Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.
Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post. Comprehensive Integrated Psychiatric Assessment
Based on the YMH Boston Vignette 5 video, post answers to the following questions:
What did the practitioner do well? In what areas can the practitioner improve?
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
What would be your next question, and why?
Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.
Explain why a thorough psychiatric assessment of a child/adolescent is important.
Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
Explain the role parents/guardians play in assessment.
Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
Comprehensive Integrated Psychiatric Assessment
What the Practitioner did Well and Areas of Improvement
The practitioner did a good job by beginning with a concise overview of the significance of confidentiality. During this portion of the appointment, the participant was advised on the topics that he could and could not discuss with his parents. The practitioner, on the other hand, ought to have begun by introducing herself and then should have asked the patient to do the same before continuing with their discussion in order to establish a solid connection. Comprehensive Integrated Psychiatric Assessment
The practitioner’s constant affirmation of the patient’s conduct is one of my most pressing concerns. The practitioner has to be aware of the fact that she should design a technique by which she may communicate to the patient in an empathetic manner while also pointing out his mistakes
The next question that I would pose to the patient is about the steps that he believes he can take to enhance his communication with his partner. The significance of this question lies in the fact that its focus is on reestablishing his individual ideals.
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Why a Thorough Psychiatric Assessment of a Child/Adolescent Is Important
It is critical to have a thorough psychiatric evaluation performed on a child or teenager since this facilitates the provision of accurate diagnoses of any psychiatric conditions from which the patient may be battling (Sharma et al., 2019).
Symptom Rating Scales
The Child PTSD symptom scale for the DSM-5 is one of the symptom rating measures that may be used in psychiatric evaluations of children and adolescents. It is used on children between the ages of eight and eighteen to help assess the degree of post-traumatic stress disorder (PTSD) (Catalá-López et al., 2017). Another symptom rating scale is the revised child anxiety and depression scale (RCADS). Panic disorder, separation anxiety disorder, and other mental illnesses may be diagnosed using RCADS (Piqueras et al., 2017).
Psychiatric Treatment Options for Children and Adolescents
Cognitive-behavioral play therapy and parent-child interaction therapy are two types of psychiatric treatment alternatives that are often reserved for the treatment of younger patients rather than adults. Cognitive-behavioral play therapy is a kind of psychotherapy in which a child is monitored by a psychiatrist and parents as they participate in a playgroup. Parent-child interaction therapy involves educating parents on how to engage with their children to build strong relationships and instill a growth mindset.
Role of Parents/Guardians in the Assessment
When conducting psychiatric evaluations, one of the most significant roles that parents perform is to provide as many details on the behavior of their children (Sharma et al., 2019). They also act as a source of emotional support for their children.
Catalá-López, F., Hutton, B., Núñez-Beltrán, A., Page, M. J., Ridao, M., Macías Saint-Gerons, D., Catalá, M. A., Tabarés-Seisdedos, R., & Moher, D. (2017). The pharmacological and non-pharmacological treatment of attention deficit hyperactivity disorder in children and adolescents: A systematic review with network meta-analyses of randomised trials. PLOS ONE, 12(7), e0180355. https://doi.org/10.1371/journal.pone.0180355
Piqueras, J. A., Martín-Vivar, M., Sandin, B., San Luis, C., & Pineda, D. (2017). The revised child anxiety and depression scale: A systematic review and reliability generalization meta-analysis. Journal of Affective Disorders, 218, 153-169. https://doi.org/10.1016/j.jad.2017.04.022
Sharma, E., Srinath, S., Jacob, P., & Gautam, A. (2019). Clinical practice guidelines for assessment of children and adolescents. Indian Journal of Psychiatry, 61(8), 158. https://doi.org/10.4103/psychiatry.indianjpsychiatry_580_18
Comprehensive Integrated Psychiatric Assessment