Show:
Suicide Assessment
School Problems
IEP
When to Refer?
Resources
100
Should you interview the patient alone or with the guardians present?
Yes - together and separately
100
What areas of school life should you ask about when assessing school problems
Grades Discipline History Special Education
100
What is an IEP? What was the law that created IEPs?
Individualized Education Plan Rehabilitation Act of 1973
100
What are the indications for Referral to Child Psychiatry?
If you are uncomfortable with the management of the child's behavioral problems, especially related to safety and medications.
100
What is the Regional Center ?
State sponsored support agency for children and families with autism spectrum disorders
200
What questions can you use to screen children for safety?
Do you feel safe at home? at school? Do you ever feel so sad that you wish you were not alive anymore?
200
Name 3 items that should be considered on a differential of school problems
Hearing / Vision problems Social factors (food, shelter, parents) Learning Disorders Attention Disorders Developmental Delay Substance Abuse Mood Disorders
200
What are some advantages of an IEP
All educators focused on optimizing child's Education In School Resources School awareness and education about child's disability Targeted accommodations Most inclusive education environment
200
How do you find a Child Psychiatrist?
Tricare network - Utilization Management will assist NMCSD
200
What is EFMP
Exceptional Family Member Program based regionally at NMCSD Excellent source of local resources for families
300
How can you assess Teenagers for safety
Start with questions about their friends - do they know people who harm themselves or talk about suicide? How about you? What is the most violent thing you've ever seen? Ever done?
300
Name 3 non-medication interventions to consider
Academic --> Tutor Behavioral --> 504 accommodations Learning Disorder --> IEP
300
How many school districts are there in San Diego County?
45
300
What should you expect from a Child Psychiatrist
Reply to your initial referral question Available for questions / concerns Diagnosis Treatment Plan Specific recommendations Return to your care when situation is stable
300
What is an IOP? Partial Hospitalization
Intensive outpatient Program Consider the Sharp Mesa Vista Day Treatment Program 858-836-8314
400
How can you differentiate seeking attention from intent?
Intent comes with specific plan + actions (including past attempts) Ask what they have done if anything to prepare for self harm.
400
What can parents do?
Collaborate with the school Inquire about a school advocate --> TASK Consider Parent Education classes --> MCCS
400
How does a busy FP read an IEP?
Jump to the summary in back For questions on specific recommendations - look for the appropriate section Ask the parent
400
What can an FP manage independently?
Family education School problems First line medications for ADHD, insomnia, anxiety Patients stable on their medications
400
What is TASK
Team of Advocates for Special Kids taskca.org
500
What is the key to Suicide Assessment?
Ask the question Know the risk factors Trust your gut instinct - if worried refer
500
How should the busy FP monitor for School Problems
IBHC Ask the family to bring in report cards with future visits
500
How can you support parents with IEP questions?
Referral to a School Advocate --> TASK
500
What if you can't find Child Psychiatry?
1. Start with safety - admit if necessary 2. Collaborate with school, parents, therapist 3. Seek advice - telephone consultation 4. Medications - start low and go slow. Avoid Poly pharmacy 5. Get the patient on the wait list
500
Name other resources for military families with child MH needs in San Diego region
County Mental Health Tricare Network MilitaryChildCare.com FOCUS (focusproject.org) Family Forces (858-277-7907)