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2 pages/β‰ˆ550 words
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APA
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Health, Medicine, Nursing
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English (U.S.)
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Comprehensive Integrated Psychiatric Assessment

Essay Instructions:

Discussion: Comprehensive Integrated Psychiatric Assessment
Photo Credit: Seventyfour / Adobe Stock
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.
THIS IS ASSIGNMENT VIDEO!!!!
https://youtu(dot)be/Gm3FLGxb2ZU
https://youtu(dot)be/wNF1FIKHKEU
https://search(dot)ebscohost(dot)com/login.aspx?direct=true&db=cat06423a&AN=wal.EBC5108631&site=eds-live&scope=site&authtype=shib&custid=s6527200
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
Chapter 32, “Clinical assessment and diagnostic formulation”
https://search(dot)ebscohost(dot)com/login.aspx?direct=true&db=edb&AN=134126845&site=eds-live&scope=site&authtype=shib&custid=s6527200

Essay Sample Content Preview:

Discussion: Comprehensive Integrated Psychiatric Assessment
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Discussion: Comprehensive Integrated Psychiatric Assessment
Based on the YMH Boston Vignette 5 video, the practitioner did an excellent job first obtaining informed consent from the patient; she asked whether the student understood why he was in the clinic. Secondly, I noticed that the practitioner centred her questions and assessment on the student by asking a specific question regarding their wellbeing. Also, the assessment is thorough since it attempts to find solutions to the student’s problem from the root. Overall, to this point in the video, I think the session is going well. However, my main concern is if Tony wanted to be in the session since his doctor had sent him. Was the session just a mere formality for Tony? Next, I would ask Tony if she blamed his ex-girlfriend for his pain and emotional stress. He said he felt angry at her and experienced sharp pain in his chest every time he thought of his ruined relationship.
Importance of a Thorough Assessment
A thorough psychiatric examination may aid in diagnosing a range of psychological, behavioural, or developmental issues. An assessment of a child or adolescent is conducted based on their current behaviours. The PMHNP has to know what triggers the patient's discomfort; hence an evaluation is necessary (Garden, 2005). Further, a child may have a health condition that affects his or her psychological health instead of a pre-existing neurological condition, or they may have both; this can only be understood through assessment. Also, a psychiatric examination may assist determine how the child's unique behaviours impact his or her life. This may aid the therapist in understanding the patient's mental function, including what they might be feeling, their thoughts, their ideas, and, most importantly, what they may do afterwards, such as commit suicide or self-harm.
Symptom Rating Scales
The Behavior Assessment System for Children, 2nd Edition (BASC-2) is a widely used standardized collection of rating scales and forms for assessing children and adolescents' behaviour. Parent Rating Scales (PRS) and Teacher Rating Scales are used to measure clinical and adaptive characteristics of behaviour and emotional functioning (Verhulst, & van der Ende 2006). It's used to help with differential diagnoses, educational categorization, and programming...
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