[ANSWERED] 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?

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. (https://www.youtube.com/watch?v=Gm3FLGxb2ZU)
By Day 3 of Week 1

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.

Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources

Expert Answer and Explanation

Comprehensive Integrated Psychiatric Assessment

What was done well and what to Improve

One of the things that the social worker did well was mixing the types of questions she asked the patient. She used prompting questions to ask the patient about the exact symptoms of depression. These direct questions allowed her to identify the symptoms of depression the patient has. She also used open-ended questions. These questions allowed the patient to express himself easily. The social worker also had good communication skills during the assessment. She provided instant feedback, nodded, maintained eye contact, and listened to the patient narrating his feelings. Her facial expression showed empathy when the patient was narrating about his break-up. The social would have improved the data collection process during the assessment by taking note of the symptoms the patient highlighted.


My concern is that the social worker did not tell the patient sorry for the break-up. She should have told him sorry to make the patient feel valued. She also did not wait for the patient’s consent to continue her assessment. She should have waited for the patient to allow her to continue asking questions.

Next Question

My next question should be about his sleep habits. According to Santini et al. (2020), depression causes insomnia. Therefore, I would ask the patient about his quality of sleep. I would also ask about his appetite. Depression causes increased or decreased appetite (Francis et al., 2019).

Importance of Psychiatric Assessment

Psychiatric assessment is significant for many reasons. One of the importance of psychiatric assessment is that it allows the psychiatric nurse knows the history of presenting illness. History of presenting illness will help the nurse know when the disease started and what triggered it. Second, the psychiatric assessment also helps psychiatric nurses identify the causes of the mental health problem. In this case, the patient’s depression might have been caused by the break-up. His girlfriend broke up with him. Lastly, psychiatric assessment help nurses connect the patient’s mental health problem is his or her family history.

Rating Scales

One of the rating scales that can be used when assessing a child’s mental health is the Mood and Feelings Questionnaire (MFQ). This tool provides psychiatric nurses with data about the patient’s current moods and feelings (Thabrew et al., 2018). It is often used to screen for depression and anxiety in children and adolescents. The second tool is the Revised Child Anxiety and Depression Scale (RCADS). This tool can be used to assess panic disorder, MDD, anxiety disorders, and obsessive-compulsive disorder in children and adolescents (Klaufus et al., 2020).

Treatment Methods

One of the treatment therapies used to treat only children and adolescents is interpersonal psychotherapy for adolescents (IPT-A). The therapy decreases depressive symptoms in children and helps them recognize their feelings and how interpersonal conflicts and events can affect their mood (Mychailyszyn & Elson, 2018). It also reduces stress and enhances social functioning. The patient can also receive youth residential treatment program. According to Barnett et al. (2018), youth residential treatment programs provide mental health services for children and teens with mental issues.

Role of Parents/Guardians in Assessment

Parents and guardians are critical to children or adolescent psychiatric assessment. They support the assessment by giving their consent to assess the patient. They can also provide data on when the patient experienced mental health problems and what triggered them. 


Barnett, E. R., Yackley, C. R., & Licht, E. S. (2018). Developing, implementing, and evaluating a trauma-informed care program within a youth residential treatment center and special needs school. Residential Treatment for Children & Youth, 35(2), 95-113. https://doi.org/10.1080/0886571X.2018.1455559

Francis, H. M., Stevenson, R. J., Chambers, J. R., Gupta, D., Newey, B., & Lim, C. K. (2019). A brief diet intervention can reduce symptoms of depression in young adults–A randomised controlled trial. PloS one, 14(10), e0222768. https://doi.org/10.1371/journal.pone.0222768

Klaufus, L., Verlinden, E., Van Der Wal, M., Kösters, M., Cuijpers, P., & Chinapaw, M. (2020). Psychometric evaluation of two short versions of the Revised Child Anxiety and Depression Scale. BMC Psychiatry, 20(1), 1-12. https://doi.org/10.1186/s12888-020-2444-5

Mychailyszyn, M. P., & Elson, D. M. (2018). Working through the blues: a meta-analysis on interpersonal psychotherapy for depressed adolescents (IPT-A). Children and Youth Services Review, 87, 123-129. https://doi.org/10.1016/j.childyouth.2018.02.011

Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., … & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. The Lancet Public Health, 5(1), e62-e70. https://doi.org/10.1016/S2468-2667(19)30230-0

Thabrew, H., Stasiak, K., Bavin, L. M., Frampton, C., & Merry, S. (2018). Validation of the mood and FEELINGS questionnaire (MFQ) and short mood and feelings questionnaire (SMFQ) in New Zealand help‐seeking adolescents. International Journal of Methods in Psychiatric Research, 27(3), e1610. https://doi.org/10.1002/mpr.1610

Place your order now for the similar assignment and get fast, cheap and best quality work written by our expert level  assignment writers.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?

Use Coupon Code: NEW30 to Get 30% OFF Your First Order

ANSWERED! 67-year-old female presents with chief complaint

SOLVED! Healthcare continues to be a lucrative target for

SOLVED! Post a brief explanation of the differences between

SOLVED!! Explain how interprofessional collaboration will

SOLVED! Mr. EBR is a 74-year-old retired Hispanic gentleman

[ANSWERED] What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage?

[ANSWERED] Discuss a formal role where a nurse is in

ANSWERED!! In this assignment you will propose a quality

ANSWERED!! Now imagine that you are a university psychology

ANSWERED! What would spirituality be according to your own

ANSWERED! Based on Case Study: Fetal Abnormality

ANSWERED!! What is your definition of spiritual care?

What our customers say

Essay was good; although need to do few amendments and add few things, overall it was good and justify money paid.


it was good
it has introduction, body paragraphs, and conclusion as well
it was really helpful

Great service. Always provide quick response and best online support and have very very less plagiarism.

Thanks for giving my assignment on time. I really appreciated the work done. This keeps me submitting new assignments.

Thank you my writer. Good job and I really enjoy you fast response. I definitely will recommend to my friends.


Thanks for giving my assignment on time. I really appreciated the work done. This keeps me submitting new assignments.

Great service. Always povide quick response and best online support and have very very less plagiarism.


Good writer that fulfil all the requirements that i have been told to the writer. The writer even called to discuss everything with me to continue my assighnment


Great work on time delivered for work, good understanding well prepared. References was well written in APA format

The writer had clear communication and ensured to give me a brief overview of how my assignment was going to be structured including an average of the words used in each section in order to avoid going over the limit. Didn't need to escalate even once because the quality of the work was in line with the Standard quality that I chose.

It was okay. Not bad, could do better! But marks were good, feedback was also good, so overall 4/5


The solution was excellent and all the requirements was taken into consideration.

On time and the assisgment is veryy well done. thank you very much. i'm happy and this is not the last time of me getting help


This is solid work thankyou for all the help with this PowerPoint; I m curious what grade ill get in it


Great Work Completed in under a Hour thank you so much. I got a 100 percent on my assignment.

I got 87%. Thanks for that. I am quite satisfied as You reviewed and changed when I ask for some changes.


I got a Distinction in this course. Highly satisfied with the expert work and effort.


I am very happy with this assignment. Thank you very much to the expert who has done this for me.


So far this is the highest marks I got for an assignment done by you guys. I got 42/50 for this assignment. The exact feedback from my lecturer was:
Introduction: Good introduction to assisted dying, especially in relation to laws within Australia. Introduction was a little too long.
Aim or Purpose: Good purpose but improved grammar needed. Good use of PICO.
Method: The method, while explained is very out of order. Try to write a methods section that can be followed in a step by step fashion

You did a good job just some details were missed enough attention. To be honest, you did much better job than the other websites. I would like to have more experience with you then I can give you more detailed feedback.