Lecture 11: Child & Adolescent Psychiatric Mental Health Nursing

mental health notes Lecture 11: 3/17 Child & Adolescent Psychiatric Mental Health Nursing Concepts Etiology C&A psychiatric nursing involve sthe family Adolescence Normalcy Liological Tactors Almost all disorders of adults can occur in C&A Unizue time often characteri(ed to begin at the onset of puberty Genetic May be expressed through behavior rather than mood -i)erent cultures deDne adolescence di)erently ;puberty, age paraB meters, longer duration of maturityEI childhood to adulthood Reurobiological "rikson: Pdentity vs role confusion Nsychological Tactors Goal: Work with the family while considering safety, autonomy, and privacy for the C/A =emperament Self exploration and FtryBonsF 20% of C&A in the U.S. have a major mental illness that causes signiDcant impairment "nvironmental Tactors Niaget: Tormal operational ;transition from concreteE 'esilience Legin to think more logically about abstract concepts Witnessing violence -isruption to normal pattern of childhood develB opment Reglect and/or abuse Larriers in assessing, diagnosing, and treatment NeerBvictimi(ation qack of services or premature termination of tx Cultural factors Group Therapy for C&A Oounger Children Nlay therapy and sharing/ideas GradeBSchool Children Therapeutic Relationships with C&A Combo of play therapy, learning skills, and talk therapy Interventions for C&A Natients as partners in care and treatment Adolescents Lehavioral interventions Will facilitate successful assessment, diagnosis, and tx Pdentifying emotions and moderating resposnes Nlay therapy Therapeutic alliance: Natient Y C&A ;not parent/guardianE qearning skills and talk therapy "xpressive/arts therapy Lalance legality of consent and familyBcentered care Tocus on addressing speciDc problems and relationships Music therapy Cognitive Lehavioral =herapy ;CL=E CondyentialitS: Nrovide clarity of your role, pt4s role, expecB tations, limitations, etc. Tamily interventions faPetS: Mandated reporting -isruptive behavior mng 'eplacing negative, selfBdefeating thoughts with more realB istic, accurate appraisals to help improve functioning Nsychopharmacology Common Child and Adolescent PMH Neurodevelopmental Disorders Communication disorders Communication Disorders Motor Disorders Speech -isorders -evelopmental Coordination -isorder Motor disorders SpeciDc learning disorders Nroblems with making sounds qanguage -isorders Coordination lag well below developmental age Pntellectual developmental disorders 'eceptive or expressive Autism spectrum disorder Mixed receptive/expressive AttentionBdeDcit hyperactivity disorder Pmpaired and/or delayed motor skill development Stereotypic Movement -isorder 'epetitive, purposeless movements exceeding > weeks Assessment Tindings 1ften seen in children diagnosed with AS- -i