Flashcards in Module 3 - Pediatric Mental Health Deck (100)
Many __ ___ can lead to or resemble mental health disorders
Many disorders occur ___ making diagnosis difficult
What are some etiologies for mental health disorders in children?
Chronic Physical Illness or Disability
What are some examples of physiologic etiologies for mental health disorders?
Structural Brain Abnormalities
What are some examples of Family Dynamic etiologies for mental health disorders?
Dysfunctional Family System
Poor Role Modeling
What are some examples of environmental etiologies for mental health disorders?
What are some treatment options for mental health disorders in children?
Cognitive, Behavioral, Group, Family, Play, Art, Music Therapy
Seclusion and/or Restraint
What kind of therapy is most commonly used for mental health disorders in children?
Behavioral Therapy - if you start teaching and learning new behaviors early you can change them
A federally mandated program implemented at the state level via LHD
Testing and Services are provided for free to try and prevent further developmental delay (if its already noted)
Many outcomes can be significantly improved if ...
treatment is started early ! do not wait !
What sort of management can be done to treat mental health issues in children?
Community Based Treatment (Primary, Secondary, Tertiary)
Hospital Based Treatment
Specialized Units for Children and Adolescents
Primary Prevention Community based Treatment for Mental health in children
teaching about risk factors
parenting skills classes
Secondary Prevention Community based Treatment for Mental Health in children
Early detection and testing
school and community nurses, NPs, and teachers
Tertiary Prevention Community based Treatment for Mental Health in Children
minimizes effect of disorder via individual, family, group therapy and behavioral modification
What Assessments should be done by the nurse for a child's mental health status?
H&P - History and Physical (look at stressors and significant data)
What are some examples of things to investigate in child PMH
prenatal and birth history
suicide and self injury
mood and actions at home
mood and action with friends
What are some examples of things to investigate in child FH
note strengths and weaknesses of family system
who do they live with
willingness to learn/participate in services
abuse issues? - Alcohol, physical, emotional
What is important to do when assessing a child's mental health status?
Become a detective - take things in visually like appearance, behavior, and developmental stage, but also ask open ended questions and learn during play
Try to get the family and the child to open up a little to learn about home life and family situations
Important Mental Health Disorders in Pediatrics
Developmental Disorders / Learning Disabilities
Pervasive Development Disorders (Autism)
What forms can developmental and learning disabilities take
Sensory Integration (Sensory issues)
Auditory Processing Difficulties (trouble hearing words or understanding)
Visual processing difficulties
Speech/Language Delays etc
With developmental and learning disabilities, it is important to know what?
that they exist and can be misdiagnosed as other more common disorders
Pervasive Developmental Disorders (PDD)
GROUP of conditions that involve DELAYS in development of many basic skills
It is an umbrella term / group of conditions
Essentially, autism spectrum
PDD is more common in what gender?
Children with PDD are ...
confused in their thinking and generally have problems understanding the world around them
PDD exists as a spectrum of...
autism that goes from mild autism to Asperger's Syndrome
PDD is a very large...
umbrella term for many things
A range of complex neurodevelopment disorders
What is Autism characterized by (generally)?
1. Social impairments
2. Communication Difficulties
3. (sometimes) Receptive Patterns of Behavior (rocking, twirling, self abuse behavior)
S/S Of Autism
can engage in rigid, repetitive, machine like movement/obsessive behavior
Impaired social interaction
Unresponsive to people
unable to respond to social/emotional cues (cant pick up on a situation)
aversion to touch and extreme stimuli
at risk for self injury (hitting head, scratching, etc)
A pattern of restricted interests, activity and behaviors