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    Mental Health Screening (6-20 Years) : C&TC Requirements Procedure

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    Mental health screening is recommended for children ages 6-11 during well-child visits and required for ages 12-20. Standardized tools like the PHQ-9 and PSC are used to screen for depression and other mental health issues. Positive screens should be followed up with referral to specialized services. Regular screening is important as half of all mental illnesses emerge by early adolescence, and early intervention can prevent behavioral problems and poor school performance.

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    Mental Health Screening (6-20 Years) : C&TC Requirements Procedure

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    Mental health screening is recommended for children ages 6-11 during well-child visits and required for ages 12-20. Standardized tools like the PHQ-9 and PSC are used to screen for depression and other mental health issues. Positive screens should be followed up with referral to specialized services. Regular screening is important as half of all mental illnesses emerge by early adolescence, and early intervention can prevent behavioral problems and poor school performance.

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    Mental health screening is recommended for children ages 6-11 during well-child visits and required for ages 12-20. Standardized tools like the PHQ-9 and PSC are used to screen for depression and other mental health issues. Positive screens should be followed up with referral to specialized services. Regular screening is important as half of all mental illnesses emerge by early adolescence, and early intervention can prevent behavioral problems and poor school performance.

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    29 views2 pages

    Mental Health Screening (6-20 Years) : C&TC Requirements Procedure

    Uploaded by

    J
    Mental health screening is recommended for children ages 6-11 during well-child visits and required for ages 12-20. Standardized tools like the PHQ-9 and PSC are used to screen for depression and other mental health issues. Positive screens should be followed up with referral to specialized services. Regular screening is important as half of all mental illnesses emerge by early adolescence, and early intervention can prevent behavioral problems and poor school performance.

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    Mental Health Screening (6-20 Years)

    CHILD AND TEEN CHECKUPS (C&TC) FACT SHEET FOR PRIMARY CARE PROVIDERS

    C&TC Requirements Procedure


    General Instruments
    Mental health surveillance is required at all The following instruments are recommended:
    C&TC visits for all ages. This includes obtaining
    General Mental Health Screening
    the child and family’s mental health history and
    ▪ Pediatric Symptom Checklist (PSC)
    the child’s history of exposure to trauma.
    ▪ Global Appraisal of Individual Needs (GAIN-SS)
    Mental health screening using an approved,
    Depression Screening
    standardized instrument is recommended for
    ▪ Patient Health Questionnaire (PHQ-9 or
    all C&TC visits age 6 through 11 years, and PHQ-9 Modified for Teens)
    is required for age 12 through 20 years. A
    ▪ PHQ-2, followed by more robust validated
    detailed comparison table of approved mental screener (e.g., PHQ-9) for positive results;
    health screening instruments for more details, refer to PHQ-2 Review
    (https://mn.gov/dhs) provides information on
    (www.health.state.mn.us)
    each recommended instrument. ▪ Kutcher Adolescent Depression Scale (KADS)
    ▪ Beck Depression Inventory II (BDI-II)
    Personnel ▪ Children’s Depression Inventory (CDI-2)
    Mental health surveillance must be completed
    by a licensed healthcare provider: physician, Referral
    nurse practitioner, physician assistant, or
    It is critical that children with identified
    registered or public health nurse (RN, PHN)
    concerns receive or be referred for specialized
    who has completed the C&TC Comprehensive
    services (Weitzman & Wegner, 2015). If care
    Screening training through the Minnesota
    for mental health concerns is not available
    Department of Health (MDH).
    onsite, refer to the DHS website for a map
    Qualifications for mental health screening are (www.dhs.state.mn.us) of school-linked mental
    instrument-specific; refer to the instrument’s health agencies across Minnesota, or search for
    manual for more information. statewide mental health or substance use
    disorder treatment agencies (www.fast-
    Documentation trackermn.org).
    Document surveillance in the C&TC visit record.
    Document screening with the name of the The Psychiatric Assistance Line (PAL)
    instrument, the score, and anticipatory (www.mnpsychconsult.com) or 855.431.6468 is
    guidance based on the results given to the a service available to health professionals. Any
    parent/caregiver or youth. For positive results, provider can call for mental health triage and
    document referral and follow-up plan. referral, or for a consultation with a Board
    Certified Child and Adolescent Psychiatrist
    For documentation examples, refer to the regarding a patient. This is a free service
    C&TC Documentation Forms for Providers and provided by PrairieCare Medical Group through
    Clinics (www.dhs.state.mn.us). a grant from Department of Human Services.
    MENTAL HEALTH SCREENING (6-20 YEARS) FACT SHEET

    Follow-Up ▪ C&TC Schedule of Age-Related Screening


    Standards (www.dhs.state.mn.us)
    After making a referral, ensure the young
    ▪ Minnesota Health Care Programs (MHCP)
    person or family obtained services without
    Provider Manual - C&TC Section
    encountering barriers, and that the services
    (www.dhs.state.mn.us)
    were effective. Provide more frequent C&TC or
    other follow-up visits in clinic if needed.
    Minnesota Department of Health
    ▪ Child and Teen Checkups (C&TC)
    Importance of Mental Health (www.health.state.mn.us)
    Screening
    In any given year, 9% of MN school age children
    Other Resources
    experience severe emotional disturbance ▪ Resources to Support Adolescent Mental
    (MMB, 2019). Identification of mental health Health (www.hhs.gov)
    problems improves with standardized
    screening (SAMHSA, 2012). Half of all lifetime
    cases of mental illness begin by early
    References
    adolescence (Weitzman & Wegner, 2015). American Academy of Pediatrics. (2017, February).
    Substantial evidence shows that early mental Recommendations for Preventive Pediatric Health Care.
    Retrieved from Bright Futures/American Academy of
    health interventions help prevent behavior Pediatrics: https://www.aap.org/en-
    problems and poor school performance us/Documents/periodicity_schedule.pdf
    (Weitzman & Wegner, 2015). CDC. (2013). Mental Health Surveillance among Children-
    United States, 2005-2011. MMWR, 62(2), 1-35.

    Professional Recommendations MMB. (2019). Children’s Mental Health Inventory and


    Benefit-Cost Analysis. Retrieved February 17, 2021, from
    https://mn.gov/mmb-stat/results-first/cmh-report.pdf
    American Academy of Pediatrics SAMHSA. (2012, April). Indentifying Mental Health and
    Substance Use Problems of Children and Adolescents: A
    Standardized depression screening is
    Guide for Child-Serving Organizations. Retrieved from
    recommended at all well-child checks https://store.samhsa.gov/product/Identifying-Mental-
    beginning at 12 years of age (American Health-and-Substance-Use-Problems-of-Children-and-
    Academy of Pediatrics, 2017). Adolescents-A-Guide-for-Child-Serving-
    Organizations/SMA12-4700
    U.S. Preventive Services Task Force U.S. Preventive Services Task Force. (2016, November).
    Screeninng for Depression in Children and Adolescents:
    Screening for major depressive disorder at 12- USPSTF Recommendation Statement. Pediatrics. doi:DOI:
    18 years when systems are in place to ensure 10.1542/peds.2015-4467 o
    accurate diagnosis, psychotherapy, and follow- Weitzman, C., & Wegner, L. (2015). Promoting Optimal
    up is a Grade B Recommendation (U.S. Development: Screening for Behavioral and Emotional
    Problems. Pediatrics, 135(2), 385-395.
    Preventive Services Task Force, 2016).
    For More Information
    Resources The Child and Teen Checkups (C&TC) program is
    administered through a partnership between the
    Minnesota Department of Human Minnesota Department of Human Services and the
    Minnesota Department of Health.
    Services
    For questions about this fact sheet or to obtain this
    ▪ Children's Mental Health Programs and information in a different format, call 651-201-3760
    Services (www.mn.gov/dhs) email health.childteencheckups@state.mn.us.
    Revised 03/2021

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