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Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons with HIV/AIDS. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2000. (Treatment Improvement Protocol (TIP) Series, No. 37.)

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Substance Abuse Treatment for Persons with HIV/AIDS.

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Appendix H—Mini Mental State Examination (MMSE)

Appendix H—Mini Mental State Examination (MMSE)

Date: _____________________________

Patient's Name: _____________________________________________
Maximum Score Score


ORIENTATION
5( )What is the (year) (season) (date) (day) (month)?
5( )Where are we: (State) (county) (town or city) (hospital) (floor)?


REGISTRATION
3( )Name 3 common objects (e.g., "apple," "table," "penny"):


Take 1 second to say each. Then ask the patient to repeat all 3 after you have said them. Give 1 point for each correct answer. Then repeat them until he/she learns all 3. Count trials and record.

Trials:


ATTENTION AND CALCULATION
5( )Spell "world" backwards. The score is the number of letters in correct order. (D___L___R___O___W___).


RECALL
3( )Ask for the 3 objects repeated above. Give 1 point for each correct answer. (Note: Recall cannot be tested if all 3 objects were not remembered during registration.)


LANGUAGE
2( )Name a "pencil" and "watch."
1( )Repeat the following: "No ifs, ands, or buts."
3( )Follow a 3-stage command:
"Take a paper in your right hand, fold it in half and put it on the floor."



1( )Read and obey the following:
1( )Close your eyes.
1( )Write a sentence.
1( )Copy the following design: Image f3142_AppendixH.jpg
Total Score: _________________________________

Source: Folstein, M.F.; Folstein, S.E.; and McHugh, P.R. "Mini-mental state": A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3):189-198, 1975.

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