CAMHS Flashcards
mental health definition
refer to social, emotional, and behavioral functioning
communication definition
refer to development and abilities in speech, language, and communication
mental health problem definition
- abnormality of behavior, emotion, or social relationships
- prolonged or able to cause suffering or risk to development
- causing distress or disturbance to the individual, family, or community
examples of mental health disorder
- anxiety disorders
- mood disorders (depression)
- emotional and behavioral disorders
- eating disorders
- psychosis
- obsessive compulsive disorders
- attachment and personality disorders
emotional and behavioral difficulties definition
a range of symptoms presented by children with difficulties adjusting (primarily to school)
emotional difficulties
- severe separation anxiety
- excessive sadness
- fearful of new situations
- avoidance/withdrawal from interaction
behavioral difficulties
- overactivity
- impulsivity
- low tolerance fir frustration, aggression
- difficulty in behavioral control
- regulation of emotional arousal
social-emotional behavioral disorders (SEBD) definition
- a range of emotional and behavioral difficulties presenting in childhood
- described in externalizing and internalizing behaviors
externalizing behaviors definition
- impulsive, overactive, and aggressive behaviors
- aggression can be turned toward objects, others, or self
why are externalizing behaviors highly concering in very young children
associated with long-term problems including school dropout and delinquency
internalizing behaviors definition
shy, anxious, and withdrawn behaviors
referrals might state what?
- can’t play
- moody, irritable, aggressive, shy, unhappy, sad
- non-compliant
- bullying or being bullied
- no friends, isolated
- severity, chronicity, and pervasiveness are important
?% of young people with mental health difficulties present with previously undiagnosed mild SLCN
81%
SLCNs common in depression
- body language (reduced eye contact, poor posture, flat affect)
- monotonous pitch
- increased latency of response and sparse conversation
- slow rate of speech
SLCNs common in anxiety
- muscle tension (breathing, voice)
- dysfluency
- continuous checking behaviors (disrupt conversation)
- different forms of anxiety (social anxiety, selective mutism)
SLCNs common in ADHD
- talking excessively
- interrupting
- language for self-regulation
SLCNs common in schizophrenia
- disorganized and tangential speech
- impact of negative symptoms (flat affect, decreased social motivation)
common challenging behaviors in CAMHS
- anger, aggression
- disruptive or withdrawn
- difficulties using appropriate social communication skills
- attention and listening
- disengagement
- dysregulation
common language and cognition difficulties in CAMHS
- receptive language
- understanding and using emotions, abstract language, sophisticated emotional language
- executive function (organization)
- metacognition
- misunderstanding negative construction
- humor mis-use
common emotional wellbeing difficulties in CAMHS
- self-consciousness
- low self-esteem
- anxiety
- difficulties with friendships
4 most common communication difficulties in CAMHS
- attention and listening
- pragmatics/social skill
- comprehension
- expressive language
does SLCN cause mental health difficulties or vice versa
the relationship is complex, multi-dimensional, and transactional
how does SLCN impact mental health
- contribute to social isolation and loneliness (risk factors for mood and anxiety disorders)
- impact self-esteem, self-image, and aspirations
- psychological and behavioral consequences (irritability, frustration)
- reduced self-advocacy due to lack of verbal ability to express thoughts and emotions
- restricted social opportunities, participation, reading, and confidence
impact of mental health on SLCN (depression)
- tearfulness, irritable behavior
- decreased prosodic variation
- decreased social awareness and interaction
- decreased body awareness and movement
- impaired attention, concentration, and information processing
impact of mental health on SLCN (anxiety)
- impaired social awareness and interaction
- selective bias of information processing
impact of mental health on SLCN (psychosis)
- compromised language and social skills
- difficulties conveying meaning to others (expressive) and understanding messages (receptive)
- language processing, difficulty understanding facial and voice cues
SLCNs can be masked by ?
- areas of strength
- subtleness
- poor motivation or attitudes (poor eye contact, closed body language, and monosyllabic responses)
- lack of true awareness
- other difficulties (behavior)
what is CAMHS
- child and adolescent mental health service
- specialist service for people under 18 with moderate to severe mental health difficulties
common MDT in CAMHS
- SLT
- psychologist
- psychiatrist
- social worker
- play therapist
- occupational therapist
- nurse
- art therapist