Comprehensive Integrated Psychiatric Assessment
Section 1: Video Review
Mental health professionals are bestowed with the sole responsibility of assessing the mental health of clients and helping them improve on their overall wellbeing. Regarding the video, I believe the nurse did a good job assessing the adolescent who presented with symptoms of depression and anxiety. First, she focused on assisting the client in understanding why he was referred to her. This was critical in creating a work environment that fosters trust, engagement, and a sense of belonging. The social worker also did a good job maintaining effective communication skills where she engaged the client extensively as she asked him simple, comprehensive questions (YMH Boston, 2013). She also maintained eye contact with her client. Eye contact is a vital non-verbal cue used purposefully by medical officers to build a good rapport with their assigned patients. Most patients may take it as a sign of respect and attention from their primary physician or care provider. Most crucially, the questions were important in assisting the care provider in noting the patient’s overall emotions, feelings, thoughts, perceptions, and cognitive abilities.
One area of improvement was how she worked with children. From my viewpoint, she failed to show her concerns about how her patients were feeling. For instance, she seemed distant and did not show any feelings of remorse, empathy, or compassion while assessing the adolescent. This was fundamental in motivating the patient to become more open and cooperative throughout the session. In the interview, one concern that may have risen was suicidal ideation. It is important to note that depression may cause suicidal thoughts. This occurs mainly when one feels unable to deal with an unbearable or rather overwhelming situation.
The next question I would ask the patient is; Do you ever feel like life is no longer worth living? This question would allow me to understand better how the patient perceives himself and the environment he is in.
Importance of a Psychiatric Assessment
Conducting a thorough psychiatric assessment of children or adolescents is critical to note the reasons why they behave the way they currently do. Healthcare professionals must understand their client’s cognitive functioning, including individual thoughts, values, beliefs, emotions, and concerns. It is worth noting that psychiatric assessments are based on their general behaviors or conduct. A thorough psychiatric evaluation is mandatory in helping care professionals diagnose behavioral, emotional, and developmental problems.
Symptom Rating Scales
There is a wide array of different symptom rating scales that could be relied on to assess the mental health of children or adolescents. One of the most commonly used tools is the Behavior Assessment System for Children- Second Edition (BASC-2). This version comprises mainly of Self-Report of Personality (SRP), Teacher Rating Scales (TRS), and Parent Rating Scales (PRS) (Cama et al., 2020). These items are used to assess a child’s adaptive behaviors and their overall behavioral and emotional issues. Another recognizable assessment scale that is worldly known is the Brief Psychiatric Rating Scale for Children (BPRS-C), suitable for children from six to eighteen. The BPRS-C was innovated to note variations in mental problems among children and adolescent clients. In addition, it can also be used to assess problem scores changes to particular treatment options.
Psychiatric Treatment Options for Children and Adolescents
Early intervention practices are highly recommended for parents who believe their children require medical attention. One of the most effective treatment options that many parents are increasingly adopting is parent-child psychotherapy, also known as parent-child interaction therapy (PCIT). According to research, PCIT plays a vital role in assisting parents in interacting efficaciously with their children and managing their daily behaviors (Luby et al., 2018). Apart from this, the initiative has been recognized to improve the parent-child bond. Here, parents are required to receive in-the-moment coaching from a proficient therapist. It is necessary to note that once educated, PCIT may be less costly yet workable in the long run. Another psychiatric treatment option for young individuals is dialectical behavior therapy (DBT). DBT relies on a combination of personal and group sessions and additional extensive coaching to teach vulnerable groups coping initiatives necessary to manage extreme emotions and conflicts. Following research, DBT is mostly applicable for high-risk circumstances like adolescents with suicidal thoughts (Zhou et al., 2019).
Role of Parent or Guardians in Assessment
Mental health professionals should include parents or guardians in the assessment process. For starters, these individuals can help provide crucial information that could be used to assist the therapist make an informed conclusion regarding the client. Additionally, they may play a critical role in advocating, informing, and collaborating with the mental care professional to ensure that the best intervention processes are put in place.
Psychiatric health professionals are worldly popular to help improve the mental health and wellbeing of community members. Children and adolescents may have little knowledge about mental health problems. Therefore, their parents, teachers, and guardians must take an active role in assisting young individuals to gain the necessary skills for boosting self-awareness, self-confidence, and self-worth.
Cama, S., Knee, A., & Sarvet, B. (2020). Impact of child psychiatry access programs on mental health care in pediatric primary care: measuring the parent experience. Psychiatric Services, 71(1), 43-48. https://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.201800324
Luby, J. L., Barch, D. M., Whalen, D., Tillman, R., & Freedland, K. E. (2018). A randomized controlled trial of parent-child psychotherapy targeting emotion development for early childhood depression. American Journal of Psychiatry, 175(11), 1102-1110. https://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.2018.18030321