Mindful Continuing Education

1. A complex interaction of biological, behavioral, and environmental factors place certain youths at greater risk than others for emotional and behavioral disorders that can range from mild to severe, and may be long lasting.

2. An estimated ______________ of children and adolescents with mental health problems do not receive mental services.

3. Protective factors such as __________________, supportive and nurturing relationships, a strong community, and faith organizations, can help prevent certain kinds of problems from developing in children and adolescents.

4. Research indicates that medication is the primary form of mental health treatment for most children and adolescents, and medication use appears to be the most effective course of action.

5. Medical providers, teachers or direct care workers in children's programs are well positioned to improve the identification of mental health and substance use problems among the children and adolescents they serve and are usually the first to recognize early signs of problems in children.

6. The three essential elements to improve access to care for mental health and substance abuse problems in children are identification, ____________, and intervention/treatment.

7. The principles guiding screening for early intervention of mental health and substance use problems in children and adolescents call for each of the following EXCEPT:

8. Sometimes the identification of mental health or substance use problems causes youth to be excluded from their social group and cultural communities, so partnerships with representatives from these communities are important to help identify any potentially negative consequences that could arise from early identification.

9. A number of studies have shown that such screening tools are better than the interviewing process used by primary care physicians or a clinical assessment conducted by mental health clinicians at identifying children and adolescents with mental health and substance use problems.

10. For children at risk for mental health or substance abuse problems, ___________ prevention is recommended.

11. Screening should be conducted periodically throughout childhood because children and adolescents are at risk for different mental health and substance use problems at different ages and certain stresses or traumas can trigger previously nonexistent conditions.

12. Sensitivity refers to a measure of the percentage of children and adolescents who do not have a condition of concern and are correctly identified by the screening tool as not having the problem.

13. Within an organization screening tools must be used thoughtfully, in a strength-based and ___________ context.

14. Screening tools selected by experts to identify children and adolescents with a high likelihood of having a significant mental health problem were required to meet each of the following criteria EXCEPT:

15. All screening tools that were identified as meeting best practice criteria were appropriately adapted to different cultures and used culturally appropriate language.

16. SAMHSA recommends that organizations require active or passive consent before administering a mental health or substance use/abuse screening tool.

17. When communicating screening results to parents, warning signs or an explanation of what the screen can determine should be included, but not diagnosis or identification of specific condition.

18. In some cases, organizations that serve children and adolescents may be reluctant to identify those youths with mental health or substance use problems because they believe the appropriate assessment will not be available to them due to limited community resources.

19. Family and youth support groups play a valuable role in helping families negotiate service systems, educate themselves about their child's or adolescent's condition, or cope with the demands of a child or adolescent with a mental health or substance abuse problem.

20. In the partnership model known as ____________, child serving organizations can provide space for behavioral health professionals to assist young people with mental health or substance abuse issues.

21. One-third to one-half of youths who have been abused are estimated to have significant emotional and behavioral problems, and ________________ has been found in up to 50 percent of children and adolescents who have been abused.

22. Numerous studies have found that many youths in the child welfare system have multiple problems, and that children age 4 and older can show symptoms of serious depression and anxiety.

23. Each of the following is an accurate statement about addressing the potential psychological trauma that may occur when children are removed from their homes EXCEPT:

24. Since caregivers involved in child welfare services experience intensive scrutiny, demands for improving parenting, or even loss of custody if they say the wrong thing, the reliability of their answers on a parent screening tool may be influenced.

25. Although foster parents have the right to certain information about health history, health status, and health care needs, they will not likely be privy to mental health or substance use screening results because of confidentiality.

26. According the authors, babies can exhibit signs of depression, which include sleep problems, inconsolable crying, and:

27. It is estimated that 50 to 60 percent of children with significant development and behavioral difficulties enter kindergarten without their problems being identified, partly because early care and education providers do not have the training and resources to systematically perform screenings.

28. When screening young children, no single tool can be fully appropriate for all cultures because of the significant variance in what is considered normal development and appropriate parenting.

29. Early care and education settings can address the range of social and emotional needs of children who need specialized help by using:

30. One promising area is the development of screening tools that take into account family risks and resources as well as signs of mental health problems in children.

31. The National Center on Family Homelessness estimates that 1.5 million American children and adolescents in families are homeless at any one time, with the largest percentage being:

32. Shelters that house homeless children should incorporate methods to admit those children and adolescents who are in crisis as well as those with severe problems, and be able to support engagement in appropriate treatments for all clients.

33. Adolescents older than age 18 generally do not qualify for Medicaid and may have a harder time accessing health and mental health services, but they may be eligible for services from community mental health centers or may receive care from programs for the homeless.

34. Among youths in the juvenile justice system, girls were more likely than boys to experience each of the following EXCEPT:

35. Any juvenile justice settings and its associated court need to determine the circumstances under which state law allows screening results to be used in court and then develop procedures and protocols that provide maximum ___________ available within the law.

36. Once youth are involved in community programs or at the beginning of the judicial process, parents and guardians generally lose their rights to consent to medical screening and procedures.

37. Some juvenile justice staff may hold negative views of families that can interfere with their ability to effectively work with them and they may need training to create awareness of mental health and substance use conditions and treatments, to promote the use of community treatment and support resources, and to:

38. Older teens involved in the justice system face extra challenges as they transition into adulthood and may benefit from assistance with accessing vocational, housing, educational, and other services to help them reach their life goals.

39. Research pertaining to children and adolescents with serious emotional challenges indicates that attention-deficit hyperactivity disorder most frequently occurs with substance-related disorders.

40. Children and adolescents who are vulnerable to psychosis or who are prepsychotic are likely to become fully psychotic if they use:

41. Incorporating a broad-based screening tool as part of a mental health assessment can help guard against the natural temptation to follow up solely on presenting issues, which can result in overlooking co-occurring conditions and failing to fully address a child's or adolescent's problems.

42. Even in situations where the parent or guardian has the legal right to consent to treatment, the child or adolescent has a right to be fully informed about where the information from any screening will go and how it can be used.

43. Primary care providers participating in state Medicaid child health programs are legally required to provide comprehensive health screening services, including the identification of potential mental health conditions to participating children and adolescents during primary care visits, but they are not required to screen for substance abuse disorders.

44. Each of the following is a correct statement about screening and interviewing approaches that occur in primary care settings EXCEPT:

45. Research has shown that even when primary care physicians supplement interviews with a screening tool, the identification of mental health problems doesn't necessarily increase.

46. Although experts believe that teens should be offered an opportunity to discuss health issues with their primary care provider privately, without a parent in the room for at least part of the visit, most parents do not support this practice.

47. All schools must be prepared to intervene if a student's behavior indicates an acute mental health or substance use problem, and schools should have arrangements for referring a child or adolescent for an immediate psychological assessment if he or she arrives at school intoxicated or under the influence of drugs or attempts to harm himself or herself or others.

48. Using a validated screening tool is the most efficient way to evaluate a large number of students, and informing parents and caregivers fully of the screening ________________ and gaining their informed assent is required.

49. Only school personnel with a "need to know" should have access to the screening results since given the stigma and misunderstanding associated with mental health and substance use problems, some school staff might draw unwarranted conclusions if they learn about these issues.

50. In a school setting, the term expanded mental health indicates that schools and mental health practitioners are working actively together to: