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Discussion: Comprehensive Integrated Psychiatric Assessment Photo Credit: Sevent



Discussion:Comprehensive Integrated Psychiatric AssessmentPhoto Credit: Seventyfour / Adobe StockMany assessment principles are the samefor children and adults; however, unlike with adults/older adults, whereconsent for participation in the assessment comes from the actual client, withchildren, it is the parents or guardians who must make the decision fortreatment. Issues of confidentiality, privacy, and consent must be addressed.When working with children, it is not only important to be able to connect withthe pediatric patient, but also to be able to collaborate effectively with thecaregivers, other family members, teachers, and schoolcounselors/psychologists, all of whom will be able to provide important contextand details to aid in your assessment and treatment plans.Somechildren/adolescents may be more difficult to assess than adults, as they canbe less psychologically minded. That is, they have less insights intothemselves and their motivations than adults (although this is not universallytrue). The PMHNP must also take into consideration the child’s culture andenvironmental context. Additionally, with children/adolescents, there are lowerrates 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 healthprofessional as the practitioner completes a comprehensive, integratedpsychiatric assessment of an adolescent. You also identify rating scales andtreatment options that are specifically appropriate forchildren/adolescents.To PrepareReview the LearningResources and consider the insights they provide on comprehensive,integrated psychiatric assessment. Watch the Mental StatusExamination B-6 and Simulation Scenario-AdolescentRisk Assessment videos.Watch the YMH Boston Vignette5 video and take notes; you will use this video as the basis foryour Discussion post.By Day 3 of Week 1Based on the YMHBoston Vignette 5 video, post answers to the followingquestions:What did the practitioner dowell? In what areas can the practitioner improve?At this point in theclinical interview, do you have any compelling concerns? If so, what arethey?What would be your next question,and why?Then, address thefollowing. Your answers to these prompts do not have to be tailored to thepatient in the YMH Boston video.Explain why a thoroughpsychiatric assessment of a child/adolescent is important.Describe two differentsymptom rating scales that would be appropriate to use during thepsychiatric assessment of a child/adolescent.Describe two psychiatrictreatment options for children and adolescents that may not be used whentreating adults.Explain the roleparents/guardians play in assessment.Support your responsewith at least three peer-reviewed, evidence-based sources and explain why eachof your supporting sources is considered scholarly. Attach the PDFs of yoursources.

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