-865 Addendum","","Mental Status Exam (MSE) guidelines for DSHS 13-865 addendum require that every Mental Incapacity Evaluation include a full MSE alongside narrative reports and the specified DSHS form. A mini mental status exam (MMSE) cannot be used as a substitute. The MSE must document detailed observations of appearance, speech, attitude, behavior, mood, and affect, and when findings are outside normal limits, further include thought process and content, orientation, perception, memory, fund of knowledge, concentration, abstract thought, insight, and judgment.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/mental-status-exam-guidelines-dshs-13-865-addendum/571671/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"vwvw","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-13",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"What must accompany all Mental Incapacity Evaluations?","Question",{"text":102,"@type":103},"A Mental Status Exam (MSE) must accompany all Mental Incapacity Evaluations, including narrative reports and DSHS form 13-865.","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"Can a mini mental status exam (MMSE) replace an MSE?",{"text":107,"@type":103},"No. A mini mental status exam (MMSE) cannot be substituted for a MSE.",{"name":109,"@type":100,"acceptedAnswer":110},"Which areas must be documented in the MSE guidelines?",{"text":111,"@type":103},"The MSE must include detailed observations of appearance, speech, attitude, behavior, mood, and affect, and if not within normal limits, additional details on thought process and content, orientation, perception, memory, fund of knowledge, concentration, abstract thought, insight, and judgment.","https://schema.org",{"og:url":78,"og:type":114,"og:title":59,"og:site_name":86,"og:description":61},"article",{"robots":116,"canonical":78},"index,follow",{"doc_id":118,"site_id":56},571671,1791923071,{"code":4,"msg":5,"data":121},{"doc_id":118,"user_id":122,"nickname":83,"user_avatar":123,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":129,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":130,"faqs":131,"seo_title":132,"seo_description":61,"update_tm":119,"read_time":4},3985747874149,"https://ap-avatar.wpscdn.com/avatar/3a001161165b4dc3d9e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790129441039064114","Mental Status Exam Guidelines  \nDSHS 13-865 Addendum  \nA mental status exam (MSE) must accompany all Mental Incapacity Evaluations, including narrative reports and DSHS form 13-865.  \nA mini mental status exam (MMSE) cannot be substituted for a MSE.  \nMSE GUIDELINES  \nThe MSE must include detailed observations regarding the person’s appearance, speech, attitude, behavior, mood, and affect. If not within normal limits, the MSE must also include detailed observations regarding the person’s thought process and content, orientation, perception, memory, fund of knowledge, concentration, abstract thought, insight, and judgment.  \n\n| Category | Examples of observation detail |\n| --- | --- |\n| a. Appearance | • Is the person well groomed or unkempt?\u003Cbr>• What is the person wearing?\u003Cbr>• Are clothes appropriate for weather and situation? |\n| b. Speech | • Is the person’s speech normal, pressured, tangential, or circumstantial? |\n| c. Attitude and Behavior | • Is the person calm, cooperative, uncooperative, or belligerent? |\n| d. Mood | • Is the person’s mood euthymic, irritable, elevated, anxious, or depressed? |\n| e. Affect | • Is the person’s affect within normal range, depressed, constricted, flat, labile, blunted, reactive and mood congruent, or tearful? |\n| f. Thought Process and Content | • Is the person goal-directed and logical or disorganized?\u003Cbr>• Are there any delusions , phobias, or obsessions/compulsions?\u003Cbr>• Is the person suicidal and/or homicidal? |\n| g. Orientation | • Is the person oriented to time and place? |\n| h. Perception | • Did the person display signs of hallucinations or delusions during interview? |\n| i. Memory | • Remote—can person remember past events?\u003Cbr>• Recent—can person remember 3/3 objects after 5 min?\u003Cbr>• Immediate—how well can the person perform digit span? |\n| j. Fund of Knowledge | • Is the person aware of current events? Give examples.\u003Cbr>• Does the person know the names of the president and governor?\u003Cbr>• Can the person answer simple geography questions, such as naming bordering states? |\n| k. Concentration | • Serial 7’s or 3’s.\u003Cbr>• Spell WORLD forward and backward.\u003Cbr>• Is the person able to follow a three-step command? |\n| l. Abstract Thought | • Is the person able to interpret proverbs? |\n| m. Insight and Judgment | • Does the person have insight into his/her condition?\u003Cbr>• Does the person show good judgment (e.g. when asked what he/she would do if they smelled smoke in crowded theater)? |","cbCaiip69OWLgKcM","https://ap.wps.com/l/cbCaiip69OWLgKcM","pdf",51092,"English","# MSE Requirement\n## MSE vs. MMSE\n# MSE Guidelines\n## Appearance\n## Speech\n## Attitude and Behavior\n## Mood and Affect\n## Thought Process and Content\n## Orientation and Perception\n## Memory and Fund of Knowledge\n## Concentration and Abstract Thought\n## Insight and Judgment","[{\"question\":\"What must accompany all Mental Incapacity Evaluations?\",\"answer\":\"A Mental Status Exam (MSE) must accompany all Mental Incapacity Evaluations, including narrative reports and DSHS form 13-865.\"},{\"question\":\"Can a mini mental status exam (MMSE) replace an MSE?\",\"answer\":\"No. A mini mental status exam (MMSE) cannot be substituted for a MSE.\"},{\"question\":\"Which areas must be documented in the MSE guidelines?\",\"answer\":\"The MSE must include detailed observations of appearance, speech, attitude, behavior, mood, and affect, and if not within normal limits, additional details on thought process and content, orientation, perception, memory, fund of knowledge, concentration, abstract thought, insight, and judgment.\"}]","Mental Status Exam Guidelines - DSHS 13-865 Addendum | PDF"]