The role parents/guardians play in assessment.

 

Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.

Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.

In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.

To Prepare
· Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.

· Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.

POST
Based on the YMH Boston Vignette 5 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?

Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

· Explain why a thorough psychiatric assessment of a child/adolescent is important.

· Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.

· Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.

· Explain the role parents/guardians play in assessment.

Sample Solution

The participation of family members in the assessment and treatment of infants, children, and adolescents is integral to positive clinical outcomes. The Practice Parameters for the Psychiatric Assessment of Children and Adolescents (AACAP, 1995) state “the child`s functioning and psychological well-being are highly dependent on the family and school setting in which he or she lives and studies. The child cannot be assessed in isolation. Obtaining a full and accurate diagnostic picture of the child requires gathering information from diverse sources, including the family, school, and other agencies involved with the child.” In the care of young children, work with parents is always necessary.

setting of Student-Teacher Dialectical Framework installed with Self-Determination Theory, Reeve, J. (2012) uncover three newfound elements of understudy commitment. To start with, is that commitment spans understudies’ inspiration to profoundly esteemed results. Second, is that understudy commitment influences the future nature of learning climate particularly in the progression of guidance, the outer occasions it has, and the educator’s persuading style. Third, is that understudy commitment changes inspiration, and that implies that commitment cause changes in inspiration later on. This features that understudy inspiration is both a reason and an outcome. This affirmation that commitment can cause changes inspiration is inserted on the possibility that understudies can make moves to meet their own mental necessities and upgrade the nature of their inspiration. Further, Reeve, J. (2012) states that understudies can be and are designers of their own inspiration, basically to the degree that they can be planners of their own course-related conduct, close to home, mental, and agentic commitment.

Simultaneous and Asynchronous Learning
The COVID-19 pandemic welcomed an incredible debacle on the schooling system all over the planet. Schools have battled because of the circumstance where driven them to discontinuance of classes for a drawn out timeframe and other prohibitive measures that later on obstruct the continuation of up close and personal classes. In result, there is a huge change towards the schooling system all over the planet while instructive organizations endeavor and put their earnest attempts to determine what is going on. Many schools had tended to the dangers and difficulties in proceeding with training in the midst of the emergency by moving customary or conventional learning into distance learning. Distance learning is a type of training through the help of innovation that is directed past actual reality (Papadopulou, 2020). Distance learning is a web-based training that gives amazing open doors towards instructive progression and learning advancement among students around the world. To support the instructive objective of our nation, distance learning is a better approach for giving quality schooling however much as could reasonably be expected among public and confidential foundations particularly to those tightening in advanced education. The educational conveyance in considering distance schooling can be through simultaneous or nonconcurrent method of learning, in which understudies can draw in and ceaselessly accomplish quality training regardless of the pandemic circumstance.

In light of the meaning of Easy LMS Company (2020), simultaneous learning alludes to a learning occasion in which a gathering of members is participated in advancing simultaneously (e.g., zoom meeting, web meeting, ongoing class) while nonconcurrent learning alludes to the inverse, wherein the teacher, the student, and different members are not taken part in the growing experience simultaneously. In this manner, there is no ongoing communication with others (e.g., pre-recorded conversations, independent learning, conversation sheets). As per article gave by University of Waterloo (2020), simultaneous learning is a type of discovering that is live show which permits the understudies to pose inquiries while nonconcurrent can be a recorded show that permits understudies have the opportunity in reflecting prior to clarifying some pressing issues. Coordinated learning is a run of the mill meeting of understudies in a virtual setting and there is a class conversation where everyone can partake effectively. Nonconcurrent learning is the use of learning stage or entry where the educators or teachers can post and refresh examples or exercises and understudy can work at their own speed. These kinds of class guidance are ordinarily seen during circumstances such as the present and understudies have their own inclinations when it

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