CAMHS & Mental Health

Question 1

CAMHS

Answer 1

• child and adolescent mental health service
• specialist service for people under 18 with moderate to severe mental health difficulties

Question 2

presentations (diagnoses) common in CAMHS

Answer 2

• anxiety disorders
• eating disorders
• ADHD
• psychosis

Question 3

MDT

Answer 3

• SLT
• psychologist
• psychiatrist
• social worker
• play therapist
• OT
• nurse
• art therapist
• teacher
• family

Question 4

MDT approach (meeting)

Answer 4

• weekly MDT meetings
• integrated care plans (ICP)

Question 5

integrated care plans (ICP) purpose

Answer 5

• overview/summary of presentation
• goals as identified and agreed upon
• outline out specific MDT interventions

Question 6

5 P’s model

Answer 6

• presenting problem
• predisposing factors
• precipitating factors
• perpetuating factors
• protective/positive facts

Question 7

presenting problem (5 P’s)

Answer 7

• 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)

Question 8

predisoping factors (5 P’s)

Answer 8

• possible biological contributos
• genetic vulnerabilities
• environmental factors
• psychological or personality factors
• put a person at risk of developing a specific mental health difficulty

Question 9

precipitating factors (5 P’s)

Answer 9

• significant events preceding onset of the disorder
• ex: substance use, interpersonal, legal, occupational, physical, financial stressors

Question 10

perpetuating factors (5 P’s)

Answer 10

• factors maintaining the current difficulty
• ex: ongoing substance use, repeating behavioral patterns, biological and cognitive patterns

Question 11

protective/positive factors (5 P’s)

Answer 11

• 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

Question 12

SLT involvement in CAMHS

Answer 12

• 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

Question 13

specific areas of assessment in CAMHS

Answer 13

• emotional literacy (recognition and regulation skills)
• verbal reasoning
• pragmatics (narrative, assertiveness)
• executive functioning (attention, listening, concentration)

Question 14

transdisciplinary areas of practice

Answer 14

• complex trauma
• attachment
• complex selective mutism
• prodromal and early intervention psychosis
• self-harm
• eating and feeding disorders

Question 15

role of SLT in working with an MDT

Answer 15

• 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)

Question 16

role of SLT in CAMHS (home and school environments)

Answer 16

• provide understanding of needs to teachers or caregivers
• support and provide coping strategies to aid communication, attention, listening, organization of language-loaded situations

Question 17

SLCNs experienced in mental health

Answer 17

• low mood
• concentration and conversation
• communicating when unwell
• anxiety and stress
• social isolation
• medication
• speech and language markers

Question 18

concentration and communication (SLCNs)

Answer 18

• difficulties formulating responses to questions
• understanding conversations
• difficulties processing and remembering the flow of conversations

Question 19

anxiety disorders

Answer 19

• 1 in 3
• causes significant distress and interferes with daily life

Question 20

most common group of mental health disorders

Answer 20

anxiety disorders

Question 21

types of mood disorders

Answer 21

• depression
• bipolar

Question 22

depression symptoms

Answer 22

• low mood
• loss of interest and pleasure
• diminished ability to think or concentrate
• affects social and occupational functioning

Question 23

bipolar symptoms

Answer 23

• characterized by oscillation in moods (depression to mania)

mania:
- periods of grandiosity
- reduced need to sleep
- more talkative
- distractibility
- high risk behavior

Question 24

depression and communication

Answer 24

• changes in prosody, volume, rhythym
• reduced length of utternance
• reduced interest in conversation
• cognitive communication effects

Question 25

mania and communication

Answer 25

• fast speech rate (sometimes unintelligible)
• impulsivity
• inappropriate behavior
• increased volume
• poor self monitoring
• difficulties taking the listener’s perspective
• incoherent language
• physical appearance

Question 26

positive symptoms definition

Answer 26

an exaggeration or distortion of normal brain function

Question 27

negative symptom definition

Answer 27

a diminution or loss of normal brain function

Question 28

schizophrenia positive symptoms

Answer 28

• hallucinations (visual, auditory, tactile)
• delusions
• disorganized behavior
• inappropriate affect

Question 29

schizophrenia negative symptoms

Answer 29

• poverty of speech and content of speech
• flattened affect
• social withdrawal

Question 30

formal thought disorder definition

Answer 30

a disorder in the form of thought, not the content

Question 31

example of a formal thought disorder

Answer 31

schizophrenia

Question 32

formal thought disorder characteristics

Answer 32

• 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

Question 33

barriers to communication

Answer 33

• service user
• service provider

Question 34

Communication Support Plan

Answer 34

• provides a structure to support SLT assessment and intervention
• ensures all 3 levels of support are covered
• provides support for team members

Question 35

CHIME

Answer 35

• conceptual framework for personal recovery in mental health
• Connectedness
• Hope and optimism
• Identity
• Meaning in life
• Empowerment