Assignment: Comprehensive Integrated Psychiatric Assessment
The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child's teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.
In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.
To Prepare for the Assignment:
• Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.
• Watch the Mental Status Examination video.
• Watch the two YMH Bostonvideos.
Task
Based on the YMH Boston Vignette 4 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?
INCLUDE INTRODUCTION, CONCLUSION, 3 OR MORE REFERENCES LESS THAN 5 YEARS OLD, AND ANSWER ALL THE QUESTIONS AS INSTRUCTED
Learning Resources
Required Readings
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
• Chapter 5, "Examination and Diagnosis of the Psychiatric Patient" (pp. 192-289)
• Chapter 31, "Child Psychiatry" (pp. 1082-1107)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
• "Introduction"
• "Use of the Manual"
• "Cultural Formulation"
Kaplan, C. (2017). Ethical dilemmas. Advanced Healthcare Network.
Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., . . . Smith, J. (2013). Practice parameter for cultural competence in child and adolescent psychiatric practice. Journal of the American Academy of Child & Adolescent Psychiatry, 52(10), 1101-1115.
American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for psychodynamic psychotherapy with children. Journal of the American Academy of Child & Adolescent Psychiatry, 51(5), 541-557.
American Psychological Association. (2017). Code of Ethics.
Required Media
Youtube video- Gajbhare, P. (2014, March 8). Mental status examination [Video file].
Note: The approximate length of this media piece is 36 minutes.
Youtube video- YMH Boston. (2013a, May 22). Vignette 1 - Introduction to a preventive services visit [Video file].
Note: The approximate length of this media piece is 3 minutes.
Youtube video- YMH Boston. (2013c, May 22). Vignette 4 - Introduction to a mental health assessment [Video file].