NRNP 6665
Week 1: Child and Adolescent Assessment
All diagnoses, from infancy to maturity, start with an examination. Whereas an natural foundation for many medical issues will be decided by using diagnostic testing, the sphere of psychiatry is totally different in that sufferers can’t be despatched to the lab for blood checks to find out the diploma of melancholy. Equally, sufferers can’t be despatched to the radiology division for a “scan” to find out the severity of their bipolar dysfunction. As a substitute, the sphere of psychiatry should use psychiatric assessments, comparable to the great built-in bodily examination, diagnostic interviews, and questionnaires to make diagnoses. These instruments have to be specialised to deal with the wants of kids and adolescents.
Diagnostic Assessment of the kid and adolescent is a specialised space of experience. The PMHNP will usually see youngsters who’ve already been seen by a major care supplier. Many PCPs are comfy dealing with attention-deficit/hyperactivity dysfunction (ADHD) and different easy childhood issues. That signifies that the PMHNP will usually deal with the extra difficult sufferers. This week, you discover psychiatric Assessment methods and instruments for youngsters and adolescents. You additionally study the position of the mother or father/guardian within the Assessment course of for this affected person inhabitants.
Studying Targets
College students will:
· Consider complete built-in psychiatric Assessment methods for youngsters and adolescents
· Suggest Assessment questions for little one and adolescent sufferers
· Clarify the significance of thorough psychiatric Assessment for youngsters and adolescents
· Determine ranking scales which can be acceptable for little one/adolescent psychiatric Assessment
· Determine psychiatric therapies acceptable for youngsters and adolescents
· Clarify the position of the mother or father/guardian in little one/adolescent psychiatric Assessment
Studying Sources
Required Readings (click on to increase/scale back)
Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket information for little one and adolescent psychological well being. American Psychiatric Affiliation Publishing.
· Chapter 1, “Introduction”
· Chapter four, “The 15-Minute Pediatric Diagnostic Interview”
· Chapter 5, “The 30-Minute Pediatric Diagnostic Interview”
· Chapter 6, “DSM-5 Pediatric Diagnostic Interview”
· Chapter 9, “The Psychological Standing Examination: A Psychiatric Glossary”
· Chapter 13, “Psychological Well being Therapy Planning”
Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Medical apply tips for Assessment of kids and adolescents. Indian Journal of Psychiatry, 61(2), 158–175. http://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s little one and adolescent psychiatry (sixth ed.). Wiley Blackwell.
· Chapter 32, “Medical Assessment and diagnostic formulation”
Required Media (click on to increase/scale back)
Symptom Media. (2014). Psychological standing examination B-6. [Video]. https://go.openathens.internet/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
Western Australian Medical Coaching Community. (2016, August four). Simulation scenario-adolescent threat Assessment [Video]. YouTube. https://www.youtube.com/watch?v=wNF1FIKHKEU
YMH Boston. (2013, Could 22). Vignette 5 – Assessing for melancholy in a psychological well being appointment [Video]. YouTube. https://www.youtube.com/watch?v=Gm3FLGxb2ZU
Really useful Studying (click on to increase/scale back)
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
· Chapter 31, “Child Psychiatry”