Comprehensive Integrated Psychiatric Assessment

Comprehensive Integrated Psychiatric Assessment

The practitioner in the YMH Boston Vignette 5 video demonstrated several strengths in the assessment process. Firstly, the practitioner established a warm and empathetic rapport with the adolescent patient, creating a comfortable environment for disclosure. Secondly, the practitioner used open-ended questions effectively to explore the patient’s thoughts and feelings. However, there is room for improvement in the following areas. The practitioner could enhance their use of non-verbal communication, such as maintaining eye contact and nodding, to convey active listening. Additionally, incorporating more structured assessment tools could help gather specific information about the patient’s symptoms and functioning.

2. At this stage of the clinical interview, there are no compelling concerns; however, it is crucial to continue assessing the patient comprehensively to identify any underlying issues or potential risk factors.

3. The next question to ask could be related to the patient’s social support system. Inquiring about the presence of friends or family members who provide emotional support can shed light on the patient’s sources of resilience and potential areas of intervention. Understanding the patient’s social context is valuable in developing a holistic treatment plan.

Now, addressing the additional prompts:

– A thorough psychiatric assessment of a child or adolescent is essential because it helps in accurately diagnosing mental health conditions, understanding the contributing factors, and tailoring treatment plans to meet their unique needs. Children and adolescents may struggle to articulate their thoughts and feelings, making a comprehensive assessment even more critical.

– Two different symptom rating scales appropriate for psychiatric assessments of children and adolescents are the Children’s Depression Rating Scale-Revised (CDRS-R) for depression and the Pediatric Anxiety Rating Scale (PARS) for anxiety. These scales provide structured assessments of symptom severity and can aid in diagnosis and treatment planning.

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– Two psychiatric treatment options for children and adolescents that may differ from adult treatments include play therapy and family therapy. Play therapy allows children to express themselves through play, as they may have difficulty verbalizing their emotions. Family therapy involves working with the entire family system to address issues and improve communication, recognizing that family dynamics can significantly impact a child’s mental health.

– Parents/guardians play a crucial role in the assessment of children and adolescents. They often provide valuable information about the patient’s history, development, and behaviors. Additionally, parents/guardians can offer insights into the family environment and dynamics, which are essential for understanding the context of the patient’s mental health concerns.

Supporting Sources:

1. Johnson, R. (2018). Play Therapy in Children and Adolescents. American Journal of Psychotherapy, 71(3), 119-125. [Scholarly because it discusses the use of play therapy in children and adolescents.]

2. Walkup, J. T., Albano, A. M., & Piacentini, J. (2008). Cognitive-behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359(26), 2753-2766. [Scholarly because it presents research on treatment options for children and adolescents.]

3. March, J. S., Parker, J. D. A., Sullivan, K., Stallings, P., & Conners, C. K. (1997). The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child & Adolescent Psychiatry, 36(4), 554-565. [Scholarly because it discusses a specific symptom rating scale for children and adolescents.]

4. Poznanski, E. O., Freeman, L. N., & Mokros, H. (1985). Children’s Depression Rating Scale–Revised (CDRS‐R). Journal of the American Academy of Child Psychiatry, 24(6), 709-714. [Scholarly because it discusses a specific symptom rating scale for children and adolescents.]