www.pspbc.ca framework. 2 core tools framework screening tools child and youth mental health (cymh)...
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www.pspbc.ca
Framework
2
Core Tools Framework
Screening Tools
• Child and Youth Mental Health (CYMH)
Screening Questions
• CRAFFT
Secondary Assessment Tools
• Depression: KADS6, TASR-A
• Anxiety: SCARED
• ADHD: SNAP-IV 18
• Referral
• Ministry of Children and Family
Development – Child and Youth
Mental Health Services
• Psychiatrists
• Pediatricians
• RACE
• Strongest Families BC
• Kelty Resource Centre
• Mood Enhancing Prescription/Worry
Reducing Prescription
• Teen Functional Assessment (TeFA)/
Child Functional Assessment (CFA)
• CBIS
• Medication Algorithms
• Side effects Scales (Kutcher Side Effect Scale for ADHD Medication (KSES-A),
Short Chehil-Kutcher Side (sCKS) Effects Scale
Treatment and Management Tools
Primary Assessment
Tool
• Clinical Global Impression
Scale (CGI)
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Initial Screening
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Historical Factors
Parental history of mental disorder
Family history of suicide
Childhood diagnosis of other disorders:
Mental Health Screening Q’s
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Marked change in usual:
› Emotions
› Behavior
› Cognition, or
› Functioning Based on youth or parent report
One or more of the above answered as YES child or youth is in a high risk group.The more YES answers, the higher the risk
Mental Health Screening Q’s
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1. Over the past few weeks have you been having difficulties with your feelings, such as feeling sad, blah or down most of the time?› If YES – consider a depressive disorder › Apply the KADS evaluation
Mental Health Screening Q’s
2. Over the past few weeks have you been feeling anxious, worried, very upset or are you having
panic attacks?
›If YES – consider an anxiety disorder
›Apply the SCARED evaluation
›Proceed to the Identification, Diagnosis and Treatment of Child and Adolescent Anxiety
Disorders Module
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3. Overall, do you have problems concentrating, keeping your mind on things or do you forget things easily (to the point of others noticing and commenting)?
› If YES – consider ADHD› Apply the SNAP-IV
evaluation› Proceed to the Identification,
Diagnosis and Treatment of the Child and Adolescent ADHD Module
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Mental Health Screening Q’s
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4. There has been a marked change in usual emotions, behaviour, cognition or functioning (based on either youth or parent report)
If YES – probe further to determine if difficulties are on-going or transitory.
Consistent behaviour problems at home and/or school may warrant referral to Strongest Families.
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Mental Health Screening Q’s
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Overall, do you have problems concentrating, keeping your mind on things or do you forget things easily (to the point of others noticing and commenting)?
If YES – consider ADHD Apply the SNAP-IV
evaluation Proceed to the Identification,
Diagnosis and Treatment of the Child and Adolescent ADHD Module
Mental Health Screening Q’s
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Positive for Depression + Anxiety or ADHD
› Apply KADS and protocol for Depression
› After treatment, review for presence of continued Anxiety Disorder or ADHD
If continues positive for Anxiety Disorder
› Refer to specialty mental health services
If continues positive for ADHD
› Follow the protocol in the ADHD toolkit, OR
› Refer to specialty mental health services
Next Steps …
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Use of SCARED in Assessment
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Anxiety disorder is suspected:
if score of 25 or higher
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Kutcher Adolescent Depression Scale(KADS)
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SNAP-IV Teacher and Parent 18-item Rating Scale
Psychotherapeutic Support & Non-Specific Interventions
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Psychotherapeutic Support
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Exercise Sleep Consistent Daily Routine Positive Social Contact Healthy Nutrition Music & Movement Bright Light Avoid Drugs (including
recreational drugs)
Non-Specific Interventions
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www.keltymentalhealth.ca
1-800-665-1822 or Vancouver 604-875-2084
Kelty Mental Health Resource Centre
Referral Flags
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Referral Flags
ID 837573 stockxchng
Refer at 3 different points
• Emergency Referral (prior to treatment
initiation)
>Suicide ideation with intent or plan
>Major depressive episode with psychosis
>Delusions or hallucinations
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› Urgent Referral (treatment may be already initiated)
› Usual Referral
Referral Flags
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Helpline for Children
› 310-1234 (free – no area code required)
› 24 hours/7 days
› Do not have to give your name
Immediate danger
› 9-1-1 or local police
Resources
› Ministry of Children and Family Development
› www.mcf.gov.bc.ca/child_protection
› See “Handbook for Action on Child Abuse and Neglect”
Abuse or Neglect Concerns