Child & Youth Mental Health Algorithm - GPSC

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Screening ToolsMOA’s Child & AdolescentMental Health ScreeningChild Functional AssessmentCFATeen Functional AssessmentTeFAClinical Global ImprovementCGIWeiss Functional ImpairmentRating Scale - ParentWeiss Functional ImpairmentRating Scale - ChildWeiss Functional ImpairmentRating Scale - InstructionsMDD in Youth RiskIdentification TableAnxiety Disorder in ChildRisk Identification TableAnxiety Disorder in YouthRisk Identification TableADHD Disorder in ChildRisk Identification TableADHD Disorder in YouthRisk Identification TableTool for Assessment ofSuicide Risk - AdolescentSubstance Abuse Assessment
PSP Child and Youth Mental Health ModuleMOA’s Child and Adolescent Mental Health ScreeningChild & Youth GeneralMental HealthScreeningQuestionnaireIf Answer is "Yes"toQuestion A:"Over the past few weekshave you been havingdifficulties with yourfeelings, such as feelingsad, blah or down most ofthe time?"If Answer is "Yes" toQuestion B:Over the past few weekshave you been feelinganxious, worried, very upsetor are you having panicattacks?If Answer is "Yes" toQuestion C:Overall, do you have problemsconcentrating, keeping yourmind on things or do youforget things easily (to thepoint of others noticing andcommenting)?If answer is "Yes" to Question D:Do you or others have significant difficultymanaging your child's behaviour (e.g. tempertantrums, acting out,disobedience, unprovoked outbursts, physicalor verbal aggression, being destructive,impulsivity, inability to sit still or focus)?Give the patientthe KADS tocomplete whilewaiting to see thedoctor.Give the patient andand care giver (e.g.parent, guardian)Screening questionsfor anxiety andSCARED while waitingto see the doctorGive the care giver(e.g. parent, guardian)ADHD screeningquestions and theSNAP‐IV (18 items)while waiting to seethe doctorFlag chart to notify thephysician ofbehavioral difficultiesas identified on thescreening questions.Attach a copy of TASR-A to the clinical file if an adolescent answered YES to any of theGeneral Mental Health Screening Questions ( To be filled out by the clinician)Since comorbidity is frequently found, some children or adolescents and/ortheir caregivers may respond YES to more than one question. If that is thecase, provide them with the screening questions or clinical tools regardingeach question.30_CYMH_PSP_MOA_Algorithm_ 2011_08_26_v4 1 of 1
Page 1 and 2: MOA TasksTools/ResoucesMH Screening
Page 3: Child/Parent or Youth:Child and You
Page 7 and 8: Child and Youth Mental HealthPSP Mo
Page 11 and 12: Child Functional Assessment (CFA)Th
Page 15 and 16: Never or Sometimes Often or Very of
Page 17 and 18: Never or Sometimes Often or Very of
Page 19 and 20: WEISS FUNCTIONAL IMPAIRMENT RATING
Page 21 and 22: Tool for Assessment of Suicide Risk
Page 23 and 24: Let’s be clearer with words - Dru
Page 29 and 30: Psychotherapeutic Support for Teens
Page 31 and 32: Worry Reducing PrescriptionThere ar
Page 33 and 34: Safety Card- Emergency Contact Numb
Page 35 and 36: DSM-IV Multi-axial SystemPsychiatri
Page 37 and 38: CBIS Lifestyle SkillsHealthy Habits
Page 39 and 40: Healthy Habits for SleepingDepressi
Page 41 and 42: IT’S TRUE: YOU ARE WHAT YOU EAT!
Page 43 and 44: CBIS MANUAL | ADOLESCENT VERSION |
Page 45 and 46: Tips for Teachers of Anxious Studen
Page 47 and 48: LETTER REQUESTING PSYCHOEDUCATIONAL
Page 49 and 50: • • • • • • • • •
Page 51 and 52: LETTER REGARDING SCHOOL SUPPORTS AN
Page 53 and 54: Patient Name:Date of Birth:Physicia
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Motor Skills (gross/fine): Does thi
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Child and Youth Mental HealthPSP Mo
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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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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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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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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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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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Child & Youth Mental Health Algorithm - GPSC

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