• Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.
  • Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.


Based on the YMH Boston Vignette 5 video, post answers to the following questions:

  • What did the practitioner do well? In what areas can the practitioner improve?
  • At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
  • What would be your next question, and why?

Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.

  • Explain why a thorough psychiatric assessment of a child/adolescent is important.
  • Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
  • Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
  • Explain the role parents/guardians play in assessment.

Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

Read a selection of your colleagues’ responses.


Respond to at least two of your colleagues on 2 different days by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence.

tony has been referred to a social

worker by his medical provider who is

concerned about symptoms of depression

and anxiety that Tony reported in his

physical exam

do you have a sense of why you’re here

yeah my doctor sent me so I’d like to

ask you some questions about how you’re

feeling how is your mood been lately um

I don’t know what you mean

have you been feeling sad or depressed

not really have you been crying a lot

I don’t really cry have you been feeling


yeah how about feeling edgy you’re angry

well yeah I guess I feel angry sometimes

um like kind of like I just want to

fight someone you can definitely talk

more about that do you ever feel like

you don’t have much energy or like

you’re not very interested in things

well I like basketball um but sometimes

I don’t have enough energy to play don’t

like school how are you doing in school

well I used to get all A’s and B’s but

my grades are kind of going down that’s

mainly just cuz I don’t do my homework


why not don’t like it it’s even hard

getting up in the mornings do you use

drugs or alcohol

I guess I’ll have a beer or two with my

friends sometimes sounds like things are

not always going so great you like

playing basketball but sometimes you

have trouble getting up in the morning

and getting interested in school and you

can sometimes get pretty angry how long

have you been feeling that way for like

two months um since May my girlfriend

broke up it makes me like really angry

with her or just with anyone mm-hmm

when I think about it I get a tight pain

in my chest and my heart beats really


I don’t know Hey I don’t even know why

she did break up with me but it hurts

and I don’t yeah I don’t even want to be

alive have you had thoughts about doing

something to hurt yourself yeah yeah

tell me more about that