general CAMH principles

Question 1

confidentiality and kids

Answer 1

yes except if child is at risk of harming self or being harmed by others

or if may harm someone else

Question 2

how do you see child?

Answer 2

in company of parents first then individually

Question 3

four domains of history taking in child psych

Answer 3

1. individual
2. family
3. medical
4. environmental/school

Question 4

elements of child history?

Answer 4

1. presenting complaint
2. history of presenting complaint
3. developmental history
4. medical
5. family
6. social
7. drugs, alcohol
8. systems review
9. MSE

Question 5

NB to not forget to ask in child history

Answer 5

1. PC - if you had 3 wishes
2. birth history
3. developmental milestones
4. traumatic events
5. parents background and relationship and past psych
6. who is the child most like
7. separation problems at school, academic and social functioning, behaviour
8. when did start school
9. hobbies
10. drugs etc, law

Question 6

developmental domains - when to be concerned?

Answer 6

1. can’t walk 18 months
2. no heel toe pattern of walking or walking only on toes
3. hasn’t got 15 words by 18months
4. doesn’t use 2-word sentences by age 2
5. 15months doesn’t know function of common household items
6. 15 months not imitating
7. simple instructions by age 2
8. push a wheeled toy age 2

Question 7

ICD 10 axes?

Answer 7

1. child psych diagnosis
2. PDD
3. IQ
4. medical illness
5. psychosocial situation
6. general assessment of functioning score (>70 normal)

Question 8

DSM V axes

Answer 8

1. principal diagnosis
2. LD/PD
3. medical illness
4. psychosocial situation
5. GAF