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Child & Youth Mental Health Algorithm - GPSC

Child & Youth Mental Health Algorithm - GPSC

Teen Functional

Teen Functional Assessment (TeFA)The TeFA is a self-report tool. It is meant to be completed by the patient and should take nomore than three minutes to complete for most adolescents. The health care provider can use theinformation obtained on the TeFA to probe for fu rther information – e specially in those a reaswhere the young person noted worse or much worse than u sual and in those domains that theteen identifies as either self or parental worry.This form is meant to let your health provider know about how you are doing. Allinformation you give is confidential. Please write your answers to the items on the form.For each of the following categories, write down one of th e following options in the spaceprovided – much better than usual; better than usual; about the same as usual; worse then usual;much worse than usual.Over the last week how have things been at:SchoolHomeWorkFriends____________________________________________________________________________________________________________________________________________________________________________________________________________________Write down the two things in your life that either worry you the most or arecausing you the most problems.1) ________________________________________________________2) ________________________________________________________Write down the two things about you that cause your parents or otheradults to be concerned about or that you think might concern them if theyknew about these things.1) ___________________________________________________________2) ___________________________________________________________© Stan Kutcher 2008

Child and Youth Mental HealthPSP ModuleClinical Global Improvement (CGI)Some clinicians like to use the Clinical Global Impression Scale (CGI) to monitor outcomes. This scale canbe used in evaluating treatment for any mental disorder.Clinical Global Impression – Improvement Scale (CGI)Compare how much the patient has improved or worsened relative to a baseline state at thebeginning of the treatment?0 = Not assessed 4 = No change1 = Very much improved 5 = Minimally worse2 = Much improved 6 = Much worse3 = Minimally improved 7 = Very much worseTool - CGI Clinical Global Improvement 1 of 1

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    4For children who have worries abou

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    Use with Permission. Guidelines for

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    DSM-IV TR criteriaDSM-IV-TR. Primar

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    DSM-IV-TR. Primary Inattentive type

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    ADHD Assessment ToolsSNAP IV18 Item

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    12 Often runs about or climbs exces

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    SNAP-IV 26 RATING SCALE: SCORING IN

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    Patient Name:Date of Birth:Physicia

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    Reason for ReferralReferred by: Pho

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    Patient Name:Date of Birth:Physicia

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    Functioning and Lifestyle Evaluatio

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    Functioning at School (if not at sc

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    MENTAL STATUS EXAMINATION (clinical

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    Treatment PlanPatient Name: _______

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    PSP Child and Youth Mental Health -

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    Collaborative Prescribing Agreement

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    Referral FlagsReferral of the child

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    PSP Child & Youth Mental Health Mod

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    6 - item KADS scoring:In every item

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    Permission to use the KADSThe KADS

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    Depression in Children and YouthA G

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    Use with Permission. Guidelines for

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    CHALLENGE NEGATIVE THINKINGQuestion

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    2HOW TO DO IT!Step 1: Teach younger

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    It is ver y useful to help a child

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    CBIS Cognition SkillsAnti-Depressio

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    Small GoalsThe concentration, fatig

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    Problem SolvingDepression can make

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    Common Thinking ErrorsThe situation

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    Thought StoppingDepression often ma

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    Use with Permission. Guidelines for

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    Referral FlagsReferral of the teen

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    DSM-IV TR. Oppositional Defiant Dis

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    Specific PhobiaA. Marked and persis

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    Social Anxiety DisorderA fear of on

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    SCARED - Child VersionPg. 1 of 3 (T

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    SCARED Scoring - This page is for o

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    Screen for Child Anxiety Related Di

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    Section B: Fear/Avoidance - Seminal

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    Not at all Somewhat Pretty much Ver

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    Not at all Somewhat Pretty much Ver

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    Weiss Symptom Record (WSR) Instruct

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    CY-BOCS Symptom ChecklistChildren

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    CY-BOCS Symptom ChecklistChildren

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    RESOURCES.RESULTS.RELIEF.© Anxiety

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    © AnxietyBC3

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    CBIS ToolsIntroduction toRelaxation

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    Abdominal/Belly BreathingPurpose•

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    PurposeGroundingGrounding is a calm

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    Passive RelaxationPurpose• Passiv

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    CBIS MANUAL | ADOLESCENT VERSION |

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    MindfulnessMindfulness originally c

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    ThoughtsMindfulness Meditation• A

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    For teens: Although you should enco

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    This STOP Plan is for:_____________

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    FEELING: _____________________FEELI

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    THINKING TRAPSThinking TrapsExample

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    REALISTIC THINKING FORM (E.g.)Situa

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    REALISTIC THINKINGWe can all be bog

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    Step 3: Challenge your “anxious

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    Tip #3: Alternative balanced statem

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    phobia - when you are afraid of som

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    Chester the Cat feels anxious!How d

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    Panic DiaryDate Trigger Symptoms Se

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    FluoxetinePSP Child and Youth Menta

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    Referral FlagsReferral of the teen

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    ChildandYouthMentalHealthPSPModule

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    ChildandYouthMentalHealthPSPModule

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    ChildandYouthMentalHealthPSPModule

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    ChildandYouthMentalHealthPSPModule

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    AnxietyResources for youth and fami

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    Practice Support ProgramAdditional

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    Practice Support ProgramAdditional

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    FH Referral Flags in the Electronic

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    What doesEPI provide?The EPI Progra

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    Child and Youth Crisis ProgramProgr

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    Fraser Health Child and Youth Neuro

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    Fraser Health Child and Youth Neuro

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    MapContact InformationAddress:Shirl

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    FRASER HEALTH CHILD AND YOUTH PSYCH

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    Fraser Health Infant Psychiatry Cli

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    FRASER HEALTHINFANT PSYCHIATRY CLIN

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