In 2013 the Director of the National Institute of Mental Health declared publicly that the categorical diagnostic system embodied by the DSM was not only invalid but was the major obstacle to progress in mental health research. This dramatic critique accelerated a shift in paradigm that was already in motion, moving away from the traditional "disorder" model that assumed psychological dysfunction is best understand in terms of discreet, bounded "disorders" that a person could "have" or "not have." New models embrace a large array of human characteristics that are mostly dimensional, ranging from high to low across the population, in generally a bell-shaped distribution. Understanding a client requires a broad assessment of many characteristics, identifying those that are clinically high (or low), and then developing a personalized treatment approach that is based on the individual's pattern of maladaptive characteristics rather than an artificial, heterogeneous, unnatural "disorder." In integrated care we generally cannot conduct full psychological assessments of each patient, but we can certainly replace our old DSM-based screening tools (PHQ-9, GAD-7) with new screening instruments that a reflective of the new paradigm. This presentation will report on recent meta-analytic findings that identify approximately a dozen screenings instruments deemed appropriate for routine use in primary medical care that are "multi-disorder" or "transdiagnostic" in structure.

Describe the theoretical paradigm shift that is currently influencing mental health research and practice, including screening and assessment as well as intervention.

Indentify screening tools that are aligned with new and emerging models of psychological dysfunction, specifically those that are suitable for routine use in primary care.

Discuss how the shift to dimensional screening can impact intervention, specifically with regard to Single-Session Interventions and related approaches.