NRNP6665 Discussion: Comprehensive Integrated Psychiatric Assessment<\/p>\n
Photo Credit: Seventyfour \/ Adobe Stock
\nMany 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.<\/p>\n
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\u2019s 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.
\nIn 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.<\/p>\n
To Prepare
\n\u2022\tReview 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.
\n\u2022\tWatch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.
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\nBased on the YMH Boston Vignette 5 video, post answers to the following questions:
\n\u2022\tWhat did the practitioner do well? In what areas can the practitioner improve?
\n\u2022\tAt this point in the clinical interview, do you have any compelling concerns? If so, what are they?
\n\u2022\tWhat would be your next question, and why?
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\nThen, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.
\n\u2022\tExplain why a thorough psychiatric assessment of a child\/adolescent is important.
\n\u2022\tDescribe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child\/adolescent.
\n\u2022\tDescribe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
\n\u2022\tExplain the role parents\/guardians play in assessment.
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\nSupport 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.<\/p>\n
Required Reading
\nhttps:\/\/search.ebscohost.com\/login.aspx?direct=true&db=edb&AN=134126845&site=eds-live&scope=site&authtype=shib&custid=s6527200<\/p>\n
https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=edb&AN=134126845&site=eds-live&scope=site&authtype=shib&custid=s6527200<\/p>\n
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter\u2019s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
\n\u2022\tChapter 32, \u201cClinical assessment and diagnostic formulation\u201d<\/p>\n
https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=cat06423a&AN=wal.EBC5108631&site=eds-live&scope=site&authtype=shib&custid=s6527200
\nChp. 1 Introduction
\nChp 4. 15 Minutes pediatric Diagnostic interview
\nChp 5. 30 minutes Pediatric Diagnostic Interview
\nChp 6. DSM 5 Pediatric Diagnostic Interview
\nChp 9. Mental status examination. A Psychiatric Glossary
\nChp 13. Mental Health Treatment Plan.<\/p>\n
Required Media
\nhttps:\/\/go.openathens.net\/redirector\/waldenu.edu?url=https:\/\/video.alexanderstreet.com\/watch\/mental-status-exam-b-6\/cite?context=channel:volume-2-new-releases-assessment-tools-mental-status-exam-series
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