give feedback, add 2 references
What did the practitioner do well? In what areas can the practitioner improve?
The social worker seems nice, smiling, keeping good eye contact, and empathizing with his concerns. We did not see the beginning of the video, but there was no introduction of her name and title. She could share details about herself and how long she has been working there, which may help the patient feel more relaxed. She seems to ask more closed-ended questions, like yes and no. By asking more open-ended questions, she may get more detailed answers.
At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
My concern for the patient is the risk of suicide and self-harm. Suicide is one of the highest leading causes of death in adolescents, with a growing rate since early 2001. In the chance the patient is having positive suicidal thoughts and ideations, he should not be discharged without a psychiatric evaluation and adequate supervision. (Hink, Killings, Bhatt, Ridings, & Andrews, 2022)
What would be your next question, and why?
Have you had thoughts of hurting someone else? Do you have a plan? Do you have the intent to act on the plan? When do you plan on doing this? Do you have anyone else you could talk to about your feelings? I ask these questions to determine if he needs immediate help and to see his thoughts. I want to know if he has a support system and someone he is comfortable opening up to.
Explain why a thorough psychiatric assessment of a child/adolescent is important.
- Addressing the psychiatric needs of a child or adolescent can be difficult. The child or adolescent may not be willing to speak with the provider; he/she may not be able to explain how they are feeling, they may not be able to report the timing or duration of symptoms, etc. That is one of the main reasons the provider must be thorough when collecting a psychiatric assessment. The provider must get information from multiple sources and origins to create a case and guide management decisions. (Srinath, Jacob, Sharma, & Gautam, 2019)
Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
I recommend using two scales for child/adolescent psychiatric assessment: the PROMIS Scale and the ASSIST Scale.
- Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
Family Therapy and Child Centered Play Therapy are two psychiatric treatment options that are specifically tailored for children and adolescents and may not be used when treating adults due to differences in developmental stages, communication styles, and family dynamics.
Explain the role parents/guardians play in assessment.
- Parent and guardian engagement is important for improving mental health and quality care for children and adolescents. Family involvement promotes motivation for participation and better treatment outcomes. Parents involved can ask questions, share opinions, provide solutions, and participate in therapeutic activities. The parent or guardian may learn better ways of supporting the child by reinforcing positive behaviors and learning coping strategies and when to use them. (Haine-Schlagel & Walsh)
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