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H&S 490
Micaela Johnson
H&S 490
May 5, 2018
Assignment 3
a. I scored the Center for Disease Control and Prevention’s webpage for “Children’s Mental
Health,” for the written health education understandability. This got a perfect score for
understandability as it contained all the aspects of the PMAT User’s Guide for Rating Materials. I
feel that there could still be improvements as there is basic data but it could be formatted in a
way that is more visually appealing or easier to comprehend. The formatting was good but could
probably be improved for readability.
b. I scored the Center for Disease Control and Prevention’s webpage for “Children’s Mental
Health,” for the written health education actionability. This got a perfect score for actionability
as it contained all the aspects of the PMAT User’s Guide for Rating Materials. The actionability is
very easy to identify and the steps are categorized well. For this piece the role in the child’s life
is identified so that there are actual steps that can be taken to help children’s mental health.
This could be improved by adding charts, graphs or a diagram to help with actionability.
c. I scored the Huffington Post UK’s video for “Here’s the Real Truth about Mental Health in
Children,” for the audiovisual piece understandability. This got a perfect score for
understandability as it contained all the aspects of the PMAT User’s Guide for Rating Materials.
The audiovisual piece was more interesting to rate because the layout is more visual and less
word-oriented. The tone of the actors speaking was very appropriate for the message given and
the use of children within the message was very powerful. The organization of the message was
ordered in a logical way and flowed smoothly from one topic to another.
d. I scored the Huffington Post UK’s video for “Here’s the Real Truth about Mental Health in
Children,” for the audiovisual piece understandability. This got a perfect score for actionability
as it contained all the aspects of the PMAT User’s Guide for Rating Materials. The actionability is
very easy to identify in this video as it gives very clear examples of what to say to children as
parents. There is also a plug at the end for their social media campaign and resources at the end
which could prove to be helpful for parents, guardians, and other close relatives of a child
experiencing mental health issues.
e. When considering health promotion on various topics, it is important to keep the affect
population in mind. The message could completely be misunderstood or ignored if not
approached in a specific way. Health literacy and keeping the culture of the population close to
the message will help in distribution of effective health education materials and concepts.
Press Release
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May 9, 2018
“I understand that people can feel Meridian— May 9, 2018 — Today, the City of Meridian
really uncomfortable when discussing announced immediate availability of training to all
our childhood trauma’s but there is healthcare professionals, this enables providers to better
hope in this first step that we can assess the population of Meridian for number of Adverse
make the future of our children and Childhood Experiences (ACE’s). This new information is to
us better,” help reduce the number of children experiencing adversities
said Susan Phillips, City Mayor at The and to help prevent against further damage to adults who
City of Meridian. have already suffered from ACE’s when they were young.
Many have already benefited from the analysis of utilizing the ACE Module. Professionals can help
provide resources for better addressing how parents are impacted by ACE’s as well as help prevent
childhood adversities. Parent’s may unintentionally be mistreating their children based off how they
were treated when younger. Enabling the healthcare professionals to this training will ultimately assist
the population of Meridian against past and present traumas for adults and children. This will also help
lower the number of children who are experiencing maltreatment overall in the Meridian area. This
training has been recently deployed to all healthcare professionals as additional required medical
training and is available online to anyone who may have any further questions.
Training to all healthcare professionals is an update driven by the need for children to have adverse-free
childhoods and adults to help combat the negative effects of ACE’s from their own childhoods. The City
of Meridian’s commitment to deliver any updates to training and medical professional requirements can
be found online at the City of Meridian’s public website.
###
Any people mentioned or products or trainings are purely for educational purposes only and are entirely
fictional. Thank you for your time.
http://youtube.com/
Videos uploaded to YouTube can have a positive impact on the younger audiences. Younger audiences
tend to use this platform for entertainment purposes and many of the videos are advertised all over. As
long as the videos are educational and properly addressed for each demographic, it should be successful
for reaching these audiences. Successful youtubers can also be utilized for their impact on their select
audiences and can be very good for advertisement.
http://www.sermo.com/
Sermo is a physician networking website. It was founded so that physicians could have a means of asking
other licensed professionals for advice, other considerations and advancements in medicine. I feel that
this would be good for advertising the information on ACE’s and TIC training and advancements in this.
This would help make sure that physicians have access to this information globally. This website would
be used to inform and update physicians on this information.
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• http://www.shared-care.ca/toolkits
• Trauma overview PDF attached in appendix.
• There are many different platforms that this website makes helpful for both parents and
children. This could be very useful for my topic as it does address both major populations
that I want to consider for this topic. The only adaption I would make would be more
resources on the specific topic of ACE’s and TIC.
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Appendix
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References
Center for Disease Prevention and Control. Children's Mental Health. (2018, March 14). Retrieved from
https://www.cdc.gov/childrensmentalhealth/basics.html
Elgán, T. H., Kartengren, N., Strandberg, A. K., Ingemarson, M., Hansson, H., Zetterlind, U., & Gripenberg,
J. (2016). A web-based group course intervention for 15-25-year-olds whose parents have substance use
problems or mental illness: study protocol for a randomized controlled trial. BMC Public Health, 16(1), 1-
8. doi:10.1186/s12889-016-3691-8
Huffington Post UK. Here’s the Real Truth About Mental Health in Children. (2016, February 17).
Retrieved from https://www.youtube.com/watch?v=C9naBPVHlHw
https://www.sermo.com/
https://www.youtube.com/
Trauma
Identification and management for
Canadian primary care professionals
Compiled by
in collaboration with
1
Understanding Trauma in Primary Care
• Epidemiology
• Resources
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Epidemiology
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AACAP PTSD Guidelines for Screening
and Assessment
Recommendation 1
The psychiatric assessment of children and
adolescents should routinely include questions
about traumatic experiences and PTSD symptoms.
Recommendation 2
If screening indicates significant PTSD symptoms,
the clinician should conduct a formal evaluation to
determine whether PTSD is present, the severity of
those symptoms, and the degree of functional
impairment. Parents or other caregivers should be
included in this evaluation wherever possible.
Recommendation 3
The psychiatric assessment should consider
differential diagnoses of other psychiatric disorders
and physical conditions that may mimic PTSD.
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Identification
• Consequences of trauma:
Children less likely than adults to present with
full criteria for PTSD
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• As with any mental health presentation perform
review of systems, complete physical exam,
and screening bloodwork if indicated:
Anemia (CBC and differential)
Infection (CBC and differential, monospot,
STIs)
Thyroid problems (TSH)
Chronic illness e.g. asthma (liver tests,
electrolytes, kidney tests)
Medications (over the counter, alternative,
and prescribed)
Pregnancy
Malnutrition
Less frequent conditions like cancer
• T-CAPS
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AACAP PTSD Guidelines for Management
Recommendation 4
Treatment planning should consider a
comprehensive treatment approach which includes
consideration of the severity and degree of
impairment of the child’s PTSD symptoms.
Recommendation 5
Treatment planning should incorporate appropriate
interventions for comorbid psychiatric disorders.
Recommendation 6
Trauma-focused psychotherapies should be
considered first-line treatments for children and
adolescents with PTSD.
Recommendation 7
SSRIs can be considered for the treatment of
children and adolescents with PTSD.
Recommendation 10
Use of restrictive “rebirthing” therapies and other
techniques that bind, restrict, withhold food or
water, or are otherwise coercive are not endorsed.
Recommendation 11
School- or other community-based screening for
PTSD symptoms and risk factors should be
conducted after traumatic events that affect
significant numbers of children.
(Cohen et al., 2010)
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Treatment
• Tips on developing a therapeutic alliance with
teens (Kutcher and Chehil 2009)
• Non-medication strategies:
General Principles:
o Sleep Hygiene
o Diet
o Exercise
o Relaxation and socialization
o Mood-Enhancing Prescription (Activity Plan)
Medication strategies:
o SSRIs can be used. For brief review of use of
antidepressants in children and youth
including SSRIs and suicidal ideation, see
Lam et al., 2009)
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Resources
• Youth:
Mindmasters (Orlick)
http://www.mindyourmind.ca: Youth
information, resources and tools to help you
manage stress, crisis and mental health
problems.
• Parents:
Dr. Bruce Perry is an expert in child and
adolescent trauma and links to two of his
articles might be helpful for practitioners and
parents:
o Trauma and development
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Freely Available Comprehensive
Guides
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Costello, E. J., Egger, H. L., and Angold, A. (2005).
The developmental epidemiology of anxiety
disorders: phenomenology, prevalence, and
comorbidity. Child and Aolescent Psychiatric Clinics
of North America, 14, 631-648, vii.
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Lam, R., Kennedy, S., Grigoriadis, S., McIntyre, R.,
Miley, R., Ramasubbu, R., et al. (2009). Canadian
Network for Mood and Anxiety Treatments
(CANMAT) Clinical guidelines for the management
of major depressive disorder in adults. III.
Pharmacotherapy. Journal of Affective Disorders,
117(Suppl. 1), S26-S43.
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