CAMHS & Mental Health Flashcards
CAMHS
- child and adolescent mental health service
- specialist service for people under 18 with moderate to severe mental health difficulties
presentations (diagnoses) common in CAMHS
- anxiety disorders
- eating disorders
- ADHD
- psychosis
MDT
- SLT
- psychologist
- psychiatrist
- social worker
- play therapist
- OT
- nurse
- art therapist
- teacher
- family
MDT approach (meeting)
- weekly MDT meetings
- integrated care plans (ICP)
integrated care plans (ICP) purpose
- overview/summary of presentation
- goals as identified and agreed upon
- outline out specific MDT interventions
5 P’s model
- presenting problem
- predisposing factors
- precipitating factors
- perpetuating factors
- protective/positive facts
presenting problem (5 P’s)
- how the person’s life is affected
- when a difficulty should be targeted for intervention
- ex: BPD diagnosed, presenting problems include maintaining employment, friendships, physical health complications (self harm)
predisoping factors (5 P’s)
- possible biological contributos
- genetic vulnerabilities
- environmental factors
- psychological or personality factors
- put a person at risk of developing a specific mental health difficulty
precipitating factors (5 P’s)
- significant events preceding onset of the disorder
- ex: substance use, interpersonal, legal, occupational, physical, financial stressors
perpetuating factors (5 P’s)
- factors maintaining the current difficulty
- ex: ongoing substance use, repeating behavioral patterns, biological and cognitive patterns
protective/positive factors (5 P’s)
- strengths or supports that mitigate the impact
- increase optimism in the clinician in patient
- contribute to a positive therapeutic relationship
- ex: social support, skills, interests, personal characteristics
SLT involvement in CAMHS
- communication and/or swallowing assessment
- understanding diagnosis
- establish communication needs
- adapting therapy content
- enable person to make decisions and communicate goals in planning
- provision of verbal and written information in accessible format
- responding to information needs as mental health fluctuates
specific areas of assessment in CAMHS
- emotional literacy (recognition and regulation skills)
- verbal reasoning
- pragmatics (narrative, assertiveness)
- executive functioning (attention, listening, concentration)
transdisciplinary areas of practice
- complex trauma
- attachment
- complex selective mutism
- prodromal and early intervention psychosis
- self-harm
- eating and feeding disorders
role of SLT in working with an MDT
- pschoeducation of other team members (SLCN and social-emotional mental health: SEMH)
- collaborate to ensure communication needs are considered
- adapt therapy content (linguistic demands)
- provision of accessible information (verbal, written)
role of SLT in CAMHS (home and school environments)
- provide understanding of needs to teachers or caregivers
- support and provide coping strategies to aid communication, attention, listening, organization of language-loaded situations
SLCNs experienced in mental health
- low mood
- concentration and conversation
- communicating when unwell
- anxiety and stress
- social isolation
- medication
- speech and language markers
concentration and communication (SLCNs)
- difficulties formulating responses to questions
- understanding conversations
- difficulties processing and remembering the flow of conversations
anxiety disorders
- 1 in 3
- causes significant distress and interferes with daily life
most common group of mental health disorders
anxiety disorders
types of mood disorders
- depression
- bipolar
depression symptoms
- low mood
- loss of interest and pleasure
- diminished ability to think or concentrate
- affects social and occupational functioning
bipolar symptoms
- characterized by oscillation in moods (depression to mania)
mania:
- periods of grandiosity
- reduced need to sleep
- more talkative
- distractibility
- high risk behavior
depression and communication
- changes in prosody, volume, rhythym
- reduced length of utternance
- reduced interest in conversation
- cognitive communication effects
mania and communication
- fast speech rate (sometimes unintelligible)
- impulsivity
- inappropriate behavior
- increased volume
- poor self monitoring
- difficulties taking the listener’s perspective
- incoherent language
- physical appearance
positive symptoms definition
an exaggeration or distortion of normal brain function
negative symptom definition
a diminution or loss of normal brain function
schizophrenia positive symptoms
- hallucinations (visual, auditory, tactile)
- delusions
- disorganized behavior
- inappropriate affect
schizophrenia negative symptoms
- poverty of speech and content of speech
- flattened affect
- social withdrawal
formal thought disorder definition
a disorder in the form of thought, not the content
example of a formal thought disorder
schizophrenia
formal thought disorder characteristics
- failure to utter the intended lexical item
- distraction by sounds or senses of words (string of word associations rather than a presentation of previously intended information)
- breakdown of syntax and discourse
- lack of awareness that utterances are abnormal
barriers to communication
- service user
- service provider
Communication Support Plan
- provides a structure to support SLT assessment and intervention
- ensures all 3 levels of support are covered
- provides support for team members
CHIME
- conceptual framework for personal recovery in mental health
- Connectedness
- Hope and optimism
- Identity
- Meaning in life
- Empowerment
