Mental Health Assessment: Analysis of IRIS Tool and Alternatives

This report provides a comprehensive analysis of the IRIS (Indigenous Risk Impact Screen) screening tool used in mental health assessments. It discusses the tool's relevance in cultural, psychological, physical, social, environmental, spiritual, and political contexts, highlighting its role in identifying risks ...Read More

Mental Health IRIS Screening
Tool

Table of Contents
INTRODUCTION...........................................................................................................................3
PART 1............................................................................................................................................3
PART 2............................................................................................................................................4
PART 3............................................................................................................................................4
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................6

INTRODUCTION
The IRIS screening instrument is defined as the tool which is used within the mental
health assessment. In addition, they lay vital role by assessing the mental health impact and their
consequence. The IRIS screening instrument two factor that used to assess the alcohol and other
related drug and their impact on the mental health (Ahmed and et. al., 2020). The assessment is
systematically administering the risk which can be addressed in the cultural way which is based
on the appropriate manner. The screening tool and the brief intervention are well validated. In
this report, the discussion is based on the IRIS as the tool with their impact on social,
environment, culture with the evaluation of alternative tool by addressing the brief intervention
when the people fall with the cut-off which is score with the IRIS tool (Falissard and et. al.,
2020).
PART 1
In the context with the culture, psychological, physical, social environmental, spiritual
and political perspective show the major aspect which is related with IRIS tool which may show
their impact in delivery of quality of health that is fit for the delivery of healthcare. In addition,
the use of proper IRIS tool may provide the information which is well related with the issue that
arise due to the context of drug abuse and emotional wellbeing risk (World Health Organization,
2020). The IRIS tool may help to recognize the area of risk which may impact the individual and
affect their wellbeing. The cultural aspect and other related context are also contrived in the care
delivery which is appropriate and with the help to IRIS tool they determine which show the
essence which is productive in order to reduce the impact and create the aspect which reduce the
complication which is arise due to the issue of mental health (Islam and et. al., 2018). The
culture, psychological and physical and other related context show the approach which may
contributed with the good health account by determining the issue of mental health (Haider and
et. al., 2019).
While taking the context of mental health assessment, according to the data and survey
within the indigenous people, it is well analyzed that they are facing the issue of substance and
alcohol abuse and high level of emotional risk factor due to the loss of identity and facing the
issue of health inequalities, lack of education, poverty and so on which may impact the health

and life of the indigenous people. According to the aspect the alcohol use and emotional
wellbeing is affect that is measure by the use of IRIS tool (Sogomonjan, 2021).
PART 2
There is a alternative clinical assessment tool for IRIS tool which is (AUDIT) The
Alcohol Used Disorder Identification Test. This is the one which can help to identify persons
with harmful and hazardous pattern of alcohol consumption. This is developed as simple method
of screening for the excessive drinking (Dunlop, 2019). This include to identify the hazard or
harmful impact due to consumption of alcohol and drug abuse. This can also help to provide a
comprehensive approach and brief intervention that can have to design for improving health of
population or an individual. Here, AUDIT cutoff score is greater than equal to 7 where
sensitivity and specificity can both should be greater than 80%. This can result in balanced result
where cutoff of more than equal to 8 can perform better among male and sub group greater than
equal to 7 can be most suitable (Ward and et. al., 2018). Here, Indigenous Risk Impact Screen
(IRIS) can have the scale where it has validity the use of this tool which consists 13 item that is
asked by the individual. There are set of question where item 1 to 7 form AOD component and
18 to 13 forming the mental health and emotional well-being component. Here, scoring of 11 or
greater indicator need for further assessment that includes brief intervention regarding mental
health.
PART 3
When individual or consumer score below the cutoff of IRIS tool then, there is need to
use the other assessment tool which include Cognitive Behavioral therapy which is the talking
therapy that can help to manage individual problems like mental health related issue. This can
also help into visible to change the their way of behaving and their thinking (Gouttebarge and et.
al., 2021). This can be also effective to treat anxiety and depression within individual and
provide better mental health. This is an effective intervention for the mental health illness where
individual can get change in their behaviour and the thought that can be highly effective and
influence individual to improve their mental health. It can also enable to make a healthy feeling
and behaviour that can demonstrate the improvement in mental health of individual and provide
better health (Nalwadda and et. al., 2018).

CONCLUSION
From above discussion, it can be conclude that there are different screening tool can be
used in alternative of indigenous risk impact screen. This can be effective and can allowed to
identify the risk of alcohol and drug that can have impact on individual mental health. There is
discussion about domain. This may also include the alternative clinical assessment tool that
AUDIT tool. There is also discussion about brief intervention that can be used by the consumer
when they are score get below cutoff of the IRIS tool. This includes the Cognitive behavioral
therapy.

REFERENCES
Books and Journals
Ahmed, K., Bukhari, M.A., Mlanda, T., Kimenyi, J.P., Wallace, P., Lukoya, C.O., Hamblion,
E.L. and Impouma, B., 2020. Novel approach to support rapid data collection,
management, and visualization during the COVID-19 outbreak response in the world
Health organization African region: development of a data Summarization and
visualization tool. JMIR Public Health and Surveillance, 6(4), p.e20355.
Dunlop, B.J., 2019. A clinical audit of service user and carer involvement in an NHS community
mental health team risk assessment tool. Clinical Audit, 11, p.29.
Falissard, L., Morgand, C., Roussel, S., Imbaud, C., Ghosn, W., Bounebache, K. and Rey, G.,
2020. A Deep Artificial Neural Network− Based Model for Prediction of Underlying
Cause of Death From Death Certificates: Algorithm Development and Validation. JMIR
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Gouttebarge, V., Bindra, A., Blauwet, C., Campriani, N., Currie, A., Engebretsen, L., Hainline,
B., Kroshus, E., McDuff, D., Mountjoy, M. and Purcell, R., 2021. International Olympic
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Haider, A., Hussain, T., Agha, A., Khan, B., Rashid, F., Muzamil, S., Ahmed, A.T., Alharbi,
S.A. and Ayguade, E., 2019, July. An Iris based Smart System for Stress Identification.
In 2019 International Conference on Electrical, Communication, and Computer
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Islam, M.M., Oni, H.T., Lee, K.S., Hayman, N., Wilson, S., Harrison, K., Hummerston, B.,
Ivers, R. and Conigrave, K.M., 2018. Standardised alcohol screening in primary health
care services targeting Aboriginal and Torres Strait Islander peoples in Australia.
Addiction Science & Clinical Practice, 13(1), pp.1-11.
Nalwadda, O., Rathod, S.D., Nakku, J., Lund, C., Prince, M. and Kigozi, F., 2018. Alcohol use
in a rural district in Uganda: findings from community-based and facility-based cross-
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Sogomonjan, M., 2021. Challenges and opportunities for e-mental health policy: an Estonian
case study. Contemporary Social Science, 16(2), pp.185-198.
Ward, T., Wynaden, D. and Heslop, K., 2018. Who is responsible for metabolic screening for
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World Health Organization, 2020. Rapid hospital readiness checklist: a module from the suite of
health service capacity assessments in the context of the COVID-19 pandemic: interim
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WHO/2019-nCoV/hospital_readiness_checklist/2020.2). World Health Organization.