Discussion:
Comprehensive Integrated Psychiatric Assessment
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Many assessment principles are the same
for children and adults; however, unlike with adults/older adults, where
consent for participation in the assessment comes from the actual client, with
children, it is the parents or guardians who must make the decision for
treatment. Issues of confidentiality, privacy, and consent must be addressed.
When working with children, it is not only important to be able to connect with
the pediatric patient, but also to be able to collaborate effectively with the
caregivers, other family members, teachers, and school
counselors/psychologists, all of whom will be able to provide important context
and details to aid in your assessment and treatment plans.
Some
children/adolescents may be more difficult to assess than adults, as they can
be less psychologically minded. That is, they have less insights into
themselves and their motivations than adults (although this is not universally
true). The PMHNP must also take into consideration the child’s culture and
environmental context. Additionally, with children/adolescents, there are lower
rates of neurocognitive disorders superimposed on other clinical conditions,
such as depression or anxiety, which create additional diagnostic challenges.
In this Discussion,
you review and critique the techniques and methods of a mental health
professional as the practitioner completes a comprehensive, integrated
psychiatric assessment of an adolescent. You also identify rating scales and
treatment options that are specifically appropriate for
children/adolescents.
To Prepare
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.
By Day 3 of Week 1
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.
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