Child & Youth Mental Health Algorithm - GPSC

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Current Functioning at Home (depending on age, some may not apply). Give frequency and/or details:Family/patient strengthsStressors within the familyPast:Present:Family atmosphereMorning routineAttitudes towards chores(adult: doing housework)Attitudes towards rules(adult: able to set/follow rules)Engagement in family funDiscipline in the family(adult: parenting abilities)Relationship to siblings(adult: partner relationship)Parent/spouse frustrationsSocial Functioning (depending on age, some may not apply). Give frequency and/or details:Patient's strengths:Hobbies, activitiesFriends (e.g. play dates,parties, social events)Social skills (e.g. social cuescompassion, empathy)HumourAnger management(e.g. aggression, bullying)Emotional intelligence (e.g.emotional control, awareness)Sexual identityCADDRA ADHD ASSESSMENT FORM 7/1293
Functioning at School (if not at school, indicate where academic history took place and if there were difficulties)School name English Second Language Individual Education Plan Specialized ClassSpecialized Designation Details:Kindergarten to Grade 8High SchoolReport card gradesReport card commentsBehaviour problemsPeer relationsTeacher-child relationshipsTeacher-parent relationshipsHomework attitudesOrganizational skillsAchieving potential/difficultiesWritten outputAccommodationsTutoring and/orLearning assistanceAssistive TechnologyCollege/UniversityAccommodationsAchieving potential/difficultiesFunctioning at Work (depending on the subject’s age, some may not apply) Frequency and/or details:Current employment status: FT PT Unemployed Self-employed Contract DisabilityVocational Assessment: No Yes If yes, suitable jobs:# of past jobs: Length of longest employment:Work strengths:Work weaknesses:Complaints:Workplace accommodations:Other information about work:94 Version: January 2011. Refer to www.caddra.ca for latest updates.CADDRA ADHD ASSESSMENT FORM 8/12
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MOA TasksTools/ResoucesMH Screening
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Child/Parent or Youth:Child and You
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PSP Child and Youth Mental Health M
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Child and Youth Mental HealthPSP Mo
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Child Functional Assessment (CFA)Th
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Never or Sometimes Often or Very of
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Never or Sometimes Often or Very of
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WEISS FUNCTIONAL IMPAIRMENT RATING
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Tool for Assessment of Suicide Risk
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Let’s be clearer with words - Dru
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Psychotherapeutic Support for Teens
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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
Page 55 and 56: Motor Skills (gross/fine): Does thi
Page 57 and 58: Child and Youth Mental HealthPSP Mo
Page 59 and 60: Have Trouble Getting Up in the Morn
Page 61 and 62: 2Child: Um. Lots of things I guess.
Page 63 and 64: 4For children who have worries abou
Page 65 and 66: Use with Permission. Guidelines for
Page 67 and 68: DSM-IV TR criteriaDSM-IV-TR. Primar
Page 69 and 70: DSM-IV-TR. Primary Inattentive type
Page 71 and 72: ADHD Assessment ToolsSNAP IV18 Item
Page 73 and 74: 12 Often runs about or climbs exces
Page 75 and 76: SNAP-IV 26 RATING SCALE: SCORING IN
Page 79 and 80: Reason for ReferralReferred by: Pho
Page 83: Functioning and Lifestyle Evaluatio
Page 87 and 88: MENTAL STATUS EXAMINATION (clinical
Page 89 and 90: Treatment PlanPatient Name: _______
Page 91 and 92: PSP Child and Youth Mental Health -
Page 93 and 94: Collaborative Prescribing Agreement
Page 95 and 96: Referral FlagsReferral of the child
Page 97 and 98: PSP Child & Youth Mental Health Mod
Page 99 and 100: 6 - item KADS scoring:In every item
Page 101 and 102: Permission to use the KADSThe KADS
Page 103 and 104: Depression in Children and YouthA G
Page 107 and 108: CHALLENGE NEGATIVE THINKINGQuestion
Page 109 and 110: 2HOW TO DO IT!Step 1: Teach younger
Page 111 and 112: It is ver y useful to help a child
Page 113 and 114: CBIS Cognition SkillsAnti-Depressio
Page 115 and 116: Small GoalsThe concentration, fatig
Page 117 and 118: Problem SolvingDepression can make
Page 119 and 120: Common Thinking ErrorsThe situation
Page 121 and 122: Thought StoppingDepression often ma
Page 125 and 126: Referral FlagsReferral of the teen
Page 127 and 128: DSM-IV TR. Oppositional Defiant Dis
Page 129 and 130: Specific PhobiaA. Marked and persis
Page 131 and 132: Social Anxiety DisorderA fear of on
Page 133 and 134: 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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