What must be included when auditing psychiatric diagnostic evaluations?

When auditing psychiatric diagnostic evaluations, it is essential to include a discussion with the patient's family or caregiver and documentation of history. This is important because mental health assessments require a comprehensive understanding of the patient's condition, which often includes input from family or other caregivers. These discussions can provide context about the patient's behavior, functioning, and any significant life events that contribute to their mental health situation.

Furthermore, documentation of history is crucial to establish a baseline for the patient's mental status and to track changes over time. This comprehensive approach not only adheres to best practices in psychiatric evaluations but also helps ensure that all relevant factors are considered when developing a treatment plan. It reflects a holistic perspective on the patient’s mental health, which is imperative for accurate diagnosis and effective treatment.