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Child & Youth Mental Health Algorithm - GPSC

Child & Youth Mental Health Algorithm - GPSC

Mental

Mental Health Care Plan TemplateCare Plan for _____________________________________Chart Reviewed___ Date _________________Birth Date __________________ Age ________ Parent/Guardian _________________________________Participants in creation of Plan: ____________________________________________________________________________________________________________________________________________________Medications:_____________________________________________________________________________________________________________________________________________________________________Current concerns or problems: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Risk Screening Tool Results: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Current supports and strengths: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Summary of Condition: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Activity Plan (goals, sleep, meals, activity, screen time, school attendance, resources recommended):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Plan: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Risk Screening: _________________________________________________________________________Communication with the following health professionals is approved by client:________________________________________________________________________________________What to do if things don’t improve: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Reassessment will be in ___________________________________________________________________

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