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Child & Youth Mental Health Algorithm - GPSC

Child & Youth Mental Health Algorithm - GPSC

PSP

PSP Child and Youth Mental Health ModuleChild and Adolescent Mental Health Screening QuestionsHistorical factors:1. Parent has a history of a mental disorder (including substance abuse/dependence)2. Family has a history of suicide3. Youth has a childhood diagnosis of a mental disorder, learning difficulty, developmentaldisability, behavioural disturbance or school failure4. There has been a marked change in usual emotions, behaviour, cognition or functioning (basedon either youth or parent report)One or more of the above answered as YES, puts child or youth into a high risk group. The more YESanswers, the higher the risk.Current situation:A. Over the past few weeks have you been having difficulties with your feelings, such as feelingsad, blah or down most of the time?B. Over the past few weeks have you been feeling anxious, worried, very upset or are you havingpanic attacks?C. Overall, do you have problems concentrating, keeping your mind on things or do you forgetthings easily (to the point of others noticing and commenting)?D. Do you or others have significant difficulty managing your child's behaviour (e.g., tempertantrums, acting out, disobedience, unprovoked outbursts, physical or verbal aggression, beingdestructive, impulsivity, inability to sit still or focus)?If the answer to question A is YES – for adolescents, consider a depressive disorder and applythe KADS evaluation and proceed to the Identification, Diagnosis and Treatment of AdolescentDepression.If the answer to question B is YES – consider an anxiety disorder, apply the SCARED evaluationand proceed to the Identification, Diagnosis and Treatment of Child or Youth Anxiety DisordersIf the answer to question C is YES – consider ADHD, apply the SNAP evaluation and proceed tothe Identification, Diagnosis and Treatment of Child or Youth ADHD.If the answer to question D is YES, probe further to determine whether the difficulties are on-going ortransitory. Problem behaviours that occur erratically typically do not warrant treatment. Consistentbehaviour problems at home and/or school may warrant referral to Strongest Families.24_CYMH_PSP_Mental_Health_Screening_Questions_2011_08_23 v2 1 of 2

Child/Parent or Youth:Child and Youth Health Screening Questions(Template for Discussion)"Over the past few weeks have you been having difficulties withyour feelings, such as feeling sad, blah or down most of the time?"Over the past few weeks have you been feeling anxious, worried,very upset or are you having panic attacks?Overall, do you have problems concentrating, keeping your mindon things or do you forget things easily (to the point of othersnoticing and commenting)?Parent Only:Do you or others have significant difficulty managing yourchild's behaviour (e.g. temper tantrums, acting out,disobedience, unprovoked outbursts, physical or verbal aggression,being destructive, impulsivity, or inability to sit still or focus)?Once completed, please give this form back to the office staff ____________________________.

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    Have Trouble Getting Up in the Morn

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    2Child: Um. Lots of things I guess.

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    4For children who have worries abou

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    DSM-IV TR criteriaDSM-IV-TR. Primar

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    ADHD Assessment ToolsSNAP IV18 Item

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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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    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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