DA Form 3822. Report of Mental Status Evaluation
The DA Form 3822, also known as the Report of Mental Status Evaluation, is a document used by medical personnel in the United States Army to report the mental status of a patient. The main purpose of this form is to provide an assessment of a patient's mental health condition so that appropriate treatment can be provided.
The form consists of several parts including the patient's identifying information, medical history, presenting problem, mental status examination, diagnostic impression, and recommendations for treatment. The important fields that should be filled out include the patient's name, rank, social security number, date of birth, unit, and the examiner's name and signature.
The parties involved in filling out this form are the medical personnel who conduct the mental status evaluation and the patient. When filling out the form, it is important to consider the patient's privacy and confidentiality. Only authorized personnel should have access to the information on the form.
Data required when filling out this form includes the patient's demographic information, past medical history, current symptoms, and information gathered during the mental status examination. Additional documents that may need to be attached include any relevant medical records or documents related to the patient's mental health history.
Examples of application for this form include situations where a soldier is experiencing mental health issues such as depression, anxiety, or post-traumatic stress disorder (PTSD). The form can help medical personnel assess the patient's mental state and recommend appropriate treatment options.
Strengths of the form include its standardized format, which allows for consistent reporting of mental health evaluations across the military. One weakness is that it may not capture all relevant information about a patient's mental health condition. Opportunities for improvement include incorporating more detailed questions to better assess specific mental health disorders. Threats include potential breaches of patient confidentiality if the form is mishandled.
Related forms include the DD Form 2808 and DD Form 2807-1, which are used for medical examinations and medical history reports. An alternative form is the Mental Health Assessment Form, which is used by the U.S. Navy.
The DA Form 3822 can affect the future of both the patient and the military. For the patient, it can help ensure they receive appropriate treatment for their mental health issues. For the military, it can impact readiness and ability to serve.
The form is typically submitted electronically through the military's medical record system and stored in the patient's medical records.