Based on YouTube. https://www.youtube.com/watch?v=Gm3FLGxb2ZU, 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. Comprehensive Integrated Psychiatric Assessment 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. Support your response with at least three peer-reviewed, evidence-based sources, and explain why each of you
Comprehensive Integrated Psychiatric Assessment
Video Responses
In the video presented, the practitioner was precise, direct and clear. She used best practices in communication, such as active listening, restating, and maintaining eye contact. She could, however, improve regarding the use of open-ended questions. The interview gave me insight into clinical interviews. At this point, a concern is the caregiver’s ability to probe the client’s concerns in-depth. My next question would be how frequently the client has thought about killing himself. Do you need help with your assignment ? Contact us at eminencepapers.com.
The Importance of a Thorough Psychiatric Assessment
In the resolve to effectively manage mental health illnesses, accurate diagnosis of these disorders is important. Psychiatric assessment plays a central role in the accurate diagnosis of clients with mental health disorders. A thorough psychiatric assessment gives an overview of the emotional, developmental, and behavioral factors that interplay in a child’s well-being. This will help diagnose the emotional and behavioral dysfunctionalities that are apparent in the client. Additionally, it will help prioritize the therapeutic approaches available to the client. It also helps in risk analysis and, subsequently, the nature of care accorded to the client. As Samartzis and Talias (2019) report, through a psychiatric assessment, caregivers can determine if the client is at risk of hurting others or themselves. This will inform the care acuity that the client deserves and help in making incarceration decisions.
Symptom Rating Scales
Symptoms rating scales help assess symptom severity and may help diagnose diverse mental health illnesses. The Hamilton Depression Rating Scale (HAM-D) and the Anxiety Symptoms Questionnaire (ASQ) are examples of symptom-rating scales used in the contemporary management of depressive and anxiety disorders. HAM-D is a caregivers-administered 21-item scale that scores clients based on the presence of depressive symptoms they manifest. It stratifies depressive manifestations based on intensity and is similar to the patient health questionnaire tool. Findings from HAM-D can inform management strategies for depression. ASQ is a 10-point self-report assessment tool that maintains effectiveness in measuring symptom severity for anxiety disorders. Both tools are utilizable in children and adolescents.
Psychiatric Treatment Options for Children and Adolescents
Children-specific psychotherapeutic interventions include play therapy and parent-child interaction therapy. Both modalities maintain effectiveness in managing diverse groups of mental health illnesses. Their use is skewed towards children and adolescents because of their compatibility with aspects of these populations. Additionally, they use child-friendly techniques. First, play therapy is a stratiform of psychotherapy that utilizes playing objects and activities to help children navigate their emotional and mental issues. It involves guiding the child/children towards expressing themselves using child-relatable activities such as painting (Koukourikos et al., 2021). The two main forms of this therapeutic technique are directive and non-directive play forms. The directive approach implores the therapist to apply a more hands-on approach.
Second, parent-child interaction therapy (PCIT) also maintains effectiveness in addressing behavioral problems among children. In this therapeutic approach, parents engage their children in an interactive session such as plays under the observance of the therapist. In this respect, the goal is to improve the relationship between the child and the parent, thereby diminishing apparent behavioral outbursts in the child. It is helpful for families that find themselves in dysfunctional cycles necessitating de-escalation.
The Role of Parents/Guardians in Assessment
Parents/guardians play a crucial role in patient assessment. While patients remain the best source of medical and health information, parents augment the information the patient provides by highlighting areas not touched by the patients. Linthicum et al. (2020) note that collaborative information from guardians and parents provides clarity on the patient information provided by the patients and helps in corroborating the information provided. Parents and guardians are also better poised to provide evaluative information obtained from the patient’s environment. In psychiatric care, parental information can give insight into the client’s environment and factors therein that may be contributing to their suffering. Parents and guardians also provide the clients with a str