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1 Discussion

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A comprehensive integrated psychiatric assessment is used to determine a criteria-based diagnosis, predict the course of the illness, develop a prognosis, and create a treatment plan in collaboration with the client (Saddock, Saddock, & Ruiz, 2014).


In kids and youths, the evaluation comprises of distinguishing information; history; mental status assessment; neuropsychiatric assessment, if necessary; mental, instructive, and formative testing, case detailing and outline, a determination, suggestions, and a treatment plan (Saddock, Saddock, and Ruiz, 2014). As per the American Academy of Child and Adolescent Psychiatry (2017), the set of experiences parts of the extensive coordinated mental evaluation of youngsters and youths incorporates data in regards to the current issue and side effects, mental and actual wellbeing history, current meds, family mental and actual wellbeing history, family connections, the kid’s turn of events, school, companions, interviews with both the client and guardians or gatekeepers, and, with the parent’s assent, data accumulated from notable individuals in the kid’s life like educators, family members, or the essential consideration supplier. The motivation behind this post is to examine the YMH Boston (2013, May 22) Vignette 4-Introduction to a Mental Health Assessment video with respect to the supportive mediations performed by the professional, regions the expert can improve, any convincing worries, and next question I would ask the client.

There were a few focuses in the video in which the specialist performed supportive mediations. The expert in the video draws in the client with inquiries concerning school and exercises he appreciates beyond school. He requested that the client offer his viewpoints about the issues he has been having with his resentment. The professional messed with the client about how no youngster needs to converse with their mom which appeared to build the association between the two. He summed up the client’s interests in regards to the need to simply have somebody pay attention to him without feeling compelled to notice their recommendation which showed the client he was focusing and thought often about what he needed to say.

The supplier played out two or three pointless mediations in the video. At first, the client states he doesn’t grasp the justification for the visit. The client doesn’t answer however appears to become sullener when the supplier really tries to identify with the client expressing, “That probably been somewhat confounding” (YMH Boston, 2013, May 22, 0:42). The supplier appears to become disturbed with the client and difficulties the client when he inquires as to why the client’s mom would think he has a resentment the board issue and expresses that there should be an explanation which distanced the client.



American Association of Child and Adolescent Psychiatry. (2017). Comprehensive psychiatric evaluation. Retrieved from

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.


Harper, C., Steiner, R., Adkins, S. H., Annor, F., Butler, A., & Ethier, K. (2018). Trends in suicidal thoughts and behaviors among US high school students: Variation by sex and school-based bullying. Journal of Adolescent Health, 62(2), S50. doi:10.1016/j.jadohealth.2017.11.101


Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

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2 Discussion

Comprehensive integrated psychiatric assessment of children and adolescent is associated with gathering information from the child, parents, family members, teachers, and caregivers for complete treatment evaluation and plan in order to improve patient’s outcomes (Thapar et al., 2017).  

What the practitioner did well and areas of improvement

In the YMH Boston
 Vignette 5 video, the practitioner was very professional by introducing herself and asking the reason for the consult and assessment. Sean was assured of his privacy and confidentiality by the practitioner which is the bases of trust and compliancy to treatment (Stewart & Hamza, 2017). The practitioner was careful in directing the interview questions and this created report between them and the patient was open for conversation and that facilitated the assessment process. As required by guideline, the practitioner allowed the patient to give his perspectives and symptoms about the condition and question about his immediate concerns at his general environment. Even though the patient complained of his mother’s attitude, the people he trust like his girls’ friends and coach was identified. Based on the compelling challenge of mental illness in the aspects of cultural beliefs, fixed thought beliefs, and personal insights, it is imperative to identify those the patient can confide in to obtain a complete information for comprehensive treatment regimen (Raymond Zhakhari, 2020). The practitioner also assessed suicide ideation risk which is very important in psychiatric mental health assessment process. The patient not only verbalized suicide thought, but also plans to accomplish it. Safety assessment is one of the hallmarks of compressive psychiatric evaluation (Wray et al., 2019). The practitioner needed to ask about the patient’s family psychiatric and medical health history which is a very important assessment information. Also, the patient’s previous therapy, medication, and social life should be assessed.

Personal compelling concerns

I have no compelling concerns about the interview because the process of psychiatric evaluation was followed and conducted to arrive at a treatment plan. My other questions will be obtaining total health history of both maternal and paternal relationship.

Importance of thorough Psychiatric assessment of a Child and Adolescent

It is very important to diagnose emotional, behavioral, and developmental challenges through thorough psychiatric evaluation and assessment (Thapar et al., 2017). It is a known fact that children and adolescent’s psychiatric assessment is based on their display of behavior as such, to arrive on an appropriate psychiatric treatment, a comprehensive assessment is imperative. These population has health knowledge deficit as such therapeutic communication is vital to allow consultation for evaluation. Most children and adolescents prefer opening up to providers who has the skills needed for children’s assessment because of issues of confidentiality and trust. psychiatric assessment gives room for experts knowledge and engagement of psychiatric team for professional networking (Stewart& Hamza, 2017). This assessment allows structural way of obtaining information and communicating it to other psychiatric mental health providers.

Two Different Symptom Rating Scales use for Children and Adolescent Assessment

Young Mania Rating Scale (YMRS): This is an eleven-item rating scale that are completed to evaluate children and adolescent for mental health disorder especially mood disorders like bipolar (Thapar et al., 2017). This scale was developed by the American Academy of Pediatrics to evaluate mood swing and therapeutic improvement. It is also used to assess how well a therapy is working.

Columbia depression scale: This is a 22-item screening scale use to assess children and adolescent for depression. It is use by a professional to evaluate the severity of the depression to be able to make appropriate treatment regimen.

Psychiatric Treatment options for Children and Adolescents 

Play therapy and acceptance and commitment therapy (ACT). These therapeutic modalities have been proven effective in the treatment of children and adolescents with mental health challenges (Wheeler, 2020).  ACT has been used to redirect children and adolescent in their fixed thought process that affects their emotions and commit them to understanding of the pattern of their emotional feelings. They therapist uses play therapy to gather all the behavioral display of the population that are used for psychiatric interpretation.

The Role of Parents and Guardians in Children and Adolescent Assessment

Parents and Guardian play a very vital role during a comprehensive psychiatric evaluation. Study has proven that to have a complete information about a child, the health history must be obtained from different sources, which include the parents, teachers, caregivers, and other family members (Wheeler, 2020).  The parents and Guardians provide vital behavioral information which might not be seen during assessment. They participate in the psychiatric intervention to promote outcome. They report changes and improvement which are used in treatment adjustment.

            My sources are considered scholarly because they meet the standards and rules of a scholarly articles and books. They are written by specialize experts with specialty knowledge, skills, and experience. The are researchable and provides recommendations for clinical improvement.  


Raymond Zakhari, D. N. P. (2020). 
The Psychiatric-Mental Health Nurse Practitioner

            Certification Review Manual. Springer Publishing Company.

Stewart, S. L., & Hamza, C. A. (2017). The Child and Youth Mental Health Assessment

            (ChYMH): An examination of the psychometric properties of an integrated assessment

            developed for clinically referred children and youth. 
BMC Health Services

17(1), 1-10.

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.).

Rutter’s child and adolescent psychiatry. John Wiley & Sons.

Wheeler, K. (2020). Psychotherapy for the advanced practice psychiatric nurse.

Wray, A. M., Hoyt, T., Welch, S., Civetti, S., Anthony, N., Ballester, E., & Tandon, R. (2019).

            Veterans Engaged in Treatment, Skills, and Transitions for Enhancing Psychiatric Safety

Psychiatric Rehabilitation Journal, 
42(3), 277.

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