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Child & Youth Mental Health Algorithm - GPSC

Child & Youth Mental Health Algorithm - GPSC

Not at all Somewhat

Not at all Somewhat Pretty much Very much N/A Diagnoses(0) (1) (2) (3)PERSONALITY 301Unstable interpersonal relationshipsSEVERITYFrantic efforts to avoid abandonmentRecurrent suicidal ideation or attemptsIntense angerMajor mood swings BPD 301.83Impulsive self destructive or self injurious behaviorFragile identity or self imageChronic feelings of emptinessTransient stress related dissociation or paranoia/9 (≥5/9)Self centred or entitled NPD 301.81Deceitful, aggressive, or lack of remorse ASP 301.7COMMENTS:ADHD=attention deficit hyperactivity disorder; IA=inattentive subtype; HI=hyperactive impulsive subtype; BPD=borderline personality disorder;NPD=narcissistic personality disorder; ASP=antisocial personality disorder.©University of British Columbia 2011. Any part of this document may be freely reproduced without obtaining the permissionof the copyright owner, provided that no changes whatsoever are made to the text and provided that this copyright notice isincluded in its entirety in any and all copies of this document.104 Version: January 2011. Refer to www.caddra.ca for latest updates.WSR 5/5

Weiss Symptom Record (WSR) InstructionsPurpose■ To collect systematic information from the patient and other informants about various disorders,including learning, developmental and personality difficulties■ To serve as a cross check to assist clinicians in focusing their mental status, assuring that they donot miss relevant but unusual comorbidities, and in differentiating disorders which have significantsymptom overlap■ This screener is not ‘diagnostic’.Unique Characteristics■ Since this symptom record can be completed by any informant, it enables a rapid comparison ofsymptom profiles across settings■ Items scored as 'pretty much' or 'very much' are in shaded columns so that quick scanning of thescreener enables rapid identification of problematic symptom groupings■ Items are translated into simple language for ease of use■ Item selection attempted to assure not only sensitivity to identification of comorbid disorders, but alsoselection of items that would assist in differentiating those symptoms that are specific to one disorderand assist in differentiating it from another overlapping problem■ The formulation of items on the Weiss Symptom Record was based on DSM-IV criteria. 1ScoringThis is not a psychometrically validated instrument but a clinical record of the DSM-IV criteria for variousdisorders. The DSM-IV criteria for diagnosis for each disorder are listed in the column labelled 'Diagnosis'.Answers should be scored as follows: Not at all = 0, Somewhat = 1, Pretty Much = 2, Very Much = 3.Copyright Information©University of British Columbia 2011. Any part of the WSR document may be freely reproduced withoutobtaining the permission of the copyright owner, provided that no changes whatsoever are made tothe text and provided that this copyright notice is included in its entirety in any and all copies of thisdocument.1In the development of this screener DSM-IV diagnostic criteria were used with permission of the American Psychiatric Press.99

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