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Child And Adolescent Mental Health, SPMM CAMHS 1: Questions & Correct Solutions
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Child And Adolescent Mental Health, SPMM CAMHS 1: Questions & Correct Solutions
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Child And Adolescent Mental Health, SPMM CAMHS 1:Questions & Correct Solutions
ADI-R (Autism Diagnostic Interview - Revised) Right Ans - For ASD
Structured interview, often used in research, diagnosis, treatment and
educational planning.
Parents and caregivers answer behavior questions about the adult or child.
93 items Takes 1.5 - 2.5 hours
Can be used for children >2 and adults
ADOS (Autism Diagnostic Observation Schedule) Right Ans - GOLD
STANDARD for ASD
Activities for observing social and communication behaviors i.e. ask children
questions about school/family and observe how they respond.
40-60 minutes to complete
can be used for children >1 and adults
DISCO (Diagnostic Interview for Social and Communication Disorders)
Right Ans - for ASD
takes 2-3 hours for full version
used in both children and adults
combines developmental history and observation (like combi of ADI and
ADOS)
i.e. think those with ASD might not enjoy a disco
SCQ (Social Communication Questionnaire) Right Ans - for ASD
takes 25 mins to complete
screening version of the ADI
can be used to assess children >2 and adults
Conner's 3 Right Ans - 'OBSERVING (from parent/teacher perspective)
Connor with ADHD/behavioural problems'
Assess ADHD and other problematic behaviors from parent and teachers
perspective eg conduct disorder
15-20 mins to complete
available in short and long forms
,WISC (Wechsler Intelligence Scale for Children) Right Ans - the standard
intelligence test used in childhood, consisting of different scales composing a
variety of subtests
60-90 mins
used to assess children's intellectual ability
for use in children 6-17
Beck Depression Inventory Right Ans - 21-item test, presented in multiple-
choice formats, that assesses the presence and degree of depression in
adolescents and adults.
2 minutes
minimum age 13
CY-BOCS (Children's Yale Brown Obsessive Compulsive Scale) Right Ans -
severity of OCD sx
40 mins to complete
for children ages 6-17
SDQ (Strengths and Difficulties Questionnaire) Right Ans - behavioural
screening
15-20mins
assess internalising (ie anxious, depressive and overcontrolled) and
externalising (aggressive, hyperactive, noncompliant and undercontrolled)
behaviours
use in children 6-18
CBCL (child behaviour checklist) Right Ans - behavioural screening
15-20 mins
Assesses internalising (i.e., anxious, depressive, and overcontrolled) and
externalising (i.e., aggressive, hyperactive, noncompliant, and
undercontrolled) behaviours, therefore for oppositional defiant or conduct
disorders.
Good if multiple problems.
Completed by parents or teachers, 113 items in Likert fashion.
For use in children aged 6-18.
CDI (Children's Depression Inventory) Right Ans - for depression
15 - 20 mins long
,28 item Likert scale used in children aged 7-17.
CAFAS Child and Adolescent Functional assessment Scale Right Ans -
assesses global functioning therefore range of domains incl school, mood, self-
harm, substance misuse.
10 mins
Performed by clinical staff
For use in children aged 6-17.
general treatment of ADHD under 5 Right Ans - First-line - Offer an ADHD-
focused group parent-training programme (this basically uses a behavioural
model)
If first-line fails then obtain advice from a specialist ADHD service (tertiary
service). Do not offer medication for ADHD for any child under 5years without
a second specialist opinion from an ADHD service.
general treatment for ADHD for age 5-18 Right Ans - Give advice and offer
support (can be group based and is focussed on education, can be as few as 1-
2 sessions)
Offer ADHD-focused group parent-training programme
Offer medication only if ADHD symptoms are still causing a persistent
significant impairment in at least one domain after environmental
modifications have been implemented and reviewed
Consider a course of cognitive behavioural therapy (CBT) for young people
with ADHD who have benefited from medication but whose symptoms are
still causing a significant impairment in at least one domain
Medication
1) Methylphenidate OR lisdexamfetamine is first-line (try for 6 weeks)
2) If above ineffective, consider switching to to the alternative first-line option
--> Consider dexamfetamine for those responding to lisdexamfetamine but
who cannot tolerate the longer effect profile
3) Offer atomoxetine or guanfacine for those who can't tolerate
methylphenidate or lisdexamfetamine
if person taking stimulants for ADHD develops tics Right Ans - Continuing
the medication (if benefit outweighs risk)
Reducing medication
Stopping medication
, Swapping to guanfacine (in children aged 5years and over and young people
only), atomoxetine, or clonidine
monitoring of ADHD meds Right Ans - 1) Weight - every 3 months in
children under 10, --> every 6 months thereafter.
2) Height - every 6 months in children and young people.
3) Blood pressure and pulse - before and after each dose change --> every 6
months once dose stabilised.
treatment of noctural enuresis Right Ans - Begin with simple advice on
fluid intake (before bedtimes) and toileting habits and reward systems with
positive rewards for agreed behaviour rather than dry nights (e.g. drinking
recommended levels of fluid during the day)
If simple advice fails then the first-line treatment is an alarm
If alarm ineffective, offer desmopressin to children and young people over 7
years
If this is not effective then refer for further assessment of factors that may be
associated with a poor response, such as an overactive bladder, an underlying
disease or social and emotional factors
Pica most commonly associated with Right Ans - Autism
vitamin deficiencies associated with pica Right Ans - Zinc + Iron
Deficiencies: These are among the most commonly associated mineral
deficiencies linked to pica. Some studies show zinc and/or iron supplements
can reduce or eliminate the cravings for non-food substances. However, it's
worth noting that not everyone with pica has a mineral deficiency.
most common side effect of methylphenidate Right Ans - insomnia
dexamphetamine Right Ans - stimulant
inhibits DA and NA reuptake
very common side effects;
- decreased appetite
- reduced weight gain and weight loss during prolonged use in children
- insomnia
- nervousness
methylphenidate Right Ans - stimulant
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