Nur 6665C PMNHP Across The Lifespan Paper

Nur 6665C PMNHP Across The Lifespan Paper

Nur 6665C PMNHP Across The Lifespan Paper

What did the practitioner do well? In what areas can the practitioner improve?

The PMHNP in the YMH Boston Vignette 5 interview video talked to the patient calmly and allowed the patient to explain the depressive symptoms he was experiencing adequately. The practitioner created a conducive environment when interviewing the patient, making him comfortable conveying his health concerns. Besides, the PMHNP asks the client if they understand why they are in the clinic, which is essential in assessing insight. The PMHNP also adequately asks the patient about depression symptoms like his mood, feeling hopeless, feeling edgy or angry, lack of energy, and diminished interest in activities (Beck et al., 2021). It was great for the PMHNP to ask the client about his school performance and assess his alcohol and drug use. Nevertheless, the PMHNP can improve by creating a rapport with the client at the beginning of the interview.

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At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

My concern is whether the patient is also having anger management issues. This is because he states that he feels angry and a tight pain in his chest, and his heart beats faster when he remembers the breakup with his girlfriend. I am also concerned about the patient having suicidal and homicidal thoughts and ideas after mentioning that he does not want to be alive and wants to do something to her ex-girlfriend.

What would be your next question, and why?

Do you have any plans to end it all or get revenge on your girlfriend for breaking up with you? This will establish any suicidal and homicidal plans the client has (Beck et al., 2021).

Explain why a thorough psychiatric assessment of a child/adolescent is important.

Clinicians should perform a thorough psychiatric assessment for children and adolescents which helps in identifying signs and risk factors for emotional, developmental, and behavioral psychiatric disorders. Srinath et al. (2019) explain that the primary aim of a clinical assessment is to help make a case formulation that will guide treatment decisions. A thorough psychiatric assessment delineates signs and symptoms, which helps to determine key areas of concern and the presence of a psychiatric disorder in the pediatric population.

Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.

The Pediatric Symptom Checklist (PSC) and Brief Psychiatric Rating Scale for Children (BPRS-C) are symptom-rating scales appropriate for psychiatric assessment in the pediatric population. PSC is a brief parent-reported questionnaire that guides practitioners in identifying psychosocial problems among 4-16 year-olds and can be used during routine primary care visits (Bhide & Chakraborty, 2020). Conversely, BPRS-C helps to assess emotional and behavioral problems among 5-18 year-olds.

Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.

Psychiatric treatments exclusive to pediatrics include Cognitive behavioral play therapy (CBPT) and Mentalization- Based Therapy (MBT). Bhide & Chakraborty (2020) explain that CBPT allows teaching and therapeutic work to happen during play, particularly with young children. It entails modeling CBT ideas with puppets or different toys. MBT is employed in children with challenges defining themselves. It seeks to improve the mental health of pediatric populations.

Explain the role parents/guardians play in assessment.

The parent or guardian should be present during a child’s assessment to give consent. The parent also plays a key role in providing the child’s history, especially medical, developmental, and family history Srinath et al. (2019). Besides, the parent gives history for younger children who cannot provide clear information.

References

Beck, A., LeBlanc, J. C., Morissette, K., Hamel, C., Skidmore, B., Colquhoun, H., … & Stevens, A. (2021). Screening for depression in children and adolescents: a protocol for a systematic review update. Systematic reviews, 10(1), 1-13. https://doi.org/10.1186/s13643-020-01568-3

Bhide, A., & Chakraborty, K. (2020). General Principles for Psychotherapeutic Interventions in Children and Adolescents. Indian journal of psychiatry, 62(Suppl 2), S299–S318. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_811_19

Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical Practice Guidelines for Assessment of Children and Adolescents. Indian journal of psychiatry, 61(Suppl 2), pp. 158–175. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18

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This is a graded discussion: 100 points possible

due Mar 1

Week 1: Discussion

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COMPREHENSIVE INTEGRATED PSYCHIATRIC ASSESSMENT

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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.

Read a selection of your colleagues’ responses.

BY DAY 6 OF WEEK 1

Respond to at least two of your colleagues on 2 different days by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!
Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental healthLinks to an external site.. American Psychiatric Association Publishing.
Chapter 1, “Introduction”
Chapter 4, “The 15-Minute Pediatric Diagnostic Interview”
Chapter 5, “The 30-Minute Pediatric Diagnostic Interview”
Chapter 6, “DSM-5 Pediatric Diagnostic Interview”

Chapter 9, “The Mental Status Examination: A Psychiatric Glossary”
Chapter 13, “Mental Health Treatment Planning”
Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical practice guidelines for assessment of children and adolescentsLinks to an external site.. Indian Journal of Psychiatry, 61(2), 158–175. http://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18
Symptom Media. (2014). Mental status exam B-6Links to an external site.. [Video]. https://go.openathens.net/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 Clinical Training Network. (2016, August 4). Simulation scenario-adolescent risk assessmentLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=wNF1FIKHKEULinks to an external site.
YMH Boston. (2013, May 22). Vignette 5 – Assessing for depression in a mental health appointmentLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=Gm3FLGxb2ZU
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”

Need the Reerences in PDF Pls,