Framework
www.pspbc.ca
Core Tools Framework
Screening Tools
Primary Assessment Tool
Secondary Assessment Tools
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Child and Youth Mental
Health (CYMH) Screening
Questions
CRAFFT
Clinical Global Impression
Scale (CGI)
Depression: KADS6, TASR-A
Anxiety: SCARED
ADHD: SNAP-IV 18
Treatment and Management Tools
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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
Referral
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Ministry of Children and Family
Development – Child and Youth
Mental Health Services
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Psychiatrists
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Pediatricians
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RACE
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Strongest Families BC
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Kelty Resource Centre
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Initial Screening
Mental Health Screening Q’s
 Historical Factors
 Parental history of mental
disorder
 Family history of suicide
 Childhood diagnosis of other
disorders:
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Mental Health Screening Q’s
 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
www.freedigitalphotos.net freedigital Hooded Person by Ambro
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Mental Health Screening Q’s
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
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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Mental Health Screening Q’s
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)?
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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
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
 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
www.freedigitalphotos.net by Boaz Yiftach
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Next Steps …
 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
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Use of SCARED in Assessment
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
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Psychotherapeutic Support
& Non-Specific Interventions
Psychotherapeutic Support
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Non-Specific Interventions
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Exercise
Sleep
Consistent Daily Routine
Positive Social Contact
Healthy Nutrition
Music & Movement
Bright Light
Avoid Drugs (including recreational
drugs)
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Sleep Assessment
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Kelty Mental Health Resource Centre
 www.keltymentalhealth.ca
 1-800-665-1822 or Vancouver 604-875-2084
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Referral Flags
Referral Flags
Refer at 3 different points
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Emergency Referral (prior to
treatment initiation)
>
>
>
Suicide ideation with intent or plan
Major depressive episode with
psychosis
Delusions or hallucinations
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ID 837573 stockxchng
Referral Flags
› Urgent Referral (treatment may be already initiated)
› Usual Referral
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Abuse or Neglect Concerns
 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”
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