Non Specific & Non
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Transcript Non Specific & Non
Framework
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Core Tools Framework
Screening Tools
Primary Assessment Tool
Secondary Assessment Tools
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Child and Youth Mental
Health (CYMH) Screening
Questions
CRAFFT
Clinical Global Impression
Scale (CGI)
Depression: KADS6, TASR-A
Anxiety: SCARED
ADHD: SNAP-IV 18
Treatment and Management Tools
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Mood Enhancing Prescription/Worry
Reducing Prescription
Teen Functional Assessment (TeFA)/
Child Functional Assessment (CFA)
CBIS
Medication Algorithms
Side effects Scales (Kutcher Side Effect Scale for
ADHD Medication (KSES-A), Short Chehil-Kutcher
Side (sCKS) Effects Scale
Referral
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Ministry of Children and Family
Development – Child and Youth
Mental Health Services
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Psychiatrists
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Pediatricians
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RACE
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Strongest Families BC
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Kelty Resource Centre
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Initial Screening
Mental Health Screening Q’s
Historical Factors
Parental history of mental
disorder
Family history of suicide
Childhood diagnosis of other
disorders:
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Mental Health Screening Q’s
Marked change in usual:
› Emotions
› Behavior
› Cognition, or
› Functioning
Based on youth or parent report
One or more of the above answered as YES
child or youth is in a high risk group.
The more YES answers, the higher the risk
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Mental Health Screening Q’s
1. Over the past few weeks have you been having difficulties with
your feelings, such as feeling sad, blah or down most of the
time?
› If YES – consider a depressive disorder
› Apply the KADS evaluation
2. Over the past few weeks have you been feeling anxious,
worried, very upset or are you having panic attacks?
› If YES – consider an anxiety disorder
› Apply the SCARED evaluation
› Proceed to the Identification, Diagnosis and Treatment of
Child and Adolescent Anxiety Disorders Module
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Mental Health Screening Q’s
3. Overall, do you have problems
concentrating, keeping your mind on
things or do you forget things easily
(to the point of others noticing and
commenting)?
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If YES – consider ADHD
Apply the SNAP-IV evaluation
Proceed to the Identification,
Diagnosis and Treatment of the
Child and Adolescent ADHD
Module
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Mental Health Screening Q’s
4. There has been a marked change in
usual emotions, behaviour, cognition or
functioning (based on either youth or
parent report)
If YES – probe further to determine if
difficulties are on-going or transitory.
Consistent behaviour problems at
home and/or school may warrant
referral to Strongest Families.
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Mental Health Screening Q’s
Overall, do you have problems
concentrating, keeping your mind on
things or do you forget things easily
(to the point of others noticing and
commenting)?
If YES – consider ADHD
Apply the SNAP-IV evaluation
Proceed to the Identification,
Diagnosis and Treatment of the
Child and Adolescent ADHD
Module
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Next Steps …
Positive for Depression + Anxiety or ADHD
› Apply KADS and protocol for Depression
› After treatment, review for presence of continued Anxiety
Disorder or ADHD
If continues positive for Anxiety Disorder
› Refer to specialty mental health services
If continues positive for ADHD
› Follow the protocol in the ADHD toolkit, OR
› Refer to specialty mental health services
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Use of SCARED in Assessment
Anxiety disorder is suspected:
if score of 25 or higher
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Kutcher Adolescent
Depression Scale
(KADS)
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SNAP-IV
Teacher and
Parent 18-item
Rating Scale
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Psychotherapeutic Support
& Non-Specific Interventions
Psychotherapeutic Support
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Non-Specific Interventions
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Exercise
Sleep
Consistent Daily Routine
Positive Social Contact
Healthy Nutrition
Music & Movement
Bright Light
Avoid Drugs (including recreational
drugs)
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Sleep Assessment
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Kelty Mental Health Resource Centre
www.keltymentalhealth.ca
1-800-665-1822 or Vancouver 604-875-2084
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Referral Flags
Referral Flags
Refer at 3 different points
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Emergency Referral (prior to
treatment initiation)
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Suicide ideation with intent or plan
Major depressive episode with
psychosis
Delusions or hallucinations
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Referral Flags
› Urgent Referral (treatment may be already initiated)
› Usual Referral
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Abuse or Neglect Concerns
Helpline for Children
› 310-1234 (free – no area code required)
› 24 hours/7 days
› Do not have to give your name
Immediate danger
› 9-1-1 or local police
Resources
› Ministry of Children and Family Development
› www.mcf.gov.bc.ca/child_protection
› See “Handbook for Action on Child Abuse and Neglect”
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