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Child & Youth Mental Health Algorithm - GPSC

Child & Youth Mental Health Algorithm - GPSC

ChildandYouthMentalHealthPSPModule problematic. If unsure of the complexity of these situations, obtain consultationfrom a peer or colleague who is well versed in these issues.Parent to parent (or partner) confidentiality or parent to child confidentiality can beanother complex issue. Here, again, legal requirements and professional guidelinesmust be followed. In situations of uncertainty, discuss the issue with peers andobtain advice from professional organizations.When obtaining informed consent from the patients and their guardians, ensure thelimits to confidentiality are discussed. In British Columbia, these limits include:If you have reason to believe a child is being abused or neglected, you havea legal duty to report your concern to a local child welfare worker and/orpolice (in situations of immediate danger). “Reason to believe” simply meansthat you have observed things or have information leading you to believe achild could be at risk. If you are not sure, or if you have questions, or even ifyou think that someone else has already made a report, you should still callthe Helpline (see number listed below).If you have reason to believe that your client might seriously harm them selfor someone else.If a court order or other legislation legally requires you to provideinformation.If required as part of continuity of healthcare.Resources - Lifespan of Mental Illnesses196of

ChildandYouthMentalHealthPSPModule Whotocallregardingabuseorneglectconcerns...Ifitisafterhoursoryouarenotsurewhotocall,phonetheHelplineforChildrenat3101234atanytimeofthedayornight.TheHelplinecallisfree.Youdonotneedanareacodeandyoudonothavetogiveyourname.Ifthechildisinimmediatedanger,call911oryourlocalpolice.Resources:1. MinistryofChildrenandFamilyDevelopmentsiteforgeneralinformationaboutchildprotection:http://www.mcf.gov.bc.ca/child_protection/2. MinistryofChildrenandFamilyDevelopment’s“TheB.C.HandbookforActiononChildAbuseandNeglect:ForServiceProviders”providesdetailedinformationtoassistserviceprovidersworkingwithchildren.Theguideisavailableat:http://www.mcf.gov.bc.ca/child_protection/pdf/handbook_action_child_abuse.pdf(Seepage57(“Formoreinformation”section)ofthisguideforphonenumbersforcontactingachildwelfareworker&page46(section“The Child Welfare Worker’sRole“)forinformationaboutreportingandconfidentiality.)If you need to break confidentiality and make a child protection report, you shouldbe guided by the following considerations: In most situations your relationship with a child or youth will be preserved ifyou are open with him or her about your obligation to report. However,there may be times when child’s or youth’s safety and wellbeing are bestprotected by waiting until you have spoken to a child welfare worker beforemaking a decision about whether to or how to inform them that you havemade a report. The child welfare worker can often give you guidance on potential next steps,and this can inform your decision making about whether or when you willdisclose your reporting to the child or youth. You should also consult with the child welfare worker about the process forinforming parents/guardians if they are the subject of the report. The childwelfare worker can provide guidance about whether it is acceptable to informthem yourself. Page 46 of the handbook provides more information about reporting andconfidentiality.3. Engaging the FamilyGet people mobilized around the child. Asking for help is a way to diffuse feelings,or blame, or guilt.Resources - Lifespan of Mental Illnesses197of

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