2 years ago

Child & Youth Mental Health Algorithm - GPSC

Child & Youth Mental Health Algorithm - GPSC


AnxietyTools/ResoucesMH Screening QuestionsRisk Identification TablesNOSupportNeededYESRefer for Psychoor BehaviouralTherapyFunctional TeFA CFAContinue treatmentEducate remaintenance &relapseSet “well checks”every 3-6 mosPsychotherapy Psychoeducation Tools Non Specific Supports CBIS ToolsFollow-up &MonitoringImprovement?ConsiderMedicationYESMeds as perprotocolEvaluation Tools: ADHD Anxiety Depression Suicide Risk Substance AbuseScreenReferral FlagsEvaluate need throughoutinvolvementEmergency: Suicidalintent or plan, acutepsychosisSubstantial2 nd or further episodeMeds Tolerated:Increase & Monitor asper protocolYESModerateMeds not Tolerated:Maintain dose x 2wkRefer if not improvedResourcesMinimal or NoneIf used, increase meds graduallyMonitor weekly until consultUrgent: Severe symptoms& deterioration infunction, suicidalideation, other majorpsychiatric conditionsUsual: additional therapy,evaluation, treatmentnon-responders, othermedicatl concerns, medside effects, 2 nd or furtherepisode

DSM-IV TR. Oppositional Defiant Disorder (ODD)Consists of a pattern of negativistic, hostile, and defiant behaviour lasting at least 6 months, during which four (ormore) of the following behaviours are present: often loses temper often argues with adults often actively defies or refuses to comply with adults' requests or rules often deliberately annoys people often blames others for his or her mistakes or misbehaviour is often touchy or easily annoyed by others is often angry and resentful is often spiteful or vindictiveEach of the above is only considered diagnostic if the behaviour occurs more frequently than is typically observedin children of comparable age and developmental level and if the behaviour causes clinically significant impairmentin social, academic, or occupational functioning.Oppositional Defiant disorder is not diagnosed if the behaviours occur exclusively during the course of a Psychoticor Mood Disorder or if Conduct Disorder is diagnosed.Learning disordersA learning disorder is defined as difficulty in an academic area (reading, mathematics, or written expression). Thechild's ability to achieve in the specific academic area is below what is expected for the child's age, educationallevel, and level of intelligence. The difficulty experienced by the child is severe enough to interfere with academicachievement or age-appropriate normal activities of daily living. Learning disorders are sometimes called learningdisabilities, or specific learning disabilities. Most children with learning disorders have normal intelligence. Types oflearning disorders include the following:reading disorders (sometimes called dyslexia)mathematics disorderdisorder of written expression

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