PSYCHOLOGICAL AND BEHAVIORAL HEALTH - (click to jump to specific module section)
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Screening
Learning Objectives:
- Describe the importance of screening all adolescents about mental health issues including depression, anxiety, non-suicidal self-harm, and suicidal ideation
- Describe the importance of asking suicidal patients if there is a plan
- Compare the presentation and diagnosis of ADHD between early, middle, and late adolescence and young adults
Readings and Videos:
- Readings
- Practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. American Academy of Child and Adolescent Psychiatry. J Am Acad Child Adolesc Psychiatry 2001;40(7 Suppl):24S-51S.
- Maslow GR, Dunlap K, Chung RJ. Depression and Suicide in Children and Adolescents. Pediatr Rev 2015;36(7):299-308; quiz 309-10.
- Kelly P. Posttraumatic stress disorder. Pediatr Rev 2012;33(8):382-3.
- Videos
Websites and other Resources:
- MCPAP (Massachusetts Child Psychiatry Access Project). Available at http://mcpap.org - section For Providers contains
- Diagnostic Resources
- Screening and Toolkits
Materials to Develop Educational Sessions:
Clinical and Community Settings:
- Outpatient (adolescent clinic, primary care clinic, child and adolescent psychiatry)
- Inpatient (wards, PICU)
- Emergency department
Referral/Treatment
Learning Objectives:
- Assess patient readiness for change/intervention
- Discuss outpatient treatment of depression/anxiety in adolescents including pharmacologic treatment and mental health utilization.
- Know behavioral and pharmacologic treatments for ADHD
Readings and Videos:
- Readings
- Zuckerbrot RA, Cheung AH, Jensen PS, Stein RE, Laraque D, Group G-PS. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): I. Identification, assessment, and initial management. Pediatrics 2007;120(5):e1299-312.
- Cheung AH, Zuckerbrot RA, Jensen PS, Ghalib K, Laraque D, Stein RE, et al. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): II. Treatment and ongoing management. Pediatrics 2007;120(5):e1313-26.
- Wolraich M, Brown L, Brown RT, et al. ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics 2011;128(5):1007-22.
- Websites and Online Resources
- J. Shalwitz, T. Sang, N. Combs, K. Davis, D. Bushman, B. Payne (2007). Behavioral Health: An Adolescent Provider Toolkit. San Francisco, CA: Adolescent Health Working Group, San Francisco.
Materials to Develop Educational Sessions:
Clinical and Community Settings:
- Outpatient (adolescent clinic, primary care clinic, child and adolescent psychiatry; work with outpatient social work)
- Inpatient (wards, PICU, psychiatry)
- Partial hospitalization - child and adolescent psychiatry
- Emergency department
Management of Suicidality
Learning Objectives:
- Describe the importance of asking all adolescents about suicidal ideation and, if present, if there is a plan
- Know the resources in your area for referral of an actively suicidal adolescent (crisis team, psychiatric or medical ED, psychiatric hospital)
- Examine the basis of safety planning and how to counsel parents/guardians of safety plan
Readings and Videos:
Clinical and Community Settings:
- Outpatient (adolescent clinic, primary care clinic, child and adolescent psychiatry; work with outpatient social work)
- Inpatient (wards, PICU, psychiatry)
- Partial hospitalization - child and adolescent psychiatry