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Child and Youth Mental Health Screening Tools and Services

Explore screening tools like CRAFFT and secondary assessment tools. Learn about referral services and treatment options for child and youth mental health. Access support from professionals and organizations.

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Child and Youth Mental Health Screening Tools and Services

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  2. Core Tools Framework • Screening Tools • Child and Youth Mental Health (CYMH) Screening Questions • CRAFFT • Primary Assessment Tool • Clinical Global Impression • Scale (CGI) • Secondary Assessment Tools • Depression: KADS6, TASR-A • Anxiety: SCARED • ADHD: SNAP-IV 18 Treatment and Management Tools • 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

  3. Initial Screening

  4. Mental Health Screening Q’s • Historical Factors • Parental history of mental disorder • Family history of suicide • Childhood diagnosis of other disorders: www.freedigitalphotos.net by renjith krishnan

  5. Mental Health Screening Q’s • 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 www.freedigitalphotos.netfreedigital Hooded Person by Ambro

  6. Mental Health Screening Q’s • 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 • 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

  7. Mental Health Screening Q’s • 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 www.freedigitalphotos.net byBoaz Yiftach

  8. Mental Health Screening Q’s 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. www.freedigitalphotos.net byBoaz Yiftach

  9. Mental Health Screening Q’s • 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 www.freedigitalphotos.net byBoaz Yiftach

  10. Next Steps … • 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

  11. Psychotherapeutic Support & Non-Specific Interventions

  12. Psychotherapeutic Support www.freedigitalphotos.net by Photostock

  13. Non-Specific Interventions • Exercise • Sleep • Consistent Daily Routine • Positive Social Contact • Healthy Nutrition • Music & Movement • Bright Light • Avoid Drugs (including recreational drugs) www.freedigitalphotos.net by Photostock

  14. Sleep Assessment www.freedigitalphotos.net by Graur Codrin

  15. Kelty Mental Health Resource Centre • www.keltymentalhealth.ca • 1-800-665-1822 or Vancouver 604-875-2084

  16. Referral Flags

  17. Referral Flags 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 ID 837573 stockxchng

  18. Referral Flags • Urgent Referral (treatment may be already initiated) • Usual Referral

  19. Abuse or Neglect Concerns • 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”

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