www.pspbc.ca

Framework

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Core Tools Framework

Screening Tools

• Child and Youth Mental Health (CYMH)

Screening Questions

• CRAFFT

Secondary Assessment Tools

• Depression: KADS6, TASR-A

• Anxiety: SCARED

• ADHD: SNAP-IV 18

• Referral

• Ministry of Children and Family

Development – Child and Youth

Mental Health Services

• Psychiatrists

• Pediatricians

• RACE

• Strongest Families BC

• Kelty Resource Centre

• Mood Enhancing Prescription/Worry

Reducing Prescription

• Teen Functional Assessment (TeFA)/

Child Functional Assessment (CFA)

• CBIS

• Medication Algorithms

• Side effects Scales (Kutcher Side Effect Scale for ADHD Medication (KSES-A),

Short Chehil-Kutcher Side (sCKS) Effects Scale

Treatment and Management Tools

Primary Assessment

Tool

• Clinical Global Impression

Scale (CGI)

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Initial Screening

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Historical Factors

Parental history of mental disorder

Family history of suicide

Childhood diagnosis of other disorders:

Mental Health Screening Q’s

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Marked change in usual:

› Emotions

› Behavior

› Cognition, or

› Functioning Based on youth or parent report

One or more of the above answered as YES child or youth is in a high risk group.The more YES answers, the higher the risk

Mental Health Screening Q’s

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1. Over the past few weeks have you been having difficulties with your feelings, such as feeling sad, blah or down most of the time?› If YES – consider a depressive disorder › Apply the KADS evaluation

Mental Health Screening Q’s

2. Over the past few weeks have you been feeling anxious, worried, very upset or are you having

panic attacks?

›If YES – consider an anxiety disorder

›Apply the SCARED evaluation

›Proceed to the Identification, Diagnosis and Treatment of Child and Adolescent Anxiety

Disorders Module

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3. Overall, do you have problems concentrating, keeping your mind on things or do you forget things easily (to the point of others noticing and commenting)?

› If YES – consider ADHD› Apply the SNAP-IV

evaluation› Proceed to the Identification,

Diagnosis and Treatment of the Child and Adolescent ADHD Module

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Mental Health Screening Q’s

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4. There has been a marked change in usual emotions, behaviour, cognition or functioning (based on either youth or parent report)

If YES – probe further to determine if difficulties are on-going or transitory.

Consistent behaviour problems at home and/or school may warrant referral to Strongest Families.

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Mental Health Screening Q’s

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Overall, do you have problems concentrating, keeping your mind on things or do you forget things easily (to the point of others noticing and commenting)?

If YES – consider ADHD Apply the SNAP-IV

evaluation Proceed to the Identification,

Diagnosis and Treatment of the Child and Adolescent ADHD Module

Mental Health Screening Q’s

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Positive for Depression + Anxiety or ADHD

› Apply KADS and protocol for Depression

› After treatment, review for presence of continued Anxiety Disorder or ADHD

If continues positive for Anxiety Disorder

› Refer to specialty mental health services

If continues positive for ADHD

› Follow the protocol in the ADHD toolkit, OR

› Refer to specialty mental health services

Next Steps …

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Use of SCARED in Assessment

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Anxiety disorder is suspected:

if score of 25 or higher

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Kutcher Adolescent Depression Scale(KADS)

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SNAP-IV Teacher and Parent 18-item Rating Scale

Psychotherapeutic Support & Non-Specific Interventions

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Psychotherapeutic Support

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Exercise Sleep Consistent Daily Routine Positive Social Contact Healthy Nutrition Music & Movement Bright Light Avoid Drugs (including

recreational drugs)

Non-Specific Interventions

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Sleep Assessment

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www.keltymentalhealth.ca

1-800-665-1822 or Vancouver 604-875-2084

Kelty Mental Health Resource Centre

Referral Flags

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Referral Flags

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Refer at 3 different points

• Emergency Referral (prior to treatment

initiation)

>Suicide ideation with intent or plan

>Major depressive episode with psychosis

>Delusions or hallucinations

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› Urgent Referral (treatment may be already initiated)

› Usual Referral

Referral Flags

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Helpline for Children

› 310-1234 (free – no area code required)

› 24 hours/7 days

› Do not have to give your name

Immediate danger

› 9-1-1 or local police

Resources

› Ministry of Children and Family Development

› www.mcf.gov.bc.ca/child_protection

› See “Handbook for Action on Child Abuse and Neglect”

Abuse or Neglect Concerns